Signs and symptoms of congestive heart failure include

Correct Answer: C

Rationale: The correct answer is C: Swelling in the ankles. In congestive heart failure, the heart cannot pump effectively, leading to fluid buildup in the body, causing swelling in the ankles. Decreased urination (A) could indicate kidney issues, weight loss (B) is not typically a symptom, and decreased pulse (D) is not a common sign of congestive heart failure. Swelling in the ankles is a classic symptom due to fluid retention in the body.

Correct Answer: C

Rationale: The correct answer is C: Hormones. Hormones are chemical substances produced by the body's endocrine system that regulate various bodily functions. They act as messengers, controlling processes like metabolism, growth, and reproduction. Nutrients (A) are substances essential for growth and health, but they are not created by the body. Minerals (B) are inorganic substances vital for bodily functions, but they are not created by the body either. Vitamins (D) are organic compounds necessary for various bodily processes, but they are also not produced by the body.

Correct Answer: B

Rationale: The correct answer is B: Rheumatoid arthritis. This is an autoimmune disease where the immune system mistakenly attacks the joints, leading to inflammation and joint damage. Hypothyroidism (choice A) is a thyroid disorder, not an autoimmune disease. Hepatitis (choice C) is a viral infection affecting the liver. Gonorrhea (choice D) is a sexually transmitted infection caused by bacteria. Rheumatoid arthritis is the only option that fits the criteria of an autoimmune disease where the immune system targets the body's own tissues.

Correct Answer: B

Rationale: The correct answer is B: Gastric suctioning. This process involves removing poisons from the stomach by inserting a tube through the nose or mouth. It is effective because it directly targets the source of poisoning. Bladder suctioning (A) is unrelated to removing poisons from the body. Endotracheal suctioning (C) is used to clear secretions from the airway, not to remove poisons. Intravenous suctioning (D) is not a valid medical procedure; intravenous lines are used for administering fluids and medications, not for suctioning.

Correct Answer: B

Rationale: The correct answer is B because seeking help from a supervisor is a proactive approach to managing stress. Supervisors can provide support, guidance, and resources to help the nursing assistant cope with stress effectively. Talking to a resident (choice A) may not always be appropriate as it can blur professional boundaries. Multi-tasking (choice C) can actually increase stress and decrease efficiency. Increasing caffeine intake (choice D) can lead to negative health outcomes and worsen stress levels. Seeking help from a supervisor is the best choice as it involves professional support and guidance.