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Extract:


Question 1 of 5

The nurse is caring for an adult who has ulcerative colitis. When planning care, the nurse knows that which nursing diagnosis is of highest priority?

Correct Answer: A

Rationale: Ulcerative colitis causes diarrhea, leading to fluid loss and dehydration, making deficient fluid volume the highest priority to prevent systemic complications like hypovolemia.

Extract:

Following Nitroglycerin patch application


Question 2 of 5

An expected outcome experienced by the client would be one of the following:

Correct Answer: B

Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.

Extract:

The physician orders high protein, high calorie and high salt diet on Valerie.


Question 3 of 5

When ask by the patient, the nurse would explain that

Correct Answer: D

Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.

Extract:


Question 4 of 5

An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client

Correct Answer: A

Rationale: Semi-Fowler’s position (30°–45° elevation) promotes lung expansion and reduces the risk of airway obstruction or aspiration post-bronchoscopy. Prone (
B) limits respiratory assessment, neck extension (
C) risks airway obstruction, and supine (
D) is less optimal for breathing.

Question 5 of 5

Which of the following is the primary force in sex education in a child's life?

Correct Answer: C

Rationale: Parents are the primary influence on a child's sex education, providing foundational values and information. Other sources like peers and media are influential but secondary. Health Promotion and Maintenance

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