Nursing Licensure Exam: Hardest Quiz!

The nurse interprets the result as positive because an 8mm area of induration at the site of the Mantoux skin test is considered a positive result for a male client. Induration refers to the hardening or swelling of the skin, which indicates a reaction to the test and suggests the presence of tuberculosis infection. Therefore, the positive interpretation suggests that the client may have tuberculosis and further diagnostic tests or treatment may be required.

Objective data refers to information that is factual, observable, and measurable. It is data that can be collected through direct observation or measurement, without any subjective interpretation or bias. Overt, in this context, means that the data is openly observable and does not require any inference or interpretation. Therefore, the term "overt" is synonymous with objective data, as it implies that the data is observable and does not involve any subjective interpretation.

Tetanus toxoid is administered through intramuscular (IM) injection. This means that the vaccine is injected into the muscle tissue, typically in the upper arm or thigh. This method allows for the vaccine to be absorbed into the bloodstream more efficiently, as the muscle tissue has a good blood supply. In contrast, vaccines such as Measles, OPV (oral polio vaccine), and BCG (Bacillus Calmette-Guérin) are typically administered through other routes such as subcutaneous injection or oral administration.

Dialysis is a medical procedure used to remove waste products and excess fluid from the blood in individuals with kidney failure. It is primarily used to correct imbalances in electrolytes and remove toxins. Hypernatremia (high sodium levels), hyperkalemia (high potassium levels), and elevated creatinine (indicating kidney dysfunction) can all be corrected by dialysis as they are directly related to the kidney's ability to filter and regulate these substances. However, decreased hemoglobin levels are primarily related to a decrease in red blood cell production or an increase in red blood cell destruction, which is not directly influenced by dialysis.

The Rumpel-leede test is a screening test for dengue hemorrhagic fever. This test measures the fragility of the capillaries by applying pressure to the skin and observing the appearance of small red spots or petechiae. In dengue hemorrhagic fever, there is increased capillary fragility, leading to the appearance of these spots. Therefore, the Rumpel-leede test can help in diagnosing dengue hemorrhagic fever.

BCG vaccination is the correct answer for the primary prevention of leprosy. BCG (Bacillus Calmette-Guérin) is a vaccine primarily used against tuberculosis (TB), but it has also shown some effectiveness in preventing leprosy. Studies have suggested that BCG vaccination can provide partial protection against leprosy, especially in children. It is believed that the vaccine boosts the immune system's response to the bacteria that causes leprosy, reducing the risk of infection. While nutrition and vitamins may play a role in overall health, they are not specifically targeted at preventing leprosy. DPT vaccination is used for preventing diphtheria, pertussis, and tetanus, and is not directly related to leprosy prevention.

Anti depressants are medications that are commonly used to treat depression and elevate mood. They work by balancing the chemicals in the brain that affect mood and emotions. These medications can help improve symptoms of depression, such as sadness, lack of energy, and loss of interest in activities. By increasing the levels of certain neurotransmitters in the brain, anti depressants can help lift mood and promote a sense of well-being. Therefore, it is appropriate to refer to anti depressants as mood elevators.

In patients with renal failure, the kidneys are unable to effectively filter waste products and excess fluids from the blood. Therefore, a low protein diet is recommended to reduce the burden on the kidneys and minimize the production of waste products. Additionally, a low sodium diet helps to control blood pressure and reduce fluid retention, while a low potassium diet is necessary to prevent hyperkalemia, a condition in which there is an excessive level of potassium in the blood. Therefore, a diet that is low in protein, low in sodium, and low in potassium is the most appropriate for patients with renal failure.

Nurse John will obtain an accurate reading of temperature via the oral route in 3 minutes. This is because it takes a few minutes for the thermometer to accurately measure the body temperature through the mouth. Waiting for 3 minutes ensures that the thermometer has enough time to register an accurate reading.

The nurse's statement that the incubation period of rabies varies depending on the site of the bite is appropriate because the incubation period of rabies can indeed vary depending on factors such as the location and severity of the bite. It is not a fixed duration like 6 months, 1 week, or 1 month. Rabies can have an incubation period ranging from a few days to several years, with an average of 1 to 3 months. Therefore, the nurse's statement provides a more accurate and comprehensive understanding of the incubation period of rabies.

During therapy with Isoniazid (INH), it is important for the client to avoid taking vitamin supplements. This is because INH can interfere with the metabolism of certain vitamins, particularly vitamin B6. By avoiding vitamin supplements, the client can prevent any potential interactions or adverse effects caused by the combination of INH and these supplements. It is important for the nurse to educate the client on this aspect to ensure the safe and effective use of the medication.

