What specific term should Nurse Gladys write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease?

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Question 1 of 5

What specific term should Nurse Gladys write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease?

Correct Answer: D

Rationale: Clubbing of the fingers is a specific term that Nurse Gladys should write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease. Clubbing of the fingers is a diagnostic sign associated with various medical conditions, including congenital heart disease. It is characterized by changes in the angle and shape of the nails, typically involving softening of the nail bed, enlargement of the fingertips, and a loss of the normal angle between the nail and the nail bed. Peripheral neuropathy, inflammation of the fingers, and peripheral cyanosis are different conditions and do not specifically describe the nail changes seen in clubbing.

Question 2 of 5

Which of the following immune cells is primarily responsible for coordinating and regulating immune responses by producing cytokines that direct the activities of other immune cells?

Correct Answer: A

Rationale: T helper cells (Th cells) are primarily responsible for coordinating and regulating immune responses by producing cytokines that direct the activities of other immune cells. These cytokines help in activating cytotoxic T cells, B cells, macrophages, and other cells involved in the immune response. Th cells play a crucial role in mounting an effective immune response against infections and diseases by providing the necessary signals to activate and control various immune cells. Thus, T helper cells are considered the central coordinators of the immune system.

Question 3 of 5

A confused client who fell out of bed because side rails were not used is an example of which type of liability?

Correct Answer: D

Rationale: Negligence is the failure to take proper care in doing something, which results in harm or injury to someone else. In this scenario, the client falling out of bed because side rails were not used indicates a lack of proper care or attention by the staff or caregiver responsible for the client. It shows a failure to protect the client from harm, which aligns with the definition of negligence. This situation does not fit the definitions of a felony, battery, or assault.

Question 4 of 5

The nurse must include in the education plan, which of the following components? (Select all that apply.) I. Objectives II. Content and time allotment III. Teaching and learning resources IV. Evaluation parameters

Correct Answer: B

Rationale: In order to create a comprehensive education plan, the nurse must include all of the listed components.

Question 5 of 5

A nurse is caring for a patient who is experiencing conflicting emotions about a recent diagnosis. What therapeutic communication technique should the nurse use to help the patient explore their feelings?

Correct Answer: C

Rationale: Reflecting the patient's feelings and expressions is a therapeutic communication technique that involves mirroring back the patient's emotions and thoughts. By doing this, the nurse validates the patient's experiences and helps them explore their feelings further. This technique can enhance the patient's self-awareness and promote emotional expression, leading to a deeper understanding of their conflicting emotions. Offering advice (Option A) may not be as effective because the focus should be on helping the patient process their own emotions. Providing reassurance and false hope (Option B) can hinder the patient's emotional exploration and may lead to trust issues if the reality does not align with the false reassurance. Redirecting the conversation to a different topic (Option D) avoids addressing the patient's conflicting emotions, which is crucial for therapeutic communication and support.

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