Question

A T have problems with diante have m utty falling asleep c have diminished sexual function D often feel itery 239 A client who is fo r the day room numerous bracelets, bright red lipstick and hea best in response to the client's attire? actress enters the day room wearing a sheer nightgown, high heels, ght red lipstick and heavily roughed cheeks. Which nursing action is A Gently remind her that she is no longer on stage Directly as it client te herm es appropriate appare Quietly point out to her the de a ther clients on the un actfully explain apropriate clothing for the hospital D 240. Which of the following times a depressed client at 9 times is a depressed client at highest risk for attempting suicide? A Immediately after admission during one to one observation B. 7 to 14 days after initiation of antidepressa ways after initiation of antidepressant medication and psychotherapy Following an angry outburst with family D. When the client is removed from the security room 241. The nurse provides discharge teaching is provides discharge teaching to the parents of a 15 month old child with Kawasaki awasaki disease. The child has recebe immunolohin therapy. Which instruction would be appropriate? A High dose of aspirin will be continued for some time. B. Complete recovery is expected within several days C. Active range of motion exercise should be done frequently D. The measles, mumps and rubella vaccine should be delayed year old client is recovering from a splecnectomy following a traumatic injury. The clients laboratory results ahemoglobin of 9 g/dL and a hematocrit of 28 percent. The best approach for the nurse to use it to A Limit milk and milk products B. Encourage bed activities and games C. Plan nursing care around lengthy rest periods D. promote a diet rich in iron 243. The nurse is planning care for a 14 year old client returning from Scoliosis corrective surgery. Which of the following actions should receive priority in the plan? A Antibiotic therapy for 10 days B. Teach client isometric exercises for legs CAssos movement and sensation of extremities Assist to stand up af bedside within first 24 hours

Answer 1

239) The correct option would be D( tactfully explain appropriate clothing for the hospital)

By tactfully explaining appropriate clothing for the hospital would help the patient understand the issue and act according to it.

A) A is incorrect as eventhough reminding her that she is not on stage, she may not believe or may get offended.

B) B is incorrect as she may resist and not allow you to assist her in dressing.

C) C is incorrect as the patient may get offended or she may not even understand what you trying to tell her.

240) The correct option is C (Following an angry outburst with family)

the risk of attempting suicide after an angry outburst with family is more likely as it adds to the existing depression. It also makes the patient feel more lonely and guilty forcing them to take drastic steps.

A is incorrect as during one to one or close observation one cannot attempt suicide

B is incorrect but it is possible to attempt suicide as antidepressants takes longer time to exert their action but not more likely when compared to option C.

D is incorrect but also there is a chance of attempting suicides after removing the security because the patient feels free and can take any drastic step but it is not more likely.

241) The correct option is D ( the measles, mumps, rubella vaccine should be delayed)

Live viral vaccines administration should be delayed atleast by 11 months as IVIG because IVIG blocks the immune system from responding appropriately to the vaccines. this includes measles, mumps, rubella and varicella vaccines.

A is incorrect as low dose of aspirin for 6-8 weeks is recommended as follow up treatment .Also, studies says low dose aspirin is as effective as high dose aspirin in the initial treatment of kawasaki disease.

B is incorrect as complete recovery is not possible in all the patients . patients who do not develop aneurysms have excellent outcome compared to those who does.

C is incorrect as rest is very important for these patients because in the process of recovery, they feel very tired.Also, there is no known physical therapy management.

242) The correct option is D(promote a diet rich in iron)

As the patient has anaemia ( low hb and low hematocrit) it is advisable to promote a iron rich diet that helps to improve the hemoglobin levels.

A is incorrect as by limiting milk and milk products can lead to vitamin B 12 deficiency leading to macrocytic anemia.

B is incorrect as encouraging bed activities and games does not improve the hemoglobin levels it only protects from causing injuries.

C is incorrect nursing care is needed but in this situation diet is more important.