EPI, which stands for Expanded Program on Immunization, is based on the epidemiological situation. This means that the program is designed and implemented based on the understanding of the patterns, causes, and effects of diseases in a population. By analyzing the epidemiological situation, health authorities can identify the diseases that pose the greatest risk to the community and prioritize the development and delivery of vaccines accordingly. This approach ensures that resources are allocated effectively and that the program addresses the specific health needs of the population.

Fidelity refers to being faithful and loyal to one's commitments and obligations. Being on time, meeting deadlines, and completing all scheduled duties demonstrate a sense of fidelity. It shows that one is dedicated and reliable in fulfilling their responsibilities, which is considered a virtue. Autonomy refers to the ability to make independent decisions, veracity refers to truthfulness, and confidentiality refers to keeping information private. None of these options directly relate to being on time, meeting deadlines, and completing duties, making fidelity the correct answer.

Autism is typically diagnosed around the age of 3 years old. This is because symptoms of autism often become more noticeable during early childhood, when children start to develop social and communication skills. By the age of 3, certain red flags may become apparent, such as delays in speech and language development, difficulty with social interactions, repetitive behaviors, and restricted interests. However, it is important to note that autism can be diagnosed at any age, and some individuals may receive a diagnosis earlier or later depending on the severity of their symptoms and other factors.

In therapy, the goal is to change the client's cognition, which refers to their thoughts, beliefs, and perceptions. By addressing and challenging irrational thoughts, therapy aims to help the client develop more rational and healthier thinking patterns. This can lead to a positive change in their overall mental well-being and behavior. Changing personality, communication, and behavior may also be important aspects of therapy, but they are often influenced by and interconnected with one's cognition.

Rubella immunization is contraindicated during pregnancy due to the risk of the vaccine causing harm to the developing fetus. Therefore, the most appropriate time for Clarissa to receive rubella immunization would be after the delivery of the baby, when there is no longer a risk to the fetus.

BCG stands for Bacillus Calmette-Guérin, which is a live attenuated bacterial vaccine. It is used for the prevention of tuberculosis (TB) and is derived from Mycobacterium bovis, a bacterium that causes TB in cows. BCG is administered through a small injection into the skin and stimulates the immune system to provide protection against TB. It is one of the most widely used vaccines in the world and is particularly recommended for infants and young children in countries with a high prevalence of TB.

Reprimanding a staff nurse for work that is done incorrectly is an example of negative reinforcement. Negative reinforcement involves the removal or avoidance of an unpleasant stimulus in order to increase the likelihood of a desired behavior. In this case, the reprimand serves as the unpleasant stimulus, and its removal or avoidance is intended to increase the likelihood that the nurse will correct their mistakes in the future.

The nurse can determine that Myla's second stage of labor is beginning when the cervix is completely dilated. This is a significant milestone in labor progression as it indicates that the cervix has opened fully, allowing the baby to move into the birth canal. The other assessments mentioned, such as the breaking of the water, regular contractions, and the presence of a bloody show, may also be indicative of labor but do not specifically indicate the beginning of the second stage.

At 12 months old, most children have around 6 teeth. This is because the first teeth, known as the lower central incisors, usually start to erupt between 6-10 months of age. Therefore, Nurse Oliver would anticipate Baby Reese to have 6 teeth at this stage of development.

The correct answer is 21 gtts/min. To calculate the flow rate in drops per minute, we need to use the formula: flow rate (gtts/min) = total volume (ml) / time (min). In this case, the total volume is 500 ml and the time is 24 hours, which is equal to 1440 minutes. Therefore, the flow rate is 500 ml / 1440 min = 0.3472 ml/min. Since the IV drip is running at 60 gtts/min, we can set up a proportion to find the flow rate in drops per minute: 0.3472 ml/min = 60 gtts/min. Solving for gtts/min gives us approximately 21 gtts/min.

Cotrimoxazole is the first line of treatment for dysentery. It is a combination of two antibiotics, sulfamethoxazole and trimethoprim, which work together to inhibit the growth and spread of bacteria. This medication is effective against a wide range of bacteria that cause dysentery, including Shigella and Salmonella. It is commonly used to treat bacterial infections in the gastrointestinal tract and has been found to be highly effective in reducing symptoms such as diarrhea, abdominal pain, and fever associated with dysentery.

