Nokea
Which of the following statements by an adult child of a client with late-stage Alzheimer's disease indicates a need for further teaching by the nurse?
- A. I should provide a regular schedule for toileting
- B. I should talk to my father less because he can't communicate
- C. I should give my father oral care after every meal and bedtime
- D. I should assist my father with eating and drinking
Correct Answer: B
Rationale: Communication through talking and touching remains important for Alzheimer's clients, even if they can't respond, to provide comfort and connection. The other statements reflect appropriate care.
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Which sign might the nurse see in a client with a high ammonia level?
- A. coma
- B. edema
- C. hypoxia
- D. polyuria
Correct Answer: A
Rationale: Coma might be seen in a client with a high ammonia level.
Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
- A. Brown-Séquard syndrome
- B. posterior cord syndrome
- C. central cord syndrome
- D. cauda equina syndrome
Correct Answer: A
Rationale: Brown-Séquard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics.
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
- A. increase maternal fluids.
- B. administer oxygen.
- C. decrease maternal fluids.
- D. turn the mother.
Correct Answer: C
Rationale: Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.
A 27 year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?
- A. Sit-ups are o.k. to do as long as you don't strain.
- B. This condition leads to surgery in $80 \%$ of cases.
- C. Guarding the abdominal region is important at this time.
- D. Antibiotics are required for this condition in $70 \%$ of patients.
Correct Answer: C
Rationale: Protection of the abdominal wall is critical at this point in time.
A nurse is caring for a retired MD. The MD asks the question, 'What type of cells create exocrine secretions?'
- A. alpha cells
- B. beta cells
- C. acinar cells
- D. plasma cells
Correct Answer: C
Rationale: Acinar cells create exocrine secretions.