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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychosocial Integrity | 6–12% | - Therapeutic Communication - Mental Health Concepts - End-of-Life Support - Chemical Dependency and Substance Use Disorders - Coping Mechanisms - Family Dynamics - Behavioral Interventions - Grief and Loss |
| Topic 2: Health Promotion and Maintenance | 6–12% | - Antepartum, Intrapartum, Postpartum and Newborn Care - Aging Process - Disease Prevention and Health Screening - Developmental Stages and Transitions - Health Promotion Programs - Self-Care - Physical Assessment Techniques |
| Topic 3: Physiological Integrity | 43–67% | - Basic Care and Comfort
|
| Topic 4: Safe and Effective Care Environment | 26–38% | - Safety and Infection Control
|
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NEW QUESTION # 845
When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:
Answer: A
Explanation:
(A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea. (B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose-free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.
NEW QUESTION # 846
The nurse teaches a male client ways to reduce the risks associated with furosemide therapy. Which of the following indicates that he understands this teaching?
Answer: A
Explanation:
Section: Questions Set B
Explanation:
(A) This response will help to prevent the occurrence of postural hypotension, a common side effect of this drug and a common reason for falls. (B) Although walking is an excellent exercise, it is not specific to the reduction of risks associated with diuretic therapy. (C) Clients on diuretic therapy are generally taught to ensure that their fluid intake is at least 2000-3000 mL daily, unless contraindicated. (D) Aspirin is a safe drug to take along with furosemide.
NEW QUESTION # 847
A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:
Answer: C
Explanation:
Section: Questions Set F
Explanation:
(A) Perineal irritation needs to be addressed, but it is probably not necessary to call the physician. (B) This fall in pulse rate remains within normal limits and is probably insignificant. It is important to monitor for continued change. (C) This rise in pulse rate is probably not significant, but it is important to monitor for continued change. (D) This temperature is above normal limits and needs medical investigation. It may or may not be related to the head injury.
NEW QUESTION # 848
When teaching a class of nursing students, the nurse asks why the embryonic period (weeks 4-8) of pregnancy is so critical.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Duplication of genetic material occurs during the preembryonic period (weeks 1-3) following conception. The exact duplication of genetic material is essential for cell differentiation, growth, and biological maintenance of the organism. (B) Weeks 4-8, known as the embryonic period, are the time organogenesis occurs and pose the greatest potential for major congenital malformations. All major internal and external organs and systems are formed. (C) Subcutaneous fat does not develop until the latter weeks of gestation. (D) Kidneys begin to secrete urine during the 13th-16th week.
NEW QUESTION # 849
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:
Answer: D
Explanation:
(A) Extensions of his myocardial infarction would be chest pain unrelieved with nitroglycerin, cardiac enzyme elevations, and electrocardiographic changes. (B) Persons with pneumonia may complain of weakness and shortness of breath and have crackles in their lung bases. However, they would also have sputum production and leukocytosis. (C) Persons who have had myocardial infarctions (especially anterior wall) are at risk of developing left ventricular heart failure, which is a major cause of pulmonary edema. Pulmonary edema is manifest by shortness of breath, weakness, and crackles on auscultation of the lung fields. (D) Pulmonary emboli may be accompanied by shortness of breath, weakness, and crackles. However, the pulmonary hypertension that accompanies pulmonary emboli results in signs of increased systemic venous pressure as well.
NEW QUESTION # 850
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