The correct answer is -15c to -25c. This temperature range is necessary to maintain the potency of measles and OPV vaccines. Vaccines are sensitive to temperature and can lose their effectiveness if not stored within the recommended range. The low temperatures help to preserve the vaccines and ensure that they remain potent for administration.

Sambong is the appropriate herbal medicine for urolithiasis. It is known for its diuretic properties, which can help flush out kidney stones and prevent the formation of new ones. Sambong also has anti-inflammatory effects, which can help reduce pain and inflammation associated with urolithiasis. Additionally, it has antibacterial properties that can help prevent urinary tract infections, which are common in individuals with urolithiasis. Therefore, Sambong is the preferred herbal medicine for treating urolithiasis.

The correct answer is BON, which stands for Board of Nursing. The Board of Nursing is responsible for ensuring that nurses adhere to ethical standards in their practice. They regulate the nursing profession, set standards for education and licensure, and enforce disciplinary actions when necessary. The BON plays a crucial role in maintaining the integrity and professionalism of the nursing profession.

Poverty is the most important risk factor in the development of mental illness in community health nursing. This is because individuals living in poverty often face numerous challenges such as limited access to healthcare, education, and employment opportunities. These stressors can contribute to the development of mental health issues such as depression, anxiety, and substance abuse. Additionally, poverty can also lead to social isolation and lack of support systems, further exacerbating mental health problems. Therefore, addressing poverty is crucial in promoting mental well-being and preventing the onset of mental illness in communities.

The termination phase of the NPR involves reviewing the progress of therapy and assessing whether the goals set at the beginning of the therapy have been achieved. This phase focuses on evaluating the effectiveness of the therapy and determining if the client's needs have been met. It allows both the therapist and the client to reflect on the progress made and decide if further therapy is necessary or if the client is ready to end the therapeutic relationship.

The nurse in charge is aware that the best position for Jose after undergoing thoracentesis is side lying on the unaffected side. This position helps to promote lung expansion and drainage of fluid or air from the affected side. It also helps to prevent the compression of the unaffected lung and reduces the risk of complications such as pneumonia.

Freud believed that temper tantrums are observed in the anal stage of psychosexual development. This stage occurs during the ages of 1 to 3 years old, when children are learning to control their bowel movements. Freud suggested that during this stage, children may experience conflicts and frustrations related to toilet training, which can manifest as temper tantrums. Therefore, the correct answer is Anal.

The correct answer is the Department of Health. The disposal of medical records in government hospitals/institutions is a sensitive process that requires coordination with the appropriate agency. The Department of Health is responsible for overseeing healthcare services in the country and ensuring the proper handling and disposal of medical records. They have the expertise and knowledge to ensure that the disposal is done in accordance with legal and ethical guidelines to protect patient confidentiality and privacy.

ECT stands for electroconvulsive therapy, which is a psychiatric treatment that involves inducing seizures in a patient's brain to alleviate symptoms of mental disorders. While ECT can be used for various conditions, including schizophrenia, bipolar disorder, and anorexia nervosa, the most common indication for its use is depression. ECT is often considered when other treatments, such as medication and therapy, have not been successful in managing severe depression. It is important for the nurse to be aware of this indication to provide appropriate care and support to patients undergoing ECT for depression.

When examining a client with abdominal pain, Nurse Hazel should assess the symptomatic quadrant last. This is because assessing the other quadrants first allows the nurse to establish a baseline and gather information about the client's overall abdominal health. By assessing the symptomatic quadrant last, Nurse Hazel can focus on the area of concern and gather specific information related to the client's abdominal pain. This approach helps prioritize the assessment and ensures that the nurse does not overlook any important findings in other quadrants.

Rubella, also known as German measles, is a highly contagious viral infection that can cause serious complications, especially in pregnant women. The correct answer is the 18 year old sister who recently got married because if she is pregnant or planning to become pregnant, she could be at risk of contracting rubella from the female child. Rubella can be transmitted through respiratory droplets, so it is important to isolate the child from individuals who are at risk, such as pregnant women, to prevent the spread of the infection and potential harm to the fetus.

Budgeting is a crucial part of the planning process in management. It involves setting financial goals, estimating income and expenses, and allocating resources accordingly. By creating a budget, managers can effectively plan and allocate resources to achieve organizational objectives. Budgeting helps in determining the financial feasibility of various plans and ensures that resources are used efficiently. Therefore, budgeting falls under the planning phase of the management process.

