Nursing Elites

1. The medical record for a client states that the client has hemiplegia. What does this mean?

• A. The client can use his right arm, left leg, and left arm.
• B. The client has paralysis of all four extremities.
• C. The client has decreased vision in one eye.
• D. The client has paralysis on one side of the body.

Correct answer: D

Rationale: Hemiplegia refers to paralysis on one side of the body, affecting either the right or left side. Choice A is incorrect because it describes selective paralysis of specific limbs, not one side of the body. Choice B is incorrect as hemiplegia does not involve paralysis of all four extremities. Choice C is also incorrect as decreased vision in one eye is not indicative of hemiplegia.

2. A nurse is teaching a client who has out about dietary recommendations. The nurse should teach the client which of the following beverages can trigger an attack?

• A. Fruit juice
• B. Alcohol
• C. Milk
• D. Coffee

Correct answer: B

Rationale:

3. Which of the following statements made by a client diagnosed with human immunodefiency virus (HIV) would require further teaching?

• A. "I will have to be careful and avoid crowds."?
• B. "I will take prescribed medications."?
• C. "I will have to take medications for the rest of my life."?
• D. "I will only need to take HIV medications for 6 months, and I will be cured

Correct answer: D

Rationale:

4. What is one of the earliest signs of fat embolism syndrome?

• A. Paresthesia
• B. Severe pain in the affected limb unrelieved by medication
• C. Edema
• D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.

5. Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?

• A. Wearing a mask within three feet of the client
• B. Using standard precautions
• C. Applying hand sanitizer to gloves during cares
• D. Double gloving

Correct answer: B

Rationale:

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