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Question 1 of 5
What is the first priority when caring for a client who is experiencing a stroke?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. The first priority in caring for a client experiencing a stroke is to ensure adequate oxygen supply to the brain, as lack of oxygen can lead to further brain damage. Administering oxygen helps improve oxygenation and can prevent complications. Administering morphine (B) is not recommended as it can mask symptoms and delay diagnosis. Administering IV fluids (C) may be necessary but is not the first priority. Administering fibrinolytics (D) is a time-sensitive intervention for ischemic stroke but should be done after proper evaluation and confirmation of the type of stroke.
Question 2 of 5
A nurse is taking complete health histories from all the patients attending a wellness workshop. One of the questions on the history form is, "You don't smoke, drink, or take drugs, do you?" This question is an example of:
Correct Answer: C
Rationale: The correct answer is C: Using biased or leading questions. This question is biased and leading because it assumes that the patients attending the workshop do not engage in smoking, drinking, or drug use. It may influence the patients to provide inaccurate information if they feel pressured to conform to societal expectations. In health assessments, it is important to ask open-ended, non-judgmental questions to gather accurate and comprehensive information. Incorrect choices: A: Talking too much - This choice is not relevant to the question as it does not address the issue of biased or leading questions. B: Using confrontation - This choice does not apply as the question does not involve confronting the patients. D: Using blunt language to deal with distasteful topics - While the question may be blunt, the main issue is the bias and leading nature of the question, not its bluntness.
Question 3 of 5
Which organ of the digestive system primarily functions in absorption?
Correct Answer: C
Rationale: The correct answer is C: small intestine. This is because the small intestine is where the majority of nutrient absorption takes place due to its large surface area and presence of villi for absorption. The stomach (A) primarily functions in digestion, not absorption. The pancreas (B) produces digestive enzymes but does not directly absorb nutrients. The gallbladder (D) stores bile produced by the liver to aid in digestion but does not participate in absorption directly.
Question 4 of 5
A 50-year-old male patient with chronic back pain is prescribed a medication for pain management. Which of the following would be the nurse's priority assessment after administering the medication?
Correct Answer: C
Rationale: The correct answer is C: Assessing the patient's respiratory status. After administering pain medication, especially opioids, it is crucial to monitor the patient's respiratory status due to the risk of respiratory depression. This assessment is a priority because respiratory depression can be life-threatening. Other choices are not as immediate: A, assessing for addiction, can be done but is not as critical at this moment; B, assessing pain level, is important but comes after ensuring the patient's safety; D, assessing for infection, is not directly related to the immediate effects of pain medication.
Question 5 of 5
A nurse is providing education to a patient with diabetes about self-management. Which of the following statements by the patient indicates the need for further education?
Correct Answer: B
Rationale: The correct answer is B because taking insulin only when blood sugar is high is incorrect and can lead to dangerous complications. Step 1: Insulin should be taken as prescribed by the healthcare provider, not based solely on blood sugar levels. Step 2: Checking blood sugar regularly (A) is essential for diabetes management. Step 3: Eating a balanced diet and exercising regularly (C) are crucial for diabetes control. Step 4: Reporting signs of infection to the healthcare provider (D) is important due to diabetes-related complications.
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