foundation of nursing questions

Correct Answer: D

Rationale: The correct answer is D: Do not visit if you've had a recent infection. This is crucial to prevent the transmission of infections to the patient, who will have a compromised immune system post-HSCT. Family and friends with recent infections can pose a serious risk to the patient's health. Choice A is incorrect because it instills fear and negativity in the family without providing any tangible benefits. Choice B is incorrect as fasting is not typically required before a HSCT and can be harmful to the patient's nutritional status. Choice C is incorrect as wearing a hospital gown is generally not necessary for visitors, unless specified by the healthcare team for infection control purposes.

Correct Answer: B

Rationale: The correct answer is B: Scheduled analgesia should be administered around-the-clock to prevent pain. After undergoing a wide excision of the vulva, the patient is likely to experience significant pain. Scheduled analgesia ensures that the patient receives pain relief consistently, preventing pain from becoming severe. This approach helps to maintain a therapeutic level of pain control and improves patient comfort and satisfaction. Choice A is incorrect because withholding analgesia until the pain becomes unbearable can lead to unnecessary suffering and poor pain management. Choice C is incorrect as PRN dosing may result in inadequate pain relief and fluctuations in pain control. Choice D is incorrect as opioids are often necessary for postoperative pain management, and NSAIDs alone may not provide sufficient relief for the level of pain associated with a wide excision surgery.

Correct Answer: C

Rationale: The correct answer is C because the priority nursing intervention for a patient with incomplete abortion is to ensure adequate fluid replacement to prevent hypovolemic shock due to potential blood loss. Inserting an IV line allows for immediate administration of fluids and medications if necessary. Choice A (Methylergonovine) is used to manage postpartum hemorrhage, not incomplete abortion. Choice B (Preoperative teaching) and choice D (Positioning) are important but not the priority in this situation.

Correct Answer: D

Rationale: The correct answer is D: Lithotomy position. In lithotomy position, the patient's legs are elevated and positioned higher than the heart, which can lead to venous stasis and increase the risk of deep vein thrombosis (DVT). This position compresses the femoral veins, hindering blood flow and predisposing the patient to DVT formation. Summary: A: Fowlers position - Not typically associated with increased DVT risk. B: Prone position - Not typically associated with increased DVT risk. C: Supine position - Generally considered a safe position regarding DVT risk.

Correct Answer: B

Rationale: Correct Answer: B - Eat fish at least 5 times per week. Rationale: 1. Fish is rich in omega-3 fatty acids, which are beneficial for heart health. 2. Eating fish frequently can help reduce the risk of cardiovascular diseases. 3. Consuming fish aligns with dietary recommendations for cardiovascular health. Summary of Incorrect Choices: A: Maintaining carbohydrate intake is important, but it may not specifically indicate success in cardiovascular disease management. C: Limiting trans fats is crucial, but it alone may not indicate overall success in dietary management for cardiovascular disease. D: Avoiding high-fiber foods is not recommended, as fiber is beneficial for heart health and overall well-being.