D439 Foundations of Nursing - Set 5 - Part 3

Correct Answer: Begin with less sensitive topics

Starting with general health topics builds rapport before progressing to intimate subjects, facilitating open communication about sexual health concerns comfortably.
Option a is incorrect because medical terminology may confuse or distance patients, inhibiting rather than facilitating open discussion about sensitive topics presented.
Option c is incorrect because assuming limited activity based on age is discriminatory and may prevent important health discussions from occurring appropriately needed.
Option d is incorrect because sexual health discussions should be private unless patient requests family involvement, respecting autonomy and privacy rights maintained.

Correct Answer: Milk-based pudding dessert

Milk products are opaque and require digestion making them inappropriate for clear liquid diets requiring transparent, easily absorbed fluids only.
Option a is incorrect because pulp-free apple juice is a standard clear liquid providing hydration and simple sugars without residue present typically included.
Option c is incorrect because clear chicken broth without solids is appropriate providing electrolytes and minimal nutrition on clear liquid diets prescribed