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Which of the following is TRUE about temperature?
- A. The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N
- B. The lowest temperature is usually in the Afternoon, Around 12 P.M
- C. Thyroxin decreases body temperature
- D. Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.
Correct Answer: A
Rationale: Body temperature peaks late day (8 PM-midnight) due to circadian rhythms e.g., higher metabolism. Lowest is early morning (not noon), thyroxin raises temp (not lowers), and elderly risk hypothermia (not hyperthermia) from poor regulation. Nurses monitor this pattern for fever assessment, per physiological norms.
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A client with cirrhosis is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should increase my intake of sodium-rich foods.
- B. I should decrease my intake of sodium-rich foods.
- C. I should increase my intake of potassium-rich foods.
- D. I should decrease my intake of potassium-rich foods.
Correct Answer: B
Rationale: The correct answer is B. In cirrhosis, decreasing the intake of sodium-rich foods is essential to manage fluid retention and symptoms. Excessive sodium intake can worsen fluid accumulation and lead to complications such as ascites. Therefore, advising the client to decrease sodium-rich foods demonstrates an understanding of the dietary management necessary for cirrhosis. Choices A, C, and D are incorrect because increasing sodium-rich foods can exacerbate fluid retention and complications in cirrhosis, increasing potassium-rich foods is not the primary focus of dietary management in cirrhosis, and decreasing potassium-rich foods is not a key recommendation for managing cirrhosis-related dietary issues.
A client with hypertension is being educated by a healthcare professional about lifestyle changes. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should consume foods low in potassium.
- B. I should consume foods low in sodium.
- C. I should consume foods high in saturated fats.
- D. I should consume foods high in cholesterol.
Correct Answer: B
Rationale: The correct answer is B: 'I should consume foods low in sodium.' This statement indicates an understanding of managing hypertension. Excessive sodium intake can lead to increased blood pressure, so reducing sodium consumption is crucial in hypertension management to prevent complications. Choices A, C, and D are incorrect. Consuming foods low in potassium is not typically recommended for hypertension management as potassium-rich foods like fruits and vegetables can be beneficial. Consuming foods high in saturated fats and cholesterol can be detrimental to cardiovascular health and should be limited in individuals with hypertension.
Mr. Gary is a 67 year old client who is experiencing chronic pain. Which of the following is the best way to assess his pain?
- A. Observe his behavior
- B. Ask him to describe his pain
- C. Perform physical assessment
- D. Use a standardized pain scale
Correct Answer: D
Rationale: For Mr. Gary's chronic pain at 67, a standardized pain scale (D) best assesses intensity, per pain management standards (e.g., numeric scale). Observation (A) misses subjectivity, description (B) lacks precision, physical assessment (C) is secondary. Scales quantify chronic pain reliably, especially in older adults, making D the optimal choice.
Which of the following statement is NOT true about resilience?
- A. Can be developed
- B. Helps in stress management
- C. Always present at birth
- D. Affected by support systems
Correct Answer: C
Rationale: Resilience can develop (A), aids stress (B), affected by support (D) 'always present at birth' (C) isn't true, grows over time, per research. C's innate claim fails, making it untrue.
Which is the most basic need according to Maslow's hierarchy of human needs?
- A. Physical and psychological
- B. Love and belonging
- C. Physiological needs
- D. The need for self-actualization
Correct Answer: C
Rationale: Maslow's hierarchy ranks physiological needs air, water, food, shelter as the most basic, foundational level for survival. Without these, higher needs cannot be pursued; for instance, a patient struggling to breathe (physiological) won't prioritize self-esteem. Physical and psychological isn't a Maslow category; it blends levels imprecisely. Love and belonging (e.g., relationships) is third-tier, reliant on physiological and safety needs being met first. Self-actualization, the top tier, involves personal fulfillment, achievable only after all lower needs are satisfied. In nursing, prioritizing physiological needs like oxygen for a hypoxic patient ensures life-sustaining care precedes emotional or growth-oriented interventions. Maslow's model underscores this hierarchy's logic: physiological stability is the bedrock, making it the most basic need driving human behavior and nursing priorities.