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Question 1 of 5
A nurse is taking complete health histories from all the patients attending a wellness workshop. One of the questions on the history form is, "You don't smoke, drink, or take drugs, do you?" This question is an example of:
Correct Answer: C
Rationale: The correct answer is C: Using biased or leading questions. This question is biased and leading because it assumes that the patients attending the workshop do not engage in smoking, drinking, or drug use. It may influence the patients to provide inaccurate information if they feel pressured to conform to societal expectations. In health assessments, it is important to ask open-ended, non-judgmental questions to gather accurate and comprehensive information. Incorrect choices: A: Talking too much - This choice is not relevant to the question as it does not address the issue of biased or leading questions. B: Using confrontation - This choice does not apply as the question does not involve confronting the patients. D: Using blunt language to deal with distasteful topics - While the question may be blunt, the main issue is the bias and leading nature of the question, not its bluntness.
Question 2 of 5
A nurse is caring for a patient with diabetes who is receiving insulin. The nurse should be most concerned if the patient experiences:
Correct Answer: C
Rationale: The correct answer is C: Dizziness and shakiness. This indicates hypoglycemia, a potential side effect of insulin therapy. Dizziness and shakiness are classic signs of low blood sugar levels, which can be dangerous if left untreated. Headache and blurred vision (Option A) can occur with high blood sugar. Increased thirst and urination (Option B) are symptoms of hyperglycemia. Dry mouth and skin (Option D) are not immediate concerns related to insulin therapy.
Question 3 of 5
A nurse is providing teaching to a patient with type 2 diabetes. Which of the following should the nurse emphasize as the most important factor in managing the condition?
Correct Answer: A
Rationale: The correct answer is A: Monitoring blood glucose levels regularly. This is crucial in managing type 2 diabetes because it helps the patient understand how their body responds to food, medication, and activity. By tracking blood glucose levels, the patient can make informed decisions about their diet, medication, and lifestyle choices. This proactive approach enables early detection of fluctuations in blood sugar levels, allowing for prompt adjustments to prevent complications. Summary: - Choice A is correct as monitoring blood glucose levels is essential for managing type 2 diabetes. - Choice B is important but secondary to monitoring blood glucose levels. - Choice C is beneficial for managing diabetes but not as critical as blood glucose monitoring. - Choice D, following a low-carb diet, can be helpful but may not be the most important factor in managing the condition.
Question 4 of 5
What is the primary concern for a client with dehydration and hypotension?
Correct Answer: A
Rationale: The correct answer is A: Administer IV fluids. Dehydration and hypotension indicate fluid loss, which can lead to organ damage and shock. Administering IV fluids helps restore blood volume and improve blood pressure. Monitoring blood pressure (B) is important but addressing the underlying issue of fluid loss is crucial. Administering antihypertensive medications (C) would further lower blood pressure, worsening hypotension. Administering diuretics (D) would exacerbate fluid loss, worsening dehydration and hypotension.
Question 5 of 5
Which side effect is most likely to alter body image in a client receiving MOPP therapy for Hodgkin's disease?
Correct Answer: B
Rationale: The correct answer is B: Alopecia. MOPP therapy for Hodgkin's disease commonly causes hair loss (alopecia), which directly affects body image. This is due to the impact on a person's physical appearance, leading to changes in self-perception and confidence. Cushingoid appearance (A) is a side effect of prolonged corticosteroid use, not typically associated with MOPP therapy. Temporary or permanent sterility (C) and pathologic fractures (D) are potential side effects of other cancer treatments but are not directly related to altering body image.
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