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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
|
| Topic 2: Physiological Adaptation | 11-17% | - Physiological Adaptation
|
| Topic 3: Management of Care | 15-21% | - Management of Care
|
| Topic 4: Safety and Infection Control | 10-16% | - Safety and Infection Control
|
| Topic 5: Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
|
| Topic 6: Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
|
| Topic 7: Basic Care and Comfort | 6-12% | - Basic Care and Comfort
|
| Topic 8: Psychosocial Integrity | 6-12% | - Psychosocial Integrity
|
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NEW QUESTION # 577
The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:
Answer: B
Explanation:
Section: Questions Set A
Explanation:
(A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow-green halos. (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions.
(C) Side effects of quinidine include heart block, hepatotoxicity, thrombocytopenia, and respiratory depression.
(D) Side effects of nitroglycerin include postural hypotension, headache, dizziness, and flushing.
NEW QUESTION # 578
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Answer: B
Explanation:
Explanation
The nurse appropriately states how he or she feels when the client speaks in a condescending manner. (B) This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. (C) "Why" questions usually put a person on the defensive. In addition, the client cannot "make" the nurse angry. The client does not have that control. (D) Again, a "why" statement places the client on the defensive.
NEW QUESTION # 579
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
Answer: C
Explanation:
Section: Questions Set B
Explanation:
(A) Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2that is an end product of carbohydrate metabolism. (B) Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. (C) Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. (D) Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.
NEW QUESTION # 580
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
Answer: D
Explanation:
Explanation
(A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be measured for 1-minute prior to digoxin administration. Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or
>120 bpm.
NEW QUESTION # 581
When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:
Answer: C
Explanation:
(A) Synthetic cast materials harden in 3-15 minutes. Weight bearing is permitted in 15-30 minutes. Drying time for plaster of Paris is about 24-72 hours. (B, C) Plaster of Paris cast materials are heavier than synthetic materials and require a drying time of 24-72 hours. Synthetic materials dry within 30 minutes. (D) Plaster of Paris cast materials are heavier thansynthetic materials and require a longer period to set and dry. Even though setting time (hardening) is only 3-15 minutes, the drying time for plaster of Paris is 24-72 hours. This depends on the size and thickness of the cast, exposure to air, and humidity in the air.
NEW QUESTION # 582
......
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