Nokea
When you are monitoring your client who is now started on an intravenous antibiotic for an infection, you notice that the client is exhibiting signs of anaphylaxis. What is your first priority intervention?
- A. Stop the intravenous flow
- B. Slow down the intravenous flow
- C. Notify the doctor
- D. Begin CPR
Correct Answer: A
Rationale: Stopping the IV (A) is the first step to halt anaphylaxis progression.
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support refers to tangible items.
- A. Companionship
- B. Social
- C. Instrumental
- D. Friendship
Correct Answer: C
Rationale: Instrumental support involves tangible aid, like money or goods, unlike emotional support.
The adult children of an elderly client are interested in the use of complementary and alternative medicine (CAM) therapies to help manage their mother's poststroke depression. The nurse responds:
- A. There has been no research done to investigate the effectiveness of CAM on depression like your mother's.'
- B. At your mother's age CAM therapies are not indicated since they may affect her impaired renal function.'
- C. There has been some research to support the use of acupuncture in managing depression that occurs after strokes.'
- D. I'd suggest you discuss this with your mother's physician before you mention the idea to her since the research on the subject is inconclusive.'
Correct Answer: C
Rationale: Rationale for Correct Answer C: The nurse's response is correct because there has been some research supporting the use of acupuncture in managing depression post-stroke. Acupuncture is a form of CAM therapy that has shown promising results in improving mental health outcomes for stroke patients. By suggesting acupuncture, the nurse is offering a potential evidence-based solution for the client's post-stroke depression. This response aligns with the client's interests in exploring CAM therapies and provides a feasible option for consideration.
Incorrect Answers:
A: This answer is incorrect because it states there has been no research on the effectiveness of CAM for depression after strokes, which is misleading as there is research supporting the use of acupuncture.
B: This answer is incorrect because it assumes that age-related factors like impaired renal function would automatically preclude the use of CAM therapies, which is not always the case.
D: This answer is incorrect because it suggests consulting the physician due to inconclusive research, which may hinder the exploration of potentially beneficial CAM therapies like acupuncture
Emphasized the importance of curriculum
- A. Maria Montessori
- B. Margaret
- C. McMillan
- D. Katherine
Correct Answer: A
Rationale: Montessori's structured curriculum was central to her method.
Crises occur when an individual:
- A. Is exposed to a precipitating stressor
- B. Perceives a stressor to be threatening
- C. Has no support systems
- D. Experiences a stressor and perceives coping strategies to be ineffective
Correct Answer: D
Rationale: The correct answer is D because crises arise when an individual experiences a stressor and perceives their coping strategies to be ineffective. This is supported by the fact that crises involve a sense of overwhelm and inability to manage the situation effectively. Choices A and B focus on the presence and perception of stressors, but without considering the effectiveness of coping strategies. Choice C, lack of support systems, is not the defining factor in determining a crisis; it is the individual's perception of their ability to cope that leads to a crisis. Therefore, D is the most appropriate choice as it directly relates to the individual's ability to handle the stressor effectively.
Which statement about targeted assessments is accurate?
- A. The need for a targeted assessment is based on the application of the nurse's knowledge of pathophysiology and the presenting symptoms.
- B. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays.
- C. Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.
- D. Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.
Correct Answer: A
Rationale: Targeted assessments (A) focus on specific symptoms using pathophysiology.