Which of the following is known to have a role in wound healing?
- A. Vitamin A
- B. Vitamin K
- C. Vitamin C
- D. Vitamin B complex
Correct Answer: C
Rationale: Vitamin C is essential for collagen synthesis, a key wound healing component, strengthening tissue repair. Vitamin A supports epithelial growth, Vitamin K aids clotting, and B complex boosts energy, but collagen formation is primary. Nurses ensure adequate C intake (e.g., citrus), accelerating recovery, preventing dehiscence, and supporting immune response at wound sites.
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A client has a new diagnosis of hypothyroidism, and a nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of iodine-rich foods.
- B. You should decrease your intake of iodine-rich foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: A
Rationale: In hypothyroidism, increasing intake of iodine-rich foods is beneficial as iodine is essential for the production of thyroid hormones. This helps to support thyroid function in individuals with hypothyroidism. Therefore, advising the client to increase their intake of iodine-rich foods aligns with the recommended dietary management for hypothyroidism. Choice B is incorrect because decreasing iodine-rich foods could lead to further deficiency in individuals with hypothyroidism. Choice C is not directly related to hypothyroidism and lactose intolerance is a separate issue. Choice D is incorrect as increasing dairy products is not a specific recommendation for hypothyroidism unless the client has a deficiency of calcium or vitamin D, which should be assessed separately.
During a Romberg test, the nurse asks the patient to assume which position?
- A. Sitting
- B. Standing
- C. Genupectoral
- D. Trendelenburg
Correct Answer: B
Rationale: The Romberg test assesses balance while standing with eyes open and closed.
The nurse notices that the client has a hematocrit of 70 percent. This level of hematocrit will most likely affect the vital signs in which of the following ways?
- A. The blood pressure will be elevated.
- B. The pulse will be low.
- C. Temperature will be elevated.
- D. Blood pressure will be low.
Correct Answer: A
Rationale: A 70% hematocrit, abnormally high, increases blood viscosity, elevating blood pressure, not lowering pulse or raising temperature. Nurses monitor this for circulatory strain.
A nurse working on a busy acute care unit is planning care for a group of clients. Which nursing action best exemplifies the primary focus of the nurse's role?
- A. The nurse focuses on the procedures being performed for clients that day
- B. The nurse adjusts the environment of the client to facilitate provision of care
- C. The nurse monitors the health status of the client throughout the shift
- D. The nurse comforts a client who received bad results from a diagnostic test
Correct Answer: D
Rationale: Nursing's primary focus is promoting health and wellness holistically, partnering with clients to address physical, emotional, and spiritual needs. Comforting a client after bad diagnostic results exemplifies this, offering emotional support during distress, reinforcing trust, and aiding coping core to nursing's caring essence. Focusing on procedures prioritizes tasks over people, while adjusting the environment supports care delivery indirectly. Monitoring health status is vital but reactive, not the central focus. Comforting reflects nursing's commitment to the whole person, not just illness, aligning with its mission to foster well-being across diverse settings. This action embodies the nurse's role as a compassionate advocate, pivotal in acute care where emotional needs often peak alongside physical ones, enhancing overall client resilience.
A client's wife has been informed by the physician that her spouse has a permanent C2-C3 spinal injury, which has resulted in permanent quadriplegia. The wife states that she does not want the physician or nursing staff to tell the client about his injury. The client is awake, alert, and oriented when he asks his nurse to tell him what has happened. The nurse has conflicting emotions about how to handle the situation and is experiencing:
- A. autonomy.
- B. moral distress.
- C. moral doubt.
- D. moral courage.
Correct Answer: B
Rationale: The nurse's conflict between truth-telling and the wife's request is moral distress (B), feeling unable to act ethically. Autonomy (A) is patient rights. Doubt (C) is uncertainty. Courage (D) is acting despite fear. B is correct. Rationale: Moral distress arises from ethical dilemmas, common in nursing when values clash, per ethics frameworks, requiring resolution.