Nokea
Which of the following should be included when developing a teaching plan to prevent urinary tract infection? Select all that apply.
- A. Maintaining adequate fluid intake
- B. Avoiding urination before and after intercourse
- C. Emptying bladder with urination
- D. Wearing underwear made of synthetic material such as nylon
Correct Answer: A
Rationale: Maintaining adequate fluid intake: Adequate fluid intake helps to flush out bacteria from the urinary tract, reducing the risk of infection.
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Which of the ff symptoms is observed in the client with Right Sided Heart Failure?
- A. Dependent pitting edema
- B. Orthopnea
- C. Exertional dyspnea
- D. Hemoptysis CARING FOR CLIENTS UNDERGOING CARDIOVASCULAR SURGERY
Correct Answer: A
Rationale: Right-sided heart failure is characterized by the inability of the right side of the heart to pump blood effectively, leading to fluid accumulation in the systemic venous system. This fluid overload typically manifests as signs of congestion in the peripheral tissues. Dependent pitting edema is a classic symptom of right-sided heart failure, where swelling is noted in the lower extremities and sacral area, worsening later in the day due to the effects of gravity. Orthopnea (B) and exertional dyspnea (C) are more indicative of left-sided heart failure, where congestion occurs in the pulmonary system. Hemoptysis (D) refers to coughing up blood and is not a classic symptom of heart failure but may be seen in conditions such as pulmonary embolism or infection.
Almost all of the diseases detected in neonatal screening programs have a very low prevalence; the strategy is to use the initial screening test to separate a highly suspect group from normal and then follow this suspect group aggressively. Of the following, the disease that has low prevalence rendering it not useful for neonatal screening testing is
- A. phenylketonuria
- B. hypothyroidism
- C. cystic fibrosis
- D. neuroblastoma
Correct Answer: D
Rationale: Neuroblastoma has a very low prevalence and is not typically screened for in neonatal programs due to its rarity and the inefficiency of mass screening for such a condition.
Nurse Dennis provides health promotion to a group of male adults. He is correct when he states that clients with cirrhosis should include which measure to adhere to a home?
- A. supplemet with daily multivitamins
- B. take sleeping pills at home
- C. limit daily alcohol intake
- D. limit contact at all times
Correct Answer: C
Rationale: Clients with cirrhosis, which is a serious liver condition, should avoid or limit their alcohol intake. Alcohol can worsen liver damage and lead to further complications such as liver failure. Nurse Dennis is correct in advising clients with cirrhosis to adhere to this measure in order to promote their health and reduce the progression of the disease. Taking daily multivitamins can be beneficial for some individuals, but limiting alcohol intake is crucial for those with cirrhosis. Taking sleeping pills at home without medical supervision can also be dangerous, as it may interact with other medications and worsen liver function. Limiting contact at all times is not relevant to managing cirrhosis.
During thoracentesis, which of the following nursing intervention will be most crucial?
- A. Place patient in a quiet and cool room
- B. Maintain strict aseptic technique
- C. Advice patient to sit perfectly still during needle insertion until it has been withdrawn from the chest
- D. Apply pressure over the puncture site as soon as the needle is withdrawn
Correct Answer: B
Rationale: Maintaining strict aseptic technique during thoracentesis is the most crucial nursing intervention. Thoracentesis is a procedure where a needle is inserted into the pleural space to obtain a sample of fluid for diagnostic purposes or to drain excess fluid for therapeutic relief. It is essential to prevent the introduction of pathogens or contaminants into the pleural space, as this can lead to serious complications such as infection. By following strict aseptic technique, the risk of complications can be minimized, ensuring the safety and well-being of the patient undergoing the procedure.
Which of the ff nursing interventions may reduce hemostasis and decrease the potential for thrombophlebitis for a client with a neurologic disorder?
- A. Remove and reapply elastic stockings
- B. Keep extremities at neutral position
- C. Change the clients position
- D. Use a flotation mattress NEUROMUSCULAR DISORDERS
Correct Answer: B
Rationale: Keeping the extremities at a neutral position for a client with a neurologic disorder can help reduce hemostasis and decrease the potential for thrombophlebitis. This positioning helps maintain proper blood flow and prevents excessive pressure on the veins, which can lead to blood clots. Removing and reapplying elastic stockings, changing the client's position, and using a flotation mattress may have their own benefits, but in this case, keeping the extremities at a neutral position is the most direct and effective intervention to address the issue of hemostasis and thrombophlebitis for a client with a neurologic disorder.