Standards are the professionally desired norms against which a staff performance will be compared. They provide a benchmark for evaluating the performance of employees and help ensure that they meet the expectations and requirements of their job. By setting clear standards, organizations can establish a common understanding of what is expected from their employees and measure their performance against these established criteria. This allows for consistent evaluation and helps identify areas for improvement or recognition.

The mother should bring the young child back for follow-up after 2 days because pneumonia is a serious infection that requires close monitoring and appropriate treatment. Waiting for a longer period of time before seeking follow-up care can lead to complications and delay in recovery. Prompt follow-up allows the healthcare provider to assess the child's progress, adjust the treatment plan if necessary, and ensure that the infection is resolving effectively.

The nurse should expect the physiologic effect of dilated pupils in a male client addicted to hallucinogens. Hallucinogens, such as LSD or magic mushrooms, can cause dilation of the pupils as a result of the drug's effects on the sympathetic nervous system. This sympathetic activation leads to an increase in the release of norepinephrine, which causes the pupils to dilate. This can be a characteristic sign of hallucinogen use and can help in identifying individuals who may be under the influence of these substances.

Acetylcysteine is the primary antidote for Tylenol poisoning. It works by replenishing glutathione levels in the liver, which helps to detoxify the toxic byproducts of Tylenol metabolism. This antidote is effective if administered within 8-10 hours of ingestion and can prevent or reduce liver damage caused by Tylenol overdose. Narcan is used for opioid overdose, Digoxin is used for heart conditions, and Flumazenil is used for benzodiazepine overdose, making them incorrect choices for Tylenol poisoning.

The IV infusion set has a drop factor of 10 drops per minute. Since Mr. Gutierrez is to receive 1 liter of D5RL to run for 12 hours, we need to calculate the total number of drops needed.

1 liter is equal to 1000 milliliters. Since there are 20 drops in 1 milliliter, the total number of drops needed is 1000 x 20 = 20,000 drops.

To find the drops per minute, we divide the total number of drops by the total number of minutes (12 hours x 60 minutes = 720 minutes).

20,000 drops / 720 minutes ≈ 27.78 drops per minute.

Therefore, the IV should be regulated to approximately 13-14 drops per minute.

Diphtheria is caused by the bacterial toxin produced by the bacterium Corynebacterium diphtheriae. This toxin is responsible for the characteristic symptoms of diphtheria, such as the formation of a thick grayish membrane in the throat and difficulty in breathing. Therefore, the correct answer is "Bacterial toxin".

The priority nursing action after amniotomy is to listen to the fetal heart tone. This is important because it allows the nurse to assess the well-being of the baby and ensure that there are no signs of distress. By listening to the fetal heart tone, the nurse can monitor the baby's heart rate and rhythm, which can provide valuable information about the baby's oxygenation and overall health. This action takes precedence over other actions such as documenting the color and consistency of amniotic fluid, positioning the mother, or letting the mother rest, as the baby's well-being is of utmost importance in this situation.

The community/public health bag is considered an essential and indispensable equipment for community health nurses during home visits. It contains drugs and equipment that are necessary for the nurse to carry out their duties effectively. It is a requirement both in the health center and for home visits, indicating its importance in the field of community health nursing. The bag serves as a tool that enables the nurse to perform necessary procedures and provide appropriate care during home visits, further emphasizing its significance in their practice.

The correct answer is "After 2-4 weeks." The third postpartum visit is typically scheduled for 2-4 weeks after delivery. This timing allows for a sufficient recovery period for the mother and provides an opportunity for the public health nurse to assess the mother's physical and emotional well-being, provide guidance on breastfeeding and newborn care, and address any concerns or complications that may have arisen since the previous visit.

Enrollment in graduate school is considered formal continuing education because it involves pursuing a higher level of education after completing a bachelor's degree. Graduate school programs are structured and rigorous, offering specialized knowledge and skills in a specific field. This type of education typically leads to advanced degrees such as master's or doctoral degrees, and is recognized as a formal and recognized pathway for professional development and career advancement.

The BSN curriculum prepares graduates to become primary health nurses. This means that they are trained to provide comprehensive and holistic care to patients in various settings, focusing on health promotion, disease prevention, and management of common health conditions. Primary health nurses work closely with individuals, families, and communities to assess their healthcare needs, develop care plans, and coordinate healthcare services. They play a crucial role in promoting and maintaining the overall health and well-being of their patients, and contribute to improving healthcare outcomes in their communities.

Age is the most significant risk factor for osteoarthritis. As a person gets older, the cartilage in their joints naturally wears down, making them more susceptible to developing osteoarthritis. Age-related changes in the joints, such as decreased joint fluid and increased stiffness, also contribute to the development of the condition. While obesity, race, and job may also play a role in the development of osteoarthritis, age is the primary risk factor.

The given correct answer is "Vision". A vision statement is a statement that describes the desired future state or long-term goals of an organization. In this case, the statement "To be the leading hospital in the Philippines" represents the hospital's vision for the future. It outlines their aspiration to become the top hospital in the country and sets a clear direction for their strategic planning and decision-making. A vision statement helps to inspire and motivate employees, as well as guide the organization towards achieving its goals.

After a caesarian birth, the fundus (the top part of the uterus) tends to be lower in the abdomen compared to a vaginal birth. This is because the uterus is slower to contract and shrink back to its pre-pregnancy size. Therefore, on the 2nd postpartum day, it would be expected to find the fundus 2 fingers below the umbilicus.

Gentian Violet is commonly used for treating umbilical infections. It is an antifungal and antiseptic agent that can effectively kill bacteria and fungi, preventing the infection from spreading and promoting healing. The violet color of the solution helps to identify the treated area and ensure proper application. It is often used in newborns to prevent and treat infections in the umbilical cord stump.

The balance of a research's benefit vs. its risks to the subject is determined by the risk-benefit ratio. This ratio weighs the potential benefits of the research against the potential risks to the subject. It helps researchers and ethics committees evaluate whether the potential benefits justify the potential risks involved in the study. By considering the risk-benefit ratio, researchers can ensure that the welfare and safety of the subjects are prioritized while conducting the research.

Ototoxicity refers to damage to the auditory system caused by certain medications, including antibiotics. In this case, the client is receiving antibiotic therapy and later complains of ringing in the ears. The 8th cranial nerve, also known as the vestibulocochlear nerve, is responsible for transmitting auditory information from the inner ear to the brain. Damage to this nerve can result in symptoms such as tinnitus (ringing in the ears). Therefore, the correct answer is the 8th cranial nerve.

The nurse cannot safely delegate the task of changing IV infusions to a non-nurse health worker because it requires specialized knowledge and skills. Changing IV infusions involves assessing the site for signs of infection or infiltration, monitoring the infusion rate, and recognizing and managing any complications that may arise. These tasks require a nurse's expertise to ensure the safe administration of medications and fluids through an IV line.

The priority of care for a client with Alzheimer's disease is to simplify the environment to eliminate the need to make chores. This is because individuals with Alzheimer's often have difficulty with complex tasks and may become overwhelmed or frustrated when faced with multiple chores or responsibilities. By simplifying the environment and reducing the number of tasks, the client can feel more comfortable and less stressed, which can help to improve their overall well-being and quality of life.

The correct answer is 1 tsp. salt and 8 tsp. sugar. This is because the ratio of salt to sugar in the homemade oresol is 1:8.

A researcher that makes a generalization based on observations of an individual's behavior is said to be using inductive reasoning. Inductive reasoning involves drawing conclusions or making generalizations based on specific observations or evidence. In this case, the researcher is observing the behavior of individuals and using that information to make a generalization, which aligns with the concept of inductive reasoning.

In this scenario, the correct answer is to stay with the client and do nothing. The client has a standing DNR (Do Not Resuscitate) order, which means that they have made the decision to not receive any life-saving measures in the event of cardiac arrest or respiratory failure. As a nurse, it is important to respect the client's wishes and honor their DNR order. Therefore, staying with the client and providing comfort and emotional support is the appropriate action to take in this situation.

TT4 provides 99% protection against tetanus. This means that when a person is vaccinated with TT4, there is a 99% chance that they will be protected from contracting tetanus. Tetanus is a serious bacterial infection that can cause muscle stiffness and spasms, and it is important to have a high level of protection against it. TT4 is a tetanus toxoid vaccine that helps to stimulate the body's immune response and build immunity against tetanus.

Crisis is a time of intense emotional or psychological disturbance, where individuals feel overwhelmed and unable to cope with a certain situation. During a crisis, individuals may experience a range of emotions and behaviors, such as panic, fear, and helplessness. However, the statement that the client may become resistive and active in stopping the crisis does not align with the characteristics of crisis. In a crisis, individuals are typically in a state of distress and are seeking support and assistance to manage the situation, rather than actively trying to stop the crisis themselves.

During the evaluation step of the nursing process, Nurse Karen revises a client's plan of care. This step involves assessing the client's response to interventions and determining if the desired outcomes have been achieved. By evaluating the effectiveness of the current plan, Nurse Karen can make necessary revisions to ensure the client's needs are being met and to improve the overall quality of care provided.

The inner ear is responsible for the sense of balance and equilibrium, so if a male client is experiencing vertigo (a sensation of dizziness or spinning), it suggests that there may be a problem with this portion of the ear. The inner ear contains structures such as the semicircular canals and the vestibule, which play a crucial role in maintaining balance. Issues with these structures can lead to vertigo symptoms.

During an acute gout attack, the nurse administers colchicine. Colchicine is an anti-inflammatory medication that works by reducing the inflammation and pain associated with gout. It inhibits the migration of white blood cells to the affected joint, thereby reducing the inflammatory response. This medication is specifically used for the treatment of acute gout attacks and is not typically used for long-term management or prevention of gout.

The term "schedule" refers to a time table that outlines the planned work days and shifts of nursing personnel. It is a systematic arrangement of tasks and activities that need to be completed within a specific timeframe. In the context of nursing personnel, a schedule helps to ensure adequate staffing levels and proper allocation of resources. It allows for efficient planning and organization of work, ensuring that all shifts are adequately covered and that there is a balance between the needs of the healthcare facility and the availability of staff.

not-available-via-ai

Nurse Christine teaches the parents to include rice in the child's diet because rice is a gluten-free grain, which is suitable for individuals with celiac disease. Celiac disease is an autoimmune disorder where the ingestion of gluten, found in wheat, barley, and rye, causes damage to the small intestine. Therefore, it is important to avoid gluten-containing foods like rye toast and oatmeal. White bread typically contains gluten unless it is specifically labeled as gluten-free, so it should also be avoided. Rice, on the other hand, is a safe and nutritious option for individuals with celiac disease.

When a nurse's license is revoked due to negligence, the re-issuance of the revoked certificate typically occurs after a period of 4 years. This allows for a significant amount of time for the nurse to reflect on their actions, undergo any necessary retraining or education, and demonstrate that they are capable of practicing nursing responsibly and safely.

Blanching or cyanosis of the legs indicates circulatory constriction in a male client with a newly applied long leg cast. Blanching refers to the paleness of the skin due to reduced blood flow, while cyanosis refers to a bluish discoloration of the skin caused by inadequate oxygenation. Both of these signs suggest compromised circulation, which can occur when the cast is too tight and restricts blood flow to the legs. This finding should be promptly addressed to prevent further complications.

Polyhydramnios is a condition characterized by an excessive accumulation of amniotic fluid in the amniotic sac during pregnancy. This condition can be an indication of a congenital gastrointestinal (G.I) anomaly because it can result from a blockage or obstruction in the fetal gastrointestinal tract. This obstruction prevents the normal swallowing and absorption of amniotic fluid, leading to its accumulation. Therefore, Nurse Judy recognizes that polyhydramnios can be a potential sign of a congenital G.I anomaly.

During the process of cocaine withdrawal, Diazepam (Valium) may be ordered by the physician. Cocaine withdrawal can cause severe anxiety, agitation, and restlessness. Diazepam is a benzodiazepine that acts as a sedative and anxiolytic, helping to relieve these symptoms. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which helps to calm down the overactive central nervous system during withdrawal. Haloperidol, Imipramine, and Benztropine are not typically used for cocaine withdrawal symptoms.

Even, unlabored respirations would be the most significant assessment finding in a male client hospitalized with Guillain-Barre Syndrome. Guillain-Barre Syndrome is a neurological disorder that can cause paralysis and affect the muscles involved in breathing. Therefore, the client having even, unlabored respirations indicates that their respiratory muscles are functioning properly, which is crucial for maintaining adequate oxygenation and ventilation. This finding suggests that the client's condition is stable and their respiratory status is not compromised.

During the third trimester of pregnancy, the weight of the amniotic fluid is approximately 1 kilogram. This fluid surrounds and protects the fetus in the womb, providing cushioning and maintaining a stable environment. It is essential for the baby's development and helps in the functioning of various organs and systems. The weight of the amniotic fluid can vary slightly from person to person, but on average, it is around 1 kilogram.

Thumb opposition refers to the ability to touch the thumb to the tips of the other fingers. This motor skill typically develops between 8-12 months of age. Since Baby Marie was born in May 1984, by February 1985 she would be around 9 months old. At this age, she would be expected to have developed thumb opposition, making February 1985 the correct answer.

The client's objection to the use of information in their chart as evidence in court renders it inadmissible. This is because the client has the right to refuse the use of their personal information for legal proceedings.

By the age of 6 years, a child is typically able to brush their teeth without assistance. At this age, they have developed the necessary motor skills and coordination to effectively brush their teeth and reach all areas of their mouth. It is important for parents to supervise and ensure that proper brushing techniques are being followed to maintain good oral hygiene.

Close-ended questions are questions that provide a set of pre-determined answer options for respondents to choose from. These questions do not allow for open-ended responses and are designed to gather specific information in a structured and standardized way. The other options mentioned in the question, such as survey, questionnaire, and demographic, are not specific types of questions but rather broader terms related to data collection methods or characteristics of a population.

Cocaine is classified as a psycho stimulant because it acts on the central nervous system to increase alertness, energy, and euphoria. It stimulates the release of dopamine, a neurotransmitter associated with pleasure and reward, leading to its addictive properties. Cocaine also increases heart rate, blood pressure, and body temperature. It does not fall under the categories of hallucinogen, anxiolytic, or narcotic, as it does not produce hallucinations, reduce anxiety, or have the same pain-relieving effects as narcotics.

The correct answer is Lactational Amenorrhea method (LAM). LAM is a natural family planning method that involves exclusive breastfeeding, which can suppress ovulation and provide up to 98% protection against pregnancy in the first six months after childbirth. This method relies on the hormonal changes that occur during breastfeeding to prevent pregnancy. It is important for Nurse Candy to be aware of this method and provide accurate information to women seeking family planning options.

Identifying the illness is a crucial step in the IMCI case management process, as it helps healthcare providers determine the appropriate treatment for the child. The other options, including counseling the mother, assessing the child, and treating the child, are all essential components of the IMCI case management process.

The common characteristic of autism children is withdrawal. Autism is a developmental disorder that affects social interaction and communication skills. Children with autism often have difficulty engaging in social interactions and may prefer to be alone. They may exhibit withdrawal by avoiding eye contact, not responding to their name, and showing limited interest in others. This withdrawal behavior is a key characteristic of autism and can make it challenging for these children to form and maintain relationships with others.

In this question, the correct answer is "Element". In the context of a general population, an individual or object can be considered as an element. An element refers to a single member or component of a larger group or set. It represents a part of the whole population, without any specific connotation or role attached to it. Therefore, "Element" is the most appropriate term to describe an individual or object belonging to a general population.

Habit training would be the most beneficial environment and interdisciplinary program for a male child with an intelligence quotient of approximately 40. Habit training focuses on developing positive habits and routines, which can help improve the child's skills and abilities. This approach is often used in special education to teach self-care, social, and communication skills. By providing a structured and consistent environment, habit training can support the child's learning and development in a way that is tailored to their specific needs and abilities.

Antipsychotics are also known as ataractics or psychic energizers. These medications are commonly used to treat symptoms of psychosis, such as hallucinations, delusions, and disorganized thinking. They work by blocking certain neurotransmitters in the brain, which helps to reduce symptoms of psychosis. While anti-manic medications are used to treat symptoms of mania in bipolar disorder, antidepressants are used to treat symptoms of depression, and anti-anxiety medications are used to treat symptoms of anxiety disorders. Therefore, the correct answer is antipsychotics.

Gestalt therapy is a type of therapy that emphasizes the importance of the present moment and encourages individuals to fully experience and accept themselves. It focuses on the here and now principle, where individuals are encouraged to be aware of their thoughts, feelings, and behaviors in the present moment. Through this awareness, individuals can gain insight into their patterns and make changes to promote self-acceptance and personal growth. Therefore, Gestalt therapy is the correct answer as it aligns with the therapy approach described in the question.

The first certification of nursing informatics was given in 2001-2002. This means that during this specific time period, individuals were able to obtain certification in the field of nursing informatics. It is important to note that this answer is based on the information provided and assumes that there is no additional context or information missing from the question.

When performing Weber's test, Nurse Rosean expects that this client will hear on the affected side by bone conduction. This is because Weber's test is used to assess for unilateral hearing loss. In a normal hearing individual, sound is heard equally in both ears. However, in cases of unilateral hearing loss, the sound will be perceived louder in the unaffected ear due to the absence of competition from the affected ear. This occurs because the sound is conducted through bone to the affected ear, bypassing any issues with the outer or middle ear. Therefore, the client is expected to hear the sound primarily in the affected ear during Weber's test.

TT (Tetanus Toxoid) provides 90% protection against tetanus. Tetanus Toxoid is a vaccine that helps prevent tetanus, a serious bacterial infection that affects the nervous system. The vaccine stimulates the body's immune system to produce antibodies against the tetanus toxin, providing immunity. While the vaccine is highly effective, it does not provide 100% protection, hence the correct answer is 90%.

Based on the diagnosis of endometritis, placing the postpartum client in a semi-fowlers position would be expected. This position involves elevating the head of the bed between 30 and 45 degrees, which helps to promote drainage and reduce pressure on the pelvic area. By placing the client in a semi-fowlers position, it can help alleviate discomfort and facilitate healing in cases of endometritis.

Ribavirin (Virazole) is a medication used to treat respiratory syncytial virus (RSV) infection. It is administered via an oxygen tent. An oxygen tent is a device that delivers oxygen to the patient by enclosing their head and upper body in a plastic tent-like structure. The medication is aerosolized and delivered to the patient through the oxygen tent, allowing them to inhale it. This route of administration ensures that the medication reaches the respiratory system directly, where it can effectively combat the RSV infection.

Prudence is the correct answer because Nurse Ron's action of raising the side rails for a confused and disoriented patient demonstrates cautiousness and carefulness. By taking this precautionary measure, Nurse Ron is ensuring the safety and well-being of the patient, showing good judgment and thoughtfulness in their actions.

Self-mutilation among Bipolar disorder patients is a means of overcoming feelings of insecurity. This behavior may provide a temporary sense of control and relief from the overwhelming emotions and uncertainty that come with Bipolar disorder. By inflicting physical pain on themselves, individuals may feel a sense of power and release from their insecurities. It is important for nurses like John to understand this underlying motivation and provide appropriate support and interventions to address the root causes of insecurity and help patients develop healthier coping mechanisms.

The priority nursing intervention in caring for clients with renal calculi is to administer analgesics as prescribed. Renal calculi, also known as kidney stones, can cause severe pain. Administering analgesics helps to alleviate the pain and provide comfort to the client. While recording vital signs, straining urine, and limiting fluids are important interventions in the care of clients with renal calculi, they are not the priority in this case. The priority is to address the client's pain and provide relief.

Introjection is a defense mechanism where individuals internalize the beliefs, values, and attitudes of others, often without questioning or critically evaluating them. Clients with severe depression may exhibit introjection as a way to cope with their feelings of low self-worth and helplessness. They may take on negative beliefs about themselves or adopt a pessimistic outlook on life, which further contributes to their depressive symptoms. This defense mechanism can be detrimental to their mental health as it reinforces negative thought patterns and inhibits personal growth and self-acceptance.

When Nurse Clarence respects the client's self-disclosure, it demonstrates that she can be trusted with sensitive information. Trustworthiness is an essential quality for nurses to possess as it helps to establish a strong therapeutic relationship with clients. By respecting the client's self-disclosure, Nurse Clarence shows that she can be relied upon to maintain confidentiality and act in the best interest of the client. This behavior also promotes open communication and encourages clients to feel comfortable sharing their thoughts and feelings with the nurse.

The primary gain of a client with anorexia nervosa is reducing anxiety. Anorexia nervosa is an eating disorder characterized by an intense fear of gaining weight and a distorted body image. Individuals with anorexia often restrict their food intake to an extreme degree in an attempt to control their weight and shape. This behavior is driven by the underlying anxiety and fear associated with gaining weight. By losing weight, individuals with anorexia believe they can alleviate their anxiety and gain a sense of control over their lives.

Percussion is a method used to assess the degree of abdominal distension in patients. It involves tapping on the abdomen and listening for the resulting sound. This technique helps to identify the presence of fluid or gas in the abdomen, which can contribute to distension. By percussing different areas of the abdomen, healthcare professionals can determine the extent of distension and gather information about the underlying condition causing it. Auscultation involves listening to bowel sounds, palpation involves feeling the abdomen for abnormalities, and inspection involves visually examining the abdomen. While these techniques can provide valuable information, percussion specifically focuses on assessing the degree of abdominal distension.

During infancy, which is the period from birth to around 1 year of age, ego development begins. This is when the infant starts to develop a sense of self and becomes aware of their own individuality. They start to differentiate themselves from their caregivers and learn to trust and rely on others. This stage is crucial for the formation of a healthy ego, which is essential for later stages of development.