For a client with Graves' disease, which nursing intervention promotes comfort?

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Theory of Health Behavior Change Questions

Question 1 of 5

For a client with Graves' disease, which nursing intervention promotes comfort?

Correct Answer: D

Rationale: The correct answer is D: Maintaining room temperature in the low-normal range. For a client with Graves' disease, they may experience heat intolerance due to increased metabolism. Maintaining a cooler room temperature can help alleviate discomfort. Choice A is incorrect as restricting oral fluids can lead to dehydration, worsening symptoms. Choice B is incorrect as adding extra blankets can increase heat retention, exacerbating discomfort. Choice C is incorrect as limiting high-carbohydrate foods is not directly related to promoting comfort in Graves' disease.

Question 2 of 5

Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)?

Correct Answer: D

Rationale: The correct answer is D because, on average, it takes more than 10 years for HIV infection to progress to AIDS without treatment. The latency period can vary, but with advancements in treatment, people can live longer without developing AIDS. Choice A is incorrect because 5 years is too short for HIV to progress to AIDS on average. Choice B is also incorrect as it falls within the same timeframe as choice A. Choice C is incorrect as although 10 years is closer to the average, it is still not long enough for the majority of individuals.

Question 3 of 5

The term "pink puffer" refers to the female client with which of the following conditions?

Correct Answer: D

Rationale: The term "pink puffer" refers to a female client with emphysema. Emphysema is characterized by hyperinflation of the lungs leading to a pink or flushed complexion due to increased breathing efforts. This presentation contrasts with the "blue bloater" appearance seen in chronic obstructive bronchitis, which is characterized by cyanosis and edema. ARDS is a different condition marked by severe respiratory distress and not associated with the "pink puffer" presentation. Asthma typically presents with wheezing and bronchoconstriction, not the specific characteristics of a "pink puffer."

Question 4 of 5

After undergoing a cardiac catheterization, Tracy has a large puddle of blood under his buttocks. Which of the following steps should the nurse take first?

Correct Answer: D

Rationale: The correct first step is D: Apply gloves and assess the groin site. By applying gloves, the nurse ensures infection control. Assessing the groin site helps identify any potential bleeding or complications post-catheterization, guiding further interventions. Calling for help (A) may be necessary but assessing the site is immediate. Obtaining vital signs (B) is important but not as critical as assessing the site. Asking the client to "lift up" (C) is not appropriate before assessing the site for potential complications.

Question 5 of 5

Primary level of prevention is exemplified by:

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. Teaching stress management techniques (Choice C) falls under this category by addressing stress before it leads to health problems. This approach targets the root cause and promotes overall well-being. Choice A (Helping the client resume self-care) focuses on rehabilitation and is considered secondary prevention. Choice B (Ensuring the safety of a suicidal client) relates to crisis intervention, which is tertiary prevention. Choice D (Case finding and surveillance) is more aligned with early detection and is also secondary prevention. In summary, teaching stress management techniques is the best example of primary prevention as it addresses the issue proactively before it escalates.

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