Whichofthefollowingisanappropriatenursinggoalforaclientatriskfornutritionalproblems?

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QUESTION1

Whichofthefollowingisanappropriatenursinggoalforaclientatriskfornutritionalproblems?A.provideoxygen B.promotehealthynutritionalpractices C.treatcomplicationsofmalnutrition D.increaseweight

Answer:B

Explanation:

Promotinghealthynutritionalpracticesisanappropriatenursinggoalforaclientatriskfornutritional problems.Choice1isincorrectbecauseitisanursingintervention,notagoalstatement.Choice3isincorrect becauseitisatherapeutictreatment.Choice4isincorrectbecauseweightgainisanappropriategoalonlyifthe clientisunderweight.BasicCareandComfort

QUESTION2

Majorcompetenciesforthenursegivingend-oflifecareinclude:

A.demonstratingrespectandcompassion,andapplyingknowledgeandskillsincareofthefamilyandthe client.B.assessingandinterveningtosupporttotalmanagementofthefamilyandclient.C.settinggoals,expectations,anddynamicchangestocarefortheclient.D.keepingallsadnewsawayfromthefamilyandclient.

Answer:A

Explanation:

Therearemanycompetenciesthatthenursemusthavetocareforfamiliesandclientsattheendoflife.Demonstrationofrespectandcompassionaswellasusingknowledgeandskillsinthe careoftheclientand familyaremajorcompetencies.BasicCareandComfort

QUESTION3

Whichofthefollowinglabvaluesisassociatedwithadecreasedriskofcardiovasculardisease?A.highHDLcholesterol B.lowHDLcholesterol C.lowtotalcholesterol D.lowtriglycerides

Answer:A

Explanation:

HighHDLcholesterolandlowL D Lcholesterolareassociatedwithadecreasedriskofcardiovascular disease.ReductionofRiskPotential

QUESTION4

Thegoalsofpalliativecareincludeallofthefollowingexcept: 1 / 5

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A.givingclientswithlife-threateningillnessesthebestqualityoflifepossible.B.takingcareofthewholeperson—body,mind,spirit,heart,andsoul.C.nointerventionsareneededbecausetheclientisneardeath.D.supportofneedsofthefamilyandclient.

Answer:C

Explanation:

Thegoalsofpalliativecareincludechoices1,2,and4.Choice3isnotpartofpalliativecare.Allaspectsof medical,emotional,social,andspiritualneedsofthedyingclientshouldbefocusedonuntiltheendof life.Basic CareandComfort

QUESTION5

Allofthefollowingfactors,whenidentifiedinthehistoryofafamily,arecorrelatedwithpovertyexcept: A.highinfantmortalityrate.B.frequentuseofEmergencyDepartments.C.consultationwithfolkhealers.D.lowincidenceofdentalproblems.

Answer:D

Explanation:

Dentalproblemsareprevalentbecauseofthelackofpreventivecareandaccesstocare.Highinfantmortality isoneofthemostsignificantproblemscorrelatedwithpoverty.Pregnantwomenwhodonothaveaccessto caremightcometotheEmergencyDepartmentwheninlabor.ThoseinpovertyarelikelytouseEmergency Departmentsbecausetheymaynotbeturnedaway.Thoseinpovertymightalsoturntofolkhealersorother personsintheircommunityforcarewhomightbeeasiertoaccessandmightnotdemandpayment.Health PromotionandMaintenance

QUESTION6

WhatinterpersonalreliefbehaviorisAshleyusing?A.actingout B.somatizing C.withdrawal D.problem-solving

Answer:B

Explanation:

Somatizingmeansoneexperiencesanemotionalconflictasaphysicalsymptom.Ashley manifestsseveral physicalsymptomsassociatedwithsevereanxiety.Actingoutreferstobehaviorssuchasanger,crying,laughter, andphysicalorverbalabuse.Withdrawalisareactioninwhichpsychicenergyiswithdrawnfromthe environment andfocusedontheselfinresponsetoanxiety.Problem-solvingtakesplacewhenanxietyisidentifiedandthe unmetneedismet.PsychosocialIntegrity 2 / 5

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QUESTION7

Aclientwhoisimmobilizedsecondarytotractioniscomplainingofconstipation.Whichofthefollowing medicationsshouldthenurseexpecttobeordered?A.Advil B.Anasaid C.Clinocil D.Colace

Answer:D

Explanation:

Colaceisastoolsoftenerthatactsbypullingmorewaterintothebowellumen,makingthestoolsoftand easiertoevacuate.BasicCareandComfort

QUESTION8

Aclientistakinghydrocodone(Vicodin)forchronicbackpain.Theclienthasrequiredanincreaseinthedose andaskswhetherthismeansheisaddictedtoVicodin.Thenurseshouldbaseherreplyontheknowledgethat: A.theclient’sbodyhasdevelopedtolerance,requiringmoredrugtoproducethesameeffect.B.theclientispreoccupiedwithgettingthedrugandisexperiencinglossofcontrol,indicatingdrug dependence.C.addictionisthetermusedtodescribephysicaldependencewithwithdrawalsymptoms andtolerance.D.theclienthasadualdiagnosisofsubstanceabuseandchronicbackpain.

Answer:A

Explanation:

Drugtoleranceischaracterizedbytheabilitytoingestalargerdosewithoutadverseeffectanddecreased sensitivitytothesubstance.Substancedependenceisasevereconditionindicatingphysicalproblemsand disruptionoftheperson’ssocial,family,andworklife.Thepsychologicalbehaviorsrelatedtosubstanceuseare termedaddiction.Dualdiagnosisisthecoexistenceofsubstanceabuseandpsychiatricdisorders.Psychosocial Integrity

QUESTION9

Aclienthasbeentakingalprazolam(Xanax)forfouryearstomanageanxiety.Theclientreportstaking0.5mg fourtimesaday.Whichstatementindicatesthattheclientunderstandsthenurse’steachingaboutdiscontinuing themedication?A.“IcandrinkalcoholnowthatIamdecreasingmyXanax.” B.“IshouldnottakeanotherXanaxpill.Hereiswhatisleftofmylastprescription.” C.“Ishouldtakethreepillsperdaynextweek,thentwopillsforoneweek,thenonepillforoneweek.” D.“Icanexpecttobesleepyforseveraldaysafterstoppingthemedicine.”

Answer:C

Explanation:

Xanax,likeotherbenzodiazepines,cancausewithdrawalsymptomsthatincludeagitation, insomnia, hypertension,seizures,andabdominalpain.Thedrugmustbeslowlydecreasedtoprevent 3 / 5

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withdrawalsymptoms.PsychosocialIntegrity

QUESTION10

Thenurseexplainstoaclientwhounderwentgastricresectionthatwhichofthefollowingmealsismostlikely tocauserapidemptyingofthestomach?A.ahigh-proteinmeal B.ahigh-fatmeal C.alargemealregardlessofnutrientcontent D.ahigh-carbohydratemeal

Answer:D

Explanation:

Mealsthatarehighincarbohydratespromoterapidgastricemptying.Theotheroptionsareassociatedwith decreasedemptyingtime.BasicCareandComfort

QUESTION11

Lighttherapycanbeeffectivefor:

A.overcomingweightproblems.B.helpingwithallergies.C.useinalternativemedicaltreatments.D.workingwithsleeppatterns.

Answer:D

Explanation:

Lighttherapycanbeeffectiveintreatingproblemsassociatedwithsleeppatterns,stress,moods,jaundicein newborns,andseasonalaffectivedisorders.NonpharmacologicalTherapies

QUESTION12

Asafetymeasuretoimplementwhentransferringaclientwithhemiparesisfromabedtoawheelchairis: A.standingtheclientandwalkinghimorhertothewheelchair.B.movingthewheelchairclosetoclient’sbedandstandingandpivotingtheclientonhis unaffectedextremitytothewheelchair.C.movingthewheelchairclosetoclient’sbedandstandingandpivotingtheclientonhisaffectedextremityto thewheelchair.D.havingtheclientstandandpushhisbodytothewheelchair.

Answer:B

Explanation:

Movingthewheelchairclosetoclient’sbedandhavinghimstandandpivotonhisunaffectedextremitytothe wheelchairissaferbecauseitprovidessupportwiththeunaffectedlimb.BasicCareandComfort

QUESTION13

Whichofthefollowingtermsreferstosoft-tissueinjurycausedbybluntforce? 4 / 5