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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Promotion and Maintenance | 6–12% | - Physical Assessment Techniques - Self-Care - Disease Prevention and Health Screening - Health Promotion Programs - Developmental Stages and Transitions - Aging Process - Antepartum, Intrapartum, Postpartum and Newborn Care |
| Topic 2: Psychosocial Integrity | 6–12% | - Chemical Dependency and Substance Use Disorders - End-of-Life Support - Coping Mechanisms - Family Dynamics - Mental Health Concepts - Therapeutic Communication - Behavioral Interventions - Grief and Loss |
| Topic 3: Physiological Integrity | 43–67% | - Pharmacological and Parenteral Therapies
|
| Topic 4: Safe and Effective Care Environment | 26–38% | - Safety and Infection Control
|
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NEW QUESTION # 693
In working with a manipulative client, which of the following nursing interventions would be most appropriate?
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Bargaining is a manipulative act, which the nurse could expect from the client.
(B) This answer is incorrect. Confrontation is an effective nursing strategy with manipulative behavior.
Redirection is appropriate for the client who is out of touch with reality. (C) This answer is correct.
Manipulative clients must abide by consistent rules. (D) This answer is incorrect. Manipulation is kept at a minimum if the same staff person is assigned to the client. Often the client will attempt to play staff persons against each other.
NEW QUESTION # 694
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.
NEW QUESTION # 695
A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?
Answer: D
Explanation:
(A) Fluid retention is a side effect of prednisone. The nurse should teach clients to weigh themselves daily and to observe for signs of edema. If these signs of fluid retention occur, they should notify the physician. (B) Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. (C) An increase in bleeding tendencies is a side effect of prednisone therapy. The nurse should teach clients to use preventive measures (i.e., electric razors and soft toothbrushes). (D) Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly.
NEW QUESTION # 696
A complication for which the nurse should be alert following a liver biopsy is:
Answer: B
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.
NEW QUESTION # 697
A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of arterial blood gases are pH 7.2, PaO2 90, PaCO2 45, and HCO3 16. The nursing assessment of arterial blood gases indicate the presence of:
Answer: A
Explanation:
(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.(D) Metabolic acidosis is determined by low pH and HCO3.
NEW QUESTION # 698
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