Which of the following statement best describe stress?

Correct Answer: B

Rationale: Stress is a response to a perceived threat (B), per Selye physiological/psychological reaction (e.g., fight-or-flight). Injury (A) is physical, disease (C) outcome, permanent (D) misstates stress varies. B best defines stress's adaptive nature, making it correct.

Correct Answer: C

Rationale: Remittent fever features temperature spikes and drops above 38°C, fluctuating daily but never normalizing (e.g., 38.5°C to 39.5°C), common in infections like typhoid. Constant temperature above 38°C with little change is sustained fever, not remittent lacking variation. Spikes with normal returns within 24 hours suggest intermittent fever (e.g., malaria). Periods of fever with normal intervals also fit intermittent, not remittent, which stays elevated. Remittent's persistent elevation with swings distinguishes it, aiding nurses in monitoring and reporting patterns, making this the accurate definition for care planning.

Correct Answer: A

Rationale: Entering hospice with 6-month prognosis is hospice care (A) terminal focus, per definition. Palliative (B) broader, secondary (C) specialist, promotion (D) preventive not end-specific. A fits hospice criteria, making it correct.

Correct Answer: B

Rationale: Nonmaleficence, meaning 'do no harm,' is a core ethical principle in healthcare, obligating nurses to avoid causing injury, like double-checking medications. Beneficence promotes good, fidelity ensures loyalty, and veracity demands truthfulness. In practice, nonmaleficence guides safety protocols, balancing risks and benefits to protect patients, a foundational duty in ethical decision-making across all care settings.

Correct Answer: C

Rationale: Asking a question (C) isn't an anxiety symptom; it's a normal behavior, unlike others. Frequent hand movement (A) reflects restlessness, somatization (B) physicalizes stress, and acting out (D) shows agitation all anxiety signs. Questions may stem from curiosity or clarification, not distress. Anxiety manifests as physical or emotional unrest, per DSM and nursing, making C the non-symptom.

Correct Answer: A

Rationale: Left lower quadrant pain is a hallmark of acute diverticulitis, reflecting inflammation in the sigmoid colon bright red bleeding suggests diverticulosis bleed, a board-like abdomen indicates perforation (a complication), and fever is less specific. Nurses assess this pain, often cramping, reporting it to guide antibiotics and rest, preventing perforation in this gastrointestinal emergency.

Correct Answer: A

Rationale: Dividing 1.25mL into two vastus lateralis injections (0.625mL each) suits infants, as their small muscles can't handle over 1mL dorsogluteal and ventrogluteal are riskier. Nurses split doses, ensuring safe absorption, key for pediatric medication delivery.

Correct Answer: C

Rationale: Cortisol manages stress e.g., fight-flight via metabolism, unlike sugar (insulin), calcium (PTH). Nurses assess e.g., Cushing's for effects, per endocrine.

Correct Answer: C

Rationale: Tertiary prevention focuses on minimizing complications and optimizing function once a disease is established, such as rehabilitation or managing chronic conditions to prevent further deterioration. In nursing, this might involve wound care to prevent infection in a diabetic patient or physical therapy post-stroke. Primary prevention, like vaccinations, aims to prevent disease onset entirely, not address existing conditions. Secondary prevention involves early detection and treatment, such as screenings, to halt progression, not minimize complications. Illness prevention is vague and not a standard term, often overlapping with primary efforts, but lacks the specificity of tertiary care's focus on existing disease. Tertiary prevention aligns with the question's intent, emphasizing interventions that reduce the impact of an already-diagnosed condition, ensuring patients maintain the highest possible quality of life despite their illness, a key aspect of holistic nursing practice.