Nokea
Which of the following statement best describe the resistance stage of GAS?
- A. Body shuts down due to stress
- B. Body adapts to stress
- C. Immediate reaction to stress
- D. Permanent damage occurs
Correct Answer: B
Rationale: Resistance stage is body adapting to stress (B), per GAS sustaining effort (e.g., cortisol stabilizes). Shutdown (A) and damage (D) are exhaustion, immediate (C) alarm. B best defines resistance's coping phase, making it correct.
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A client is receiving discharge teaching after a total hip arthroplasty. Which of the following instructions should be included?
- A. Cross your legs at the ankles while sitting
- B. Avoid bending your hips more than 90 degrees
- C. Sit in a low-seated chair
- D. Twist your body when standing up
Correct Answer: B
Rationale: To prevent dislocation of the hip prosthesis, the client should avoid bending their hips more than 90 degrees. Excessive bending at the hips can increase the risk of hip dislocation, which is a significant concern following total hip arthroplasty. Sitting with crossed legs at the ankles (choice A) can also increase the risk of hip dislocation and should be avoided. Sitting in a low-seated chair (choice C) can make it more challenging for the client to stand up safely. Twisting the body when standing up (choice D) can also strain the hip joint and increase the risk of dislocation. Therefore, the correct instruction to include during discharge teaching is to avoid bending the hips more than 90 degrees.
A client with a traumatic brain injury is receiving mannitol. The nurse should monitor for which adverse effect of this medication?
- A. Hypotension
- B. Hyperkalemia
- C. Hyperglycemia
- D. Bradycardia
Correct Answer: A
Rationale: Mannitol, an osmotic diuretic, can cause hypotension (A) from fluid shifts and diuresis. Hyperkalemia (B), hyperglycemia (C), or bradycardia (D) are less common. A is correct. Rationale: BP drop risks perfusion; monitoring ensures safety, per pharmacology, critical in brain injury management.
A client with peptic ulcer disease is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should avoid drinking milk.
- B. I should avoid drinking coffee.
- C. I should avoid eating high-fiber foods.
- D. I should avoid eating low-fat foods.
Correct Answer: B
Rationale: The correct answer is B. Avoiding coffee is important in managing peptic ulcer disease as it helps reduce acid production and alleviate symptoms. Coffee is known to stimulate acid secretion in the stomach, which can exacerbate ulcer symptoms. Therefore, instructing the client to avoid drinking coffee is essential in the dietary management of peptic ulcer disease. Choices A, C, and D are incorrect. Drinking milk is generally allowed and can even provide a protective effect against ulcers. High-fiber foods are beneficial for digestion and do not need to be avoided unless they cause discomfort. Low-fat foods are also typically recommended for individuals with peptic ulcer disease as they are easier on the digestive system.
Examples of patients suffering from impaired awareness include all of the following except:
- A. A semiconscious or over fatigued patient
- B. A disoriented or confused patient
- C. A patient who cannot care for himself at home
- D. A patient demonstrating symptoms of drugs or alcohol withdrawal
Correct Answer: C
Rationale: Inability to self-care at home doesn't inherently impair awareness.
A client with renal calculi 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 calcium-rich foods.
- B. I should decrease my intake of calcium-rich foods.
- C. I should increase my intake of sodium-rich foods.
- D. I should decrease my intake of potassium-rich foods.
Correct Answer: B
Rationale: The correct answer is B because decreasing the intake of calcium-rich foods can help manage and prevent the formation of renal calculi. Excessive calcium intake can contribute to the formation of these stones, so reducing calcium-rich foods is a key dietary modification for individuals with renal calculi. Choice A is incorrect as increasing calcium-rich foods can exacerbate the condition. Choice C is incorrect because increasing sodium-rich foods can lead to more stone formation due to increased calcium excretion. Choice D is incorrect as potassium-rich foods do not directly contribute to the formation of renal calculi.