An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. Which of the following effects is this client experiencing?

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Question 1 of 5

An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. Which of the following effects is this client experiencing?

Correct Answer: A

Rationale: The correct answer is A: Polypharmacy. Polypharmacy refers to the concurrent use of multiple medications, which can lead to drug interactions and adverse effects, such as dizziness. In this case, the client is experiencing dizziness due to combining the herbal remedy with prescribed medications, highlighting the risks of polypharmacy. B: Sleep disorder is incorrect because dizziness is not typically a symptom of a sleep disorder. C: Cascade iatrogenesis is incorrect as it refers to a chain of events where one intervention leads to multiple adverse outcomes, which is not directly related to the client's dizziness in this scenario. D: Fluid volume overload is incorrect as it typically presents with symptoms like swelling, shortness of breath, and weight gain, rather than dizziness.

Question 2 of 5

The nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care?

Correct Answer: A

Rationale: The correct answer is A: Clean the perineal area from the front to back. This is crucial to prevent the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. Cleaning from front to back maintains hygiene and minimizes the risk of cross-contamination. B: Wearing gloves is not necessary for routine perineal care, unless there are open wounds or the nurse is at risk of exposure to bodily fluids. C: Bathing the perineal area with mild soap and water is generally recommended, but the direction of cleaning is more important to prevent infections. D: Inserting any suppository medication prior to cleaning the perineal area is not advisable as it may lead to contamination of the medication and reduce its effectiveness.

Question 3 of 5

A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.)

Correct Answer: B

Rationale: The correct answer is B: Adequate staffing is available on all shifts. This is crucial in ensuring the safety and well-being of the residents. Sufficient staffing levels mean that residents will receive timely care, attention, and assistance when needed, reducing the risk of adverse events. Shortages in staffing can lead to neglect, medication errors, and compromised quality of care. This criterion should be a top priority for the family member when selecting a nursing center. Incorrect options: A: The center needs to be clean, and rooms should look like a hospital room. While cleanliness is important, the appearance of a hospital room may not be the most critical factor in ensuring quality care. C: Social activities are available for all residents. While social activities are beneficial for residents' mental and emotional well-being, they are not as essential as adequate staffing for ensuring the safety and health of the residents. D: The center provides three meals daily with a set menu and serving schedule. While nutrition is important, it is not

Question 4 of 5

A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?

Correct Answer: B

Rationale: The correct principle involved in this situation is beneficence. Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. In this case, the administration of immunizations may cause discomfort to the child, but the benefits of protection from diseases outweigh this temporary discomfort. By choosing to immunize the child, the healthcare provider is acting in the child's best interest to prevent future harm from potentially deadly diseases. This decision aligns with the principle of beneficence. A: Fidelity pertains to being faithful and keeping promises, which is not directly relevant to this situation. C: Nonmaleficence is the principle of doing no harm, but in this case, the temporary discomfort of immunization is outweighed by the long-term benefits. D: Respect for autonomy refers to respecting an individual's right to make their own decisions, which is not the primary focus in this scenario.

Question 5 of 5

The client who smokes two packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?

Correct Answer: C

Rationale: The correct answer is C because it provides a clear and accurate explanation to the client's question. ARDS is characterized by fluid accumulation in the lungs, leading to breathing difficulties. This response directly addresses the client's concern about what is happening to their body. Choice A is incorrect as not all individuals who almost drown develop ARDS. Choice B is incorrect because it describes a mechanism of injury different from ARDS. Choice D is incorrect as smoking may increase the risk of developing ARDS but is not the direct cause in this scenario. In summary, choice C is the most appropriate response as it directly addresses the client's condition and explains the underlying cause of their breathing problems related to ARDS.

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