Nokea
Which of the following statement is TRUE about deductibles?
- A. Paid after care
- B. Paid before insurance kicks in
- C. Not part of insurance
- D. All of the above
Correct Answer: B
Rationale: Deductibles are paid before insurance kicks in (B), per definition e.g., Mr. Gary's upfront cost. Not after (A), are insurance (C), not all (D) threshold-based. B truly defines deductibles' role, triggering coverage, making it correct.
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A client with osteoporosis is being taught about dietary management. Which statement indicates an understanding of the teaching?
- A. I should increase my intake of foods high in vitamin D.
- B. I should decrease my intake of foods high in calcium.
- C. I should increase my intake of foods high in phosphorus.
- D. I should decrease my intake of foods high in potassium.
Correct Answer: A
Rationale: The correct answer is A. Increasing intake of foods high in vitamin D is beneficial for improving calcium absorption and managing osteoporosis. Vitamin D helps the body absorb calcium, which is essential for bone health and can aid in managing osteoporosis effectively. Choice B is incorrect because reducing calcium intake would be counterproductive for a client with osteoporosis, as calcium is crucial for bone strength. Choice C is incorrect as phosphorus, while important for bone health, does not directly impact osteoporosis management as much as vitamin D and calcium. Choice D is incorrect as potassium is not directly linked to osteoporosis management, and reducing its intake is not typically part of dietary recommendations for osteoporosis.
Which intervention should the nurse implement to prevent contractures in a patient who is immobile?
- A. Encouraging frequent changes in position
- B. Applying heat packs to stiff joints
- C. Administering muscle relaxants
- D. Using soft restraints to immobilize the extremities
Correct Answer: A
Rationale: Frequent position changes prevent contractures in immobile patients by keeping joints mobile and reducing muscle shortening risks. Heat or relaxants offer relief but don't address root immobility, and restraints worsen stiffness. Nurses use this to maintain range of motion, ensuring flexibility and function, a proactive measure against permanent musculoskeletal damage in prolonged stillness.
When preparing to insert an NG tube for a client who requires gastric decompression, which of the following actions should the nurse take?
- A. Position the client with the head of the bed elevated to 30° prior to insertion
- B. Measure the tube from the client's nose to the earlobe to the xiphoid process
- C. Lubricate the entire length of the tube with water-soluble lubricant
- D. Instruct the client to cough during insertion
Correct Answer: B
Rationale: Measuring the tube from the client's nose to the earlobe to the xiphoid process ensures the tube is inserted to the correct depth. This measurement helps prevent complications such as tube misplacement or lung insertion. Positioning the client with the head of the bed elevated to 30° is important to facilitate easier insertion but is not the most crucial step. Lubricating the entire length of the tube with water-soluble lubricant is essential for smooth insertion but is not the most critical action. Instructing the client to cough during insertion is not necessary and may lead to unnecessary discomfort.
Which of the following is responsible for the rhythm and quality of breathing?
- A. Medulla oblongata
- B. Pons
- C. Carotid bodies
- D. Aortic bodies
Correct Answer: A
Rationale: The medulla oblongata's respiratory center sets breathing rhythm and depth e.g., 12-20 breaths/min via dorsal and ventral groups. Pons refines, carotid/aortic bodies adjust via chemo input. Nurses assess this e.g., in COPD for foundational respiratory function, per neurophysiology.
A healthcare professional is planning to collect a stool specimen for ova and parasites from a client with diarrhea. Which of the following actions should the healthcare professional take when collecting the specimen?
- A. Instruct the client to defecate into a clean container
- B. Transfer the specimen to a sterile container
- C. Refrigerate the collected specimen
- D. Place the stool specimen collection container in a biohazard bag
Correct Answer: D
Rationale: When collecting a stool specimen for ova and parasites, it is essential to place the specimen collection container in a biohazard bag. This practice ensures proper handling of potentially infectious material and prevents contamination with microorganisms. The biohazard bag should be labeled with the client's information for easy identification and proper tracking throughout the testing process. Instructing the client to defecate into a clean container is incorrect as it may introduce contaminants. Transferring the specimen to a sterile container is unnecessary and can increase the risk of contamination. Refrigerating the collected specimen is also not recommended as it may alter the sample and affect the test results.