Nokea
Which of the following statement is NOT true about coping?
- A. A response to stress
- B. Can be adaptive or maladaptive
- C. Always solves the problem
- D. May involve problem solving
Correct Answer: C
Rationale: Coping responds to stress (A), can be adaptive/maladaptive (B), may solve problems (D) 'always solves' (C) isn't true, as some coping (e.g., denial) avoids, per Lazarus. C's certainty fails, making it untrue.
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A client with a new diagnosis of hypertension is being taught about lifestyle changes. Which of the following statements should the nurse include in the teaching?
- A. You should limit your alcohol intake to no more than one drink per day.
- B. You should increase your sodium intake to at least 2,300 mg per day.
- C. You should limit your physical activity to avoid increasing your blood pressure.
- D. You should avoid eating dairy products to help lower your blood pressure.
Correct Answer: A
Rationale: The correct statement to include in teaching a client with hypertension is to limit alcohol intake to no more than one drink per day. Excessive alcohol consumption can raise blood pressure and lead to complications. Increasing sodium intake, limiting physical activity, and avoiding dairy products are not recommended for managing hypertension. Clients with hypertension should follow a heart-healthy diet low in sodium, engage in regular physical activity, and monitor their blood pressure regularly to control hypertension effectively.
Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?
- A. If the BP is elevated, the RR increases
- B. If the BP is elevated, the RR decreases
- C. Elevated BP leads to Metabolic alkalosis
- D. Low BP leads to Metabolic acidosis
Correct Answer: B
Rationale: Aortic and carotid bodies, chemoreceptors, slow respiration when BP rises e.g., baroreceptors signal reduced need for O2 delivery. Increased RR (hypoxia), alkalosis (pH), or acidosis (metabolic) misalign. Nurses note this e.g., in hypertension for respiratory adjustments, per cardiovascular interplay.
Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is
- A. High
- B. Low
- C. At the low end of the normal range
- D. At the high end of the normal range
Correct Answer: D
Rationale: Tympanic temp of 37.9°C falls within normal (36.6-38°C) e.g., slightly elevated from barking cough stress. It's not high (>38°C), low (<36.6°C), or low-end. Nurses interpret this as high-normal, monitoring for trends in acute respiratory cases, per standard ranges.
A client with a new diagnosis of pancreatitis is being taught about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-fat foods.
- B. You should decrease your intake of high-fat foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: The correct statement the nurse should include in teaching a client with pancreatitis is to decrease the intake of high-fat foods. This dietary modification is crucial in managing symptoms and preventing exacerbations of pancreatitis. High-fat foods can put a strain on the pancreas, potentially leading to further complications. Choice A is incorrect because increasing intake of high-fat foods can worsen pancreatitis. Choice C is unrelated to pancreatitis management, as lactose intolerance is not directly linked to pancreatitis. Choice D is also incorrect, as increasing dairy product intake may not be suitable for all individuals with pancreatitis due to the fat content in many dairy products.
A client is admitted with posttraumatic brain injury and multiple fractures. The client's eyes remain closed, and there is no evidence of verbalization or movement when the nurse changes the client's position. What score on the Glasgow Coma Scale (GCS) should the nurse document?
- A. 3
- B. 6
- C. 9
- D. 12
Correct Answer: A
Rationale: GCS assesses eye opening (1-4), verbal (1-5), and motor (1-6). No response (eyes closed, no verbalization, no movement) scores 1+1+1=3 (A). Higher scores (B, C, D) require responses. A is correct. Rationale: A score of 3 is the lowest GCS, indicating deep coma, critical for documenting severe brain injury and guiding urgent care, per trauma assessment standards.