You are ready to take the client's oral temperature. You ask this client how long it has been since drinking something hot or cold or smoking. The client admits having just drunk a cup of hot coffee. You will wait how long before taking the temperature?

Correct Answer: D

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

Correct Answer: B

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

Correct Answer: C

Rationale: Brushing and flossing after meals prevents gingival hyperplasia, a common phenytoin side effect meals don't buffer GI upset significantly, weekly blood draws aren't routine, and seizure-only dosing is incorrect. Nurses teach oral hygiene, ensuring adherence and minimizing complications in seizure management.

Correct Answer: A

Rationale: Adapting to a chronic illness requires behaviors that preserve identity and autonomy, like learning to live as normally as possible maintaining routines or roles despite symptoms, fostering resilience. Maintaining a positive self-concept bolsters emotional strength, countering illness-related esteem threats, while a sense of hope sustains motivation for management, like adhering to therapy. Accepting dependence or giving up control contradicts adaptation, as retaining agency e.g., self-managing diabetes enhances coping. Successful adaptation hinges on integrating the illness into life without letting it define it, supported by nursing guidance. Research shows these traits reduce psychological distress, enabling clients to thrive, aligning with nursing's goal to maximize function and well-being amidst chronicity.

Correct Answer: D

Rationale: Bright red bleeding post-tonsillectomy signals a complication hemorrhage requiring urgent attention, as it indicates active vessel rupture beyond normal oozing. Decreased intake or sore throat are expected, while restlessness might suggest pain, not bleeding. Nurses monitor for this to intervene promptly, preventing shock or airway compromise in a 5-year-old.

Correct Answer: A

Rationale: Meningismus is neck stiffness or other meningeal signs (e.g., Kernig's) without actual meningitis, often from subarachnoid blood or trauma. Choice B reverses this, incorrect. Choice C ties headache to meningitis progression, unrelated. Choice D is false; it's not age-specific. A is correct, per medical definition. Nurses differentiate it from meningitis via LP, ensuring proper diagnosis and care.

Correct Answer: A

Rationale: Gordon's Functional Health Patterns (1980s) assess stressors' impact on mind, body, and environment re: ADLs e.g., mobility post-stroke. Unlike head-to-toe (physical order), body systems (organ-based), or cephalocaudal (top-down), it's holistic, guiding nurses in comprehensive, function-focused care planning.

Correct Answer: A

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

Correct Answer: C

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