Nokea
Which of the following is an important preventive factor that the nurse should teach a client with rhinitis?
- A. Not to blow the nose
- B. Not to lift objects weighing more than 5-10 lb
- C. To consume small doses of ice chips
- D. To wash hands frequently
Correct Answer: D
Rationale: Washing hands frequently is an important preventive factor that the nurse should teach a client with rhinitis. Rhinitis is characterized by inflammation of the mucous membrane lining the nose, leading to symptoms such as a runny or stuffy nose. Rhinitis can be caused by viruses, bacteria, allergens, or irritants. By washing hands frequently, the client can reduce the risk of coming into contact with these pathogens and reduce the likelihood of exacerbating their symptoms or developing complications. Handwashing is a simple yet effective way to prevent the spread of infections and maintain good overall health.
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In pediatric rhabdomyosarcoma, stages are dependent on primary site whether favorable or unfavorable. Which of the following sites of involvement is considered unfavorable?
- A. vagina
- B. uterus
- C. testis
- D. paranasal sinuses
Correct Answer: D
Rationale: Paranasal sinuses are considered unfavorable sites in rhabdomyosarcoma staging.
The parent of a child with glomerulonephritis asks how they will know the child is improving. Which is the best response?
- A. Your child's urine output will increase and the urine will become less tea-colored.
- B. Your child will rest more comfortably as lab values normalize.
- C. Your child's appetite will decrease.
- D. Your child's lab values will become more normal.
Correct Answer: A
Rationale: An increase in urine output and a return to normal urine color are clear, observable signs of improvement in glomerulonephritis.
Which of the ff should the nurse include in the teaching plan of a client with acute bronchitis?
- A. Not coughing frequently
- B. Washing the hands frequently
- C. Consuming adequate calories
- D. Encouraging a semi-Fowler's position
Correct Answer: B
Rationale: In acute bronchitis, the highest priority in the teaching plan should focus on preventing the spread of infection. Washing hands frequently can help reduce the risk of spreading the infection to others or introducing new germs that could worsen the client's condition. Proper hand hygiene is one of the most important ways to prevent the transmission of respiratory infections, like bronchitis, by reducing the number of pathogens on the hands. This measure is important not only for the client's well-being but also for the health of those in close contact with the client.
The nurse, in assessing the adequacy of a client's fluid replacement during the first 2 to 3 days following full- thickness burns to the trunk and right thigh, would be aware that the most significant data would be obtained from recording
- A. Weights every day .
- B. Blood pressure every 15 minutes
- C. Urinary output every hour
- D. Extent of peripheral edema every 4 hours
Correct Answer: C
Rationale: Monitoring urinary output every hour is crucial in assessing the adequacy of fluid replacement in a client with full-thickness burns. Burn injuries can result in a significant loss of fluid and electrolytes due to increased capillary permeability and excessive fluid shift from the intravascular space to the interstitial space. Adequate fluid replacement is essential to maintain tissue perfusion, prevent hypovolemia, and support organ function. By closely monitoring the urinary output every hour, the nurse can assess renal perfusion, fluid balance, and the effectiveness of fluid resuscitation. A decrease in urinary output can indicate inadequate fluid replacement, while an increase may suggest fluid overload. This information is important in guiding adjustments to the fluid replacement therapy to ensure optimal outcomes for the client. Weights, blood pressure measurements, and assessment of peripheral edema are also important data to monitor in a burn client, but urinary output is the most significant indicator of fluid balance in
In embryonic period, formation of all of the following occur by the given time EXCEPT
- A. 8 days - blastocyst formation
- B. 6 weeks - ectoderm formation
- C. 8 weeks - crown-rump length about 3 cm
- D. 10 weeks - endoderm formation
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.