Which of the following techniques involves the sense of sight?

Correct Answer: A

Rationale: The correct answer is Inspection (Choice A). Inspection is a technique that involves observing the patient using the sense of sight. During inspection, a healthcare provider visually examines the patient for any abnormalities, changes, or specific signs that may help in diagnosing a condition. Palpation (Choice B) involves using the sense of touch to feel for abnormalities, Percussion (Choice C) involves tapping the body to produce sounds that can help identify the underlying structures, and Auscultation (Choice D) involves listening to sounds produced by the body, typically using a stethoscope. Therefore, in this context, the technique that specifically involves the sense of sight is Inspection.

Correct Answer: D

Rationale: In cases where the oral route is not recommended due to oral surgery or altered consciousness, the rectal method is preferred for the most accurate body temperature reading. This method is particularly useful when the skin is flushed and warm, as it provides a reliable reflection of core body temperature despite external factors affecting the skin temperature. Axillary temperature may not be as accurate, and arterial line temperature monitoring is invasive and not typically used for routine temperature assessment.

Correct Answer: A

Rationale: In this scenario, the nurse is performing the assessment phase of the nursing process. Assessment involves collecting data, which includes obtaining vital signs, to identify the client's health status and needs. This step is crucial for the nurse to gather information that will guide further decision-making in the nursing process.

Correct Answer: A

Rationale: Back Care involves caring for the back through activities such as massage, exercises, proper posture, and ergonomic practices to maintain spinal health and prevent injuries. Massage helps relieve muscle tension, improve circulation, and promote relaxation, making it an effective method for back care.

Correct Answer: B

Rationale: Acute illnesses are characterized by the sudden onset of severe symptoms that typically last for a short duration. These conditions usually resolve within a defined period, unlike chronic illnesses that persist over a longer time frame. Pain and syndrome are not specific types of illnesses but rather symptoms or clinical manifestations that can occur in various health conditions.

Correct Answer: A

Rationale: The primary intervention during a seizure is to protect the patient from injury. This includes moving nearby objects that may harm the patient, cushioning the head, and ensuring a safe environment until the seizure subsides. Inserting an airway is not typically done during a seizure unless the patient's airway is compromised, while elevating the head of the bed is not the priority during an active seizure. Withdrawing all pain medications is not necessary unless there are specific contraindications related to the seizure event.

Correct Answer: D

Rationale: After a patient's death in a hospital, the most crucial legal responsibility for the healthcare team is ensuring that the attending physician issues the death certificate. The death certificate is a vital legal document that confirms the cause of death and is required for legal and administrative purposes, including the completion of the patient's medical records and facilitating the family's ability to proceed with funeral arrangements and insurance claims. While other actions such as obtaining consent for an autopsy, notifying the coroner or medical examiner, and labeling the body appropriately are important, ensuring the timely and accurate issuance of the death certificate takes precedence in this scenario.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The exchange of gases, specifically oxygen and carbon dioxide, occurs in the lungs. In the lungs, oxygen from the air we breathe enters the bloodstream, while carbon dioxide is removed from the bloodstream and exhaled. This process is essential for respiration and supplying the body with oxygen for energy production.