Nokea
Which of the following statement is NOT true about complementary therapy?
- A. Used with conventional medicine
- B. Includes acupuncture
- C. Always replaces medical treatment
- D. May improve well-being
Correct Answer: C
Rationale: Complementary therapy pairs with medicine (A), includes acupuncture (B), may improve well-being (D) 'always replaces' (C) isn't true, it's adjunctive, per definition. C's replacement fails, making it untrue.
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Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage?
- A. Pursuing postlicensure education
- B. Becoming cross-trained in another area of the hospital
- C. Taking early retirement
- D. Implementing evidenced-based clinical pathways
Correct Answer: A
Rationale: Addressing the nursing shortage and improving client care efficiency requires strategic actions that bolster the workforce and optimize practice. Pursuing postlicensure education enhances nurses' skills and adaptability, enabling them to handle diverse patient needs effectively, thus reducing strain from shortages. Becoming cross-trained in other hospital areas increases flexibility, allowing nurses to cover gaps and maintain care continuity across units. Implementing evidence-based clinical pathways standardizes care with proven methods, streamlining processes and minimizing errors, which is crucial when staffing is limited. Coordinating services before discharge ensures smoother transitions, reducing readmissions and workload. Taking early retirement, however, exacerbates the shortage by reducing experienced staff, counteracting efficiency goals. These proactive measures collectively strengthen care delivery, mitigate shortage impacts, and support a resilient healthcare system.
Which one of the following four clients is most likely to tolerate pain best?
- A. a client with rheumatoid arthritis
- B. a client who has terminal cancer in stage 1 of grief
- C. an athlete having a knee surgery to prolong his career
- D. a client who has a migraine headache
Correct Answer: C
Rationale: An athlete undergoing knee surgery likely tolerates pain best, motivated by career goals, unlike chronic arthritis, cancer grief, or migraines. Nurses consider this in pain management.
All of the following can cause tachycardia except:
- A. Fever
- B. Exercise
- C. Sympathetic nervous system stimulation
- D. Parasympathetic nervous system stimulation
Correct Answer: D
Rationale: Parasympathetic stimulation slows heart rate; others increase it.
Anaphylactic reaction after administering penicillin indicates
- A. An acquired atopic sensitization
- B. Passive immunity to penicillin allergen
- C. Antibodies to penicillin developed after earlier use of the drug
- D. Developed potent bivalent antibodies when the IV administration was started
Correct Answer: C
Rationale: Anaphylaxis is a severe IgE-mediated allergic reaction, occurring when prior penicillin exposure sensitizes the immune system, forming antibodies. Re-exposure triggers histamine release, causing symptoms like shock or dyspnea. Atopic sensitization relates to predisposition, not specific drug history. Passive immunity involves transferred antibodies, not self-developed ones. Bivalent antibodies forming during IV use is incorrect sensitization precedes administration. Nurses must assess allergy history, preparing for emergencies like epinephrine administration to reverse this life-threatening response.
Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?
- A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
- B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
- C. Medicate client for pain
- D. Tell client that cooperation is vital to improve recovery
Correct Answer: C
Rationale: Medicating for pain (C) is needed before teaching post-splenectomy exercises; pain hinders participation, per nursing care. General benefits (A), specific risks (B), and cooperation (D) follow pain control. C ensures effective learning, making it correct.