Nokea
Which of the following statement is true regarding temperature?
- A. Oral temperature is more accurate than rectal temperature
- B. The bulb used in Rectal temperature reading is pear shaped or round
- C. The older the person, the higher his BMR
- D. When the client is swimming, BMR Decreases
Correct Answer: B
Rationale: Rectal thermometer bulbs are pear-shaped or round (B), ensuring safety, per equipment design. Oral isn't more accurate (A) rectal is. Older age lowers BMR (C), swimming increases it (D). B is factually true, making it correct.
You may also like to solve these questions
The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
- A. Use the heel of her hand during percussion
- B. Change the child's position every 20 minutes
- C. Do percussion after the child eats and at bedtime
- D. Use cupped hands during percussion
Correct Answer: D
Rationale: Cupped hands during chest percussion loosen mucus in cystic fibrosis, creating vibrations without pain, a key physiotherapy technique to clear airways. Heel strikes are harsh, frequent repositioning isn't routine, and post-meal percussion risks reflux. Nurses teach this method for effective secretion management, improving breathing and reducing infection risk in this chronic condition.
The nurse is providing dietary instruction for a client with hypoglycemia. To prevent hypoglycemic reactions, the nurse should instruct the client to:
- A. Eat a candy bar if he feels lightheaded
- B. Always carry a quick source of sugar
- C. Limit his intake of fluids with meals
- D. Avoid eating large meals
Correct Answer: B
Rationale: Carrying a quick sugar source (e.g., glucose tabs) prevents hypoglycemic reactions by rapidly raising blood sugar candy is less precise, fluid limits are unrelated, and large meals don't directly cause drops. Nurses teach this, ensuring safety, critical for hypoglycemia management.
You are about to write an information on the Kardex. There are 4 available writing instruments to use. Which of the following should you use?
- A. Mongol #2
- B. Permanent Ink
- C. A felt or fountain pen
- D. Pilot Pentel Pen marker
Correct Answer: B
Rationale: Permanent ink (B) is required for Kardex to ensure legible, lasting records, per legal standards. Pencil (A) erases, felt/fountain pens (C) smudge, markers (D) fade. B ensures accuracy, making it correct.
The nurse is caring for a client with a closed reduction of the left forearm. Which finding should be reported to the physician immediately?
- A. The client complains of pain at the site of the fracture
- B. The client's fingers are cool and pale
- C. The client's cast has a foul odor
- D. The client's radial pulse is 88 beats per minute
Correct Answer: B
Rationale: Cool, pale fingers post-left forearm closed reduction indicate circulatory compromise, possibly compartment syndrome, needing urgent reporting pain is expected, odor suggests infection (less acute), and pulse (88) is normal. Nurses assess neurovascular status, acting fast, preventing tissue damage in this orthopedic emergency.
What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply.
- A. Providing adequate fluids within easy reach
- B. Reporting an increasing urine specific gravity
- C. Administering prescribed erythromycin
- D. Assessing for and reporting changes in neurological status
Correct Answer: A
Rationale: For diabetes insipidus (DI) post-head injury, providing fluids (A) prevents dehydration from polyuria. Increasing urine specific gravity (B) contradicts DI's dilute urine. Erythromycin (C) is unrelated. Neurological changes (D) are monitored but secondary. A is correct. Rationale: Fluid replacement matches DI's excessive output, a primary intervention per endocrine care standards, maintaining hydration.