Nokea
Which is an indicator of escalating withdrawal used by a nurse when assessing a client with alcohol dependence?
- A. Rule of one hundreds
- B. CAGE screening test
- C. Alcoholics anonymous
- D. Rule of nines
Correct Answer: B
Rationale: The CAGE questionnaire screens for alcohol use disorders, identifying signs of dependency or problematic drinking.
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Cultural safety describes care that prevents cultural imposition. The nurse must be aware of and include the knowledge of which factors in providing safe cultural care for the patient?
- A. Values
- B. Culture
- C. Ethnicity
- D. Stereotyping
Correct Answer: A
Rationale: Factors like values, culture, ethnicity, acculturation, and avoiding stereotyping or ethnocentrism help ensure culturally safe care.
When assessing a skin lesion, you look for A-asymmetry, B-irregular borders, C-variegated colors, D-diameter, and E-
- A. Edema.
- B. Erythema.
- C. Elevation.
- D. Ever-changing.
Correct Answer: C
Rationale: Elevation is one of the ABCDE criteria for assessing suspicious skin lesions.
Which of the following would indicate that Mrs. Filbert understands what you have taught her about her condition?
- A. She delays asking for medication so that she will not become addicted
- B. She asks for medication upon the first indication of an attack
- C. She permits the nurse to perform all of her morning care
- D. She asks her family to assist her at mealtime
Correct Answer: B
Rationale: Promptly seeking medication at the onset of symptoms reflects understanding of how to manage acute attacks effectively.
You are working in a community health clinic and a client needs instructions for care of a hordeolum (sty) to the right upper eyelid. What is the first treatment that the client should try?
- A. Apply warm compresses 4 times/day.
- B. Gently perform hygienic eyelid scrubs.
- C. Obtain prescription for antibiotic drops.
- D. Contact the ophthalmologist.
Correct Answer: A
Rationale: Warm compresses are the first-line treatment for a hordeolum, as they promote drainage and reduce inflammation.
A patient with a history of asthma is scheduled for an appendectomy. Because of her asthma, you would include as part of the preoperative teaching the need to perform postoperatively
- A. Coughing and deep breathing exercises.
- B. Leg exercises.
- C. Wound dressing changes.
- D. All of these.
Correct Answer: A
Rationale: Deep breathing exercises help prevent postoperative complications in asthmatic patients.