Mr. Gary signed a DNR order. Which of the following statement is TRUE about DNR?

Correct Answer: B

Rationale: DNR means no CPR (B), per its definition resuscitation is withheld if the heart stops. Food/medications (A) continue, it's not about recovery hope (C), and DNR can be revoked (D). B accurately reflects DNR's scope, aligning with legal/ethical practice, making it true.

Correct Answer: D

Rationale: Luvox (D), fluvoxamine, is an SSRI for OCD and depression, not an anxiolytic. Valium (A, diazepam), Ativan (B, lorazepam), and Milltown (C, meprobamate) are benzodiazepines or anxiolytics for anxiety relief. Luvox targets serotonin, not GABA like anxiolytics, per pharmacology, making D the correct non-anxiolytic.

Correct Answer: B

Rationale: Discarding initial urine midstream e.g., clears contaminants for C&S, unlike clean container (basic), volume (standard), preservation (post). Nurses ensure e.g., instruction for sterility, per microbiology.

Correct Answer: B

Rationale: Chronic disease management is ongoing care for long-term illness (B), per definition e.g., diabetes control. Not one-time (A), not surgical (C), not just preventive (D) sustained. B best defines its continuous nature, making it correct.

Correct Answer: C

Rationale: The evolution of nursing education reflects historical shifts in healthcare demands, and World War II marked a significant turning point. During this period, Esther Lucile Brown's 1940s report highlighted the need for nursing education to move from hospital-based training to colleges and universities, arguing it would elevate the profession's standards and scientific foundation. This shift was driven by the war's demand for skilled nurses in both military and civilian roles, exposing the limitations of earlier apprenticeship models. The Spanish-American War saw nursing in its infancy, while World War I, despite Florence Nightingale's influence, still struggled with professionalization. The Civil War predates these developments, with nursing largely informal. World War II's crisis needs catalyzed a formal push for university-based programs, shaping modern nursing education to meet complex healthcare challenges with a stronger academic base, a legacy that continues to influence the profession today.

Correct Answer: D

Rationale: All positions (knee-chest, Sims, horizontal recumbent) are suitable for rectal exams.

Correct Answer: C

Rationale: Remittent fever fluctuates above normal (38.5-40°C) e.g., typhoid without dropping to baseline. Relapsing (normal intervals), intermittent (to normal), and constant (stable) differ. Nurses track this e.g., six swings for diagnosis, per fever patterns.

Correct Answer: C

Rationale: Maslow's self-actualized person (1940s) is autonomous, creative, and problem-focused e.g., pursuing personal goals over crowd opinion. They value privacy and insight (poetry, science), not majority rule, though they uphold justice personally. This autonomy guides nurses in supporting patients' unique aspirations, fostering self-directed recovery.

Correct Answer: C

Rationale: The primary cause of pain in inflammation is compression of local nerve endings by edema fluids (C). Swelling from increased capillary permeability presses on nerves, triggering pain signals. Pain mediators (A) like prostaglandins sensitize nerves but aren't the primary cause. Nerve injury (B) may occur but isn't typical in inflammation's onset. Reduced circulation (D) causes ischemia-related pain, not inflammation's hallmark. Edema's mechanical pressure directly stimulates nociceptors, aligning with inflammation's sequence and making C the correct answer.