In a hospital that uses Neuman's theory, a client is having difficulty in breathing and requires oxygen and medication. The nurse approaches the client to:

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Question 1 of 5

In a hospital that uses Neuman's theory, a client is having difficulty in breathing and requires oxygen and medication. The nurse approaches the client to:

Correct Answer: A

Rationale: Neuman's Systems Model emphasizes strengthening lines of defense. For a client with breathing difficulty, secondary prevention intervening after symptoms (e.g., oxygen, medication) bolsters the flexible line of defense, reducing stressor impact (e.g., hypoxia) and restoring stability. Self-care goals align with Orem, not Neuman biological focus is narrower. Physiological adaptation fits Roy's model, not Neuman's defense focus. Henderson's 14 needs are unrelated; Neuman prioritizes system integrity. Secondary prevention targets active issues, aligning with Neuman's framework, making this the nurse's approach in this theory-driven care.

Question 2 of 5

The nurse prepares IM injection that is irritating to the subcutaneous tissue. Which of the following is the best action in order to prevent tracking of the medication?

Correct Answer: D

Rationale: The Z-track technique prevents medication leakage into subcutaneous tissue.

Question 3 of 5

A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C). This temperature reading probably indicates:

Correct Answer: D

Rationale: A slight elevation post-NPO likely reflects dehydration, not infection or anxiety.

Question 4 of 5

Which of the following is the most common cause of dementia among elderly persons?

Correct Answer: D

Rationale: Alzheimer's is the leading cause of dementia in the elderly.

Question 5 of 5

The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?

Correct Answer: D

Rationale: Using Naegele's rule: March 17 + 7 days - 3 months = December 24.

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