Health Promotion and Maintenance NCLEX PN Questions - Nurselytic

Correct Answer: A

Rationale: When caring for a patient who is hard-of-hearing, it is important to divide verbal communication into smaller sections and address them one at a time. This approach helps the patient follow along more easily and understand the information being conveyed. While using written information can also be beneficial, solely relying on written communication may not always be practical or feasible for effective interaction. Asking multiple questions quickly can overwhelm the patient and hinder their ability to process each question adequately. It is essential to give the patient sufficient time to comprehend and respond. Additionally, frequently communicating without assistive devices is not recommended. Using assistive devices can significantly enhance the patient's ability to hear and understand, promoting better communication and patient care.

Correct Answer: D

Rationale: The correct answer is the right lower quadrant. The nurse starts auscultating in this quadrant at the ileocecal valve as bowel sounds are normally always present there.
Then, the nurse proceeds to listen for bowel sounds in the other quadrants.

Choices A, B, and C are incorrect as the initial placement of the stethoscope should be in the right lower quadrant to assess bowel sounds post-surgery.

Correct Answer: C

Rationale: The least appropriate action is for the LPN to administer all ordered medications except for the Cefazolin. The LPN should always consider the client's documented allergy to Penicillin seriously. It is crucial to discuss the order with the care team before administering Cefazolin to ensure patient safety. Administering a medication that could potentially cause harm due to a documented allergy is unsafe practice. While monitoring the client after a test dose of Cefazolin is important, it should not precede clarification with the care team regarding the allergy and the appropriateness of the medication.
Therefore, withholding the Cefazolin is the most appropriate action in this scenario.

Correct Answer: B

Rationale: The correct answer is, 'I will wait five minutes after taking this medication and then gargle water.' After using an inhaled glucocorticoid, it is essential to wait for 5 minutes and then gargle water to remove any residue from the mouth, which can reduce the risk of developing thrush, a fungal infection.
Choice A is correct as holding the breath for 10 seconds after each puff helps the medication reach deep into the lungs.
Choice C is also correct as waiting at least one minute between puffs ensures proper delivery of the medication.
Choice D is incorrect because it is important to take the medication daily as prescribed to control asthma symptoms, even if the person is not experiencing any at that moment.

Correct Answer: C

Rationale: The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals' biomedical understanding of the health problem, while illness is the client's personal and unique understanding and definition of what is happening to him. The theorist states that cultural factors determine the importance of the various domains of influence.