Which BMI is associated with overeating syndromes?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic obstructive pulmonary disease (COPD) appears thin and disheveled. Which question should the nurse ask first?
- A. Do you have a strong support system?
- B. What do you understand about your disease?
- C. Do you experience shortness of breath with basic activities?
- D. What medications are you prescribed to take each day?
Correct Answer: C
Rationale: The correct question to ask first is C: "Do you experience shortness of breath with basic activities?" This is because shortness of breath is a common and concerning symptom in COPD patients that can greatly impact their quality of life and indicate disease progression. By addressing this symptom first, the nurse can assess the severity of the client's condition and determine the immediate need for intervention or treatment. Asking about support system (A) is important but not as urgent as addressing the primary symptom. Inquiring about the client's understanding of the disease (B) and medications (D) is also important but should come after addressing the immediate symptom of shortness of breath.
Mrs. Smith splashed some toilet bowl cleaner into her eye, and now her eye is burning. Mrs. Smith's eye should be irrigated with
- A. an acid solution
- B. a basic solution
- C. her head turned toward the affected eye
- D. her head turned toward the unaffected eye
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to
- A. arrange nursing home placement for the couple.
- B. consult the spouse's healthcare provider about the spouse's ability to care for the patient.
- C. contact the children to ascertain their commitment to help.
- D. discuss community resources with the spouse and offer to make referrals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A cheerful, elderly widow comes to the community clinic for her annual check-up. She is in reasonably good health, but she has a hearing loss of 40 dB. She confides, 'I don't get out much. I used to be really active, but the older I get, the more trouble I have hearing. It can be really embarrassing.' What is the priority nursing diagnosis?
- A. Social Interaction, Impaired related to perceived inability to interact
- B. Disturbed Sensory Perception related to progressive hearing loss
- C. Knowledge Deficit related to pathophysiological processes
- D. Coping, Ineffective related to change in sensory abilities
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During an acute asthma attack, a healthcare provider assesses a client. Which assessment finding indicates that the client's condition is worsening?
- A. Loud wheezing
- B. Increased respiratory rate
- C. Decreased breath sounds
- D. Productive cough
Correct Answer: C
Rationale: The correct answer is C: Decreased breath sounds. This finding indicates worsening asthma as it signifies decreased airflow to the lungs, which can lead to inadequate oxygenation. Loud wheezing (A) is common in asthma but does not necessarily indicate worsening. Increased respiratory rate (B) is a compensatory mechanism to improve oxygenation. Productive cough (D) may indicate clearing of mucus and is not necessarily associated with worsening asthma.