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| Section | Weight | Objectives |
|---|---|---|
| Physiological Integrity | 43–67% | - Reduction of Risk Potential
|
| Health Promotion and Maintenance | 6–12% | - Antepartum, Intrapartum, Postpartum and Newborn Care - Disease Prevention and Health Screening - Aging Process - Physical Assessment Techniques - Health Promotion Programs - Developmental Stages and Transitions - Self-Care |
| Psychosocial Integrity | 6–12% | - End-of-Life Support - Behavioral Interventions - Coping Mechanisms - Grief and Loss - Mental Health Concepts - Therapeutic Communication - Chemical Dependency and Substance Use Disorders - Family Dynamics |
| Safe and Effective Care Environment | 26–38% | - Management of Care
|
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NEW QUESTION # 83
A 35-year-old client is receiving psychopharmacological treatment of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of:
Answer: A
Explanation:
Explanation
(A) The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. (B) Tryptophan is an essential amino acid that is present in high concentrations in animal and fish protein. (C) The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis. (D) To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable.
NEW QUESTION # 84
Proper positioning for the child who is in Bryant's traction is:
Answer: A
Explanation:
(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90-90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.
NEW QUESTION # 85
Which of the following blood gas parameters primarily reflects respiratory function?
Answer: B
Explanation:
(A) The lungs are responsible for regulation of CO2, and this parameter primarily reflects respiratory function. (B) CO2 content of the blood is an indirect measure of respiratory function. (C) HCO3 is a measure of kidney function only and is important in acid-base balance. (D) Base excess represents the excess of HCO3 and is not reflective of respiratory function.
NEW QUESTION # 86
Prior to an amniocentesis, a fetal ultrasound is done in order to:
Answer: D
Explanation:
Explanation
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C) Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of pregnancy.
NEW QUESTION # 87
A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:
Answer: B
Explanation:
Explanation
(A) This response validates the client's experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the client's verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the client's potential for violence and loss of control. (D) This response is also threatening. The client's behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.
NEW QUESTION # 88
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