Nokea
While assessing a client with fluid volume deficit, which of the following findings should the nurse expect?
- A. Bradycardia
- B. Increased skin turgor
- C. Dry mucous membranes
- D. Hypertension
Correct Answer: C
Rationale: Dry mucous membranes are a classic clinical manifestation of fluid volume deficit. Dehydration leads to reduced fluid intake or excessive fluid loss, resulting in decreased moisture in the mucous membranes. Bradycardia, increased skin turgor, and hypertension are not typically associated with fluid volume deficit. Bradycardia is more commonly seen in conditions like hypothyroidism or increased intracranial pressure. Increased skin turgor is a sign of dehydration, and hypertension is not a typical finding in fluid volume deficit.
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Before entering the room of a patient receiving treatment for Varicella, you must don personal protective equipment. Organize the correct sequence in how you will don personal protective equipment: Drag and Drop
- A. Don Gloves
- B. Don Gown
- C. Perform hand hygiene
- D. Don N95 Mask (respirator)
Correct Answer: C
Rationale: When donning personal protective equipment (PPE) for a patient with Varicella, which requires airborne precautions, the correct sequence ensures maximal protection and compliance with infection control standards. The proper order is: (1) Perform hand hygiene (C), (2) Don gown (B), (3) Don N95 mask (D), and (4) Don gloves (A). Hand hygiene comes first to remove contaminants from the hands, reducing the risk of transferring pathogens during PPE application. The gown is donned next to cover the body, followed by the N95 mask to protect against airborne particles, ensuring a tight seal. Gloves are applied last, extending over the gown cuffs to prevent exposure. Varicella, being highly contagious via airborne droplets, necessitates this meticulous sequence to safeguard the nurse. Incorrect ordering, like donning gloves before the gown, could leave gaps in protection or contaminate the gloves. The CSV format requires one correct answer, so C (perform hand hygiene) is selected as the critical first step, foundational to the entire process, aligning with CDC and WHO PPE protocols.
A client receives discharge teaching on a new prescription for lisinopril. Which of the following instructions should be included?
- A. Avoid foods high in potassium.
- B. Take the medication with food.
- C. Increase your intake of salt.
- D. Take the medication at bedtime.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is preparing to administer an intradermal injection. Which of the following actions should the professional take?
- A. Use a 1-inch needle.
- B. Insert the needle at a 45-degree angle.
- C. Use a tuberculin syringe.
- D. Aspirate before injecting.
Correct Answer: C
Rationale: When administering an intradermal injection, a tuberculin syringe is the appropriate choice due to its small size and precise measurement markings, which are essential for accurately delivering the medication into the dermis layer of the skin. Using a 1-inch needle (choice A) is more common for subcutaneous injections, while inserting the needle at a 45-degree angle (choice B) is typical for intramuscular injections. Aspirating before injecting (choice D) is not necessary for intradermal injections, as the goal is to deliver the medication into the dermis rather than a blood vessel.
A type of heat loss that occurs when the heat is dissipated by air current
- A. Convection
- B. Conduction
- C. Radiation
- D. Evaporation
Correct Answer: A
Rationale: Convection dissipates heat via air movement e.g., a fan cooling a feverish patient. Conduction (direct contact), radiation (infrared), and evaporation (sweat) differ. Nurses use this principle e.g., adjusting room airflow to manage hyperthermia, aligning with thermoregulation basics in patient care.
The skeletal system acts as a storehouse for calcium, which is a very important component in muscle contractions, as well as which of the following activities in the body?
- A. producing testosterone
- B. preventing seizures
- C. making lymph
- D. blood clotting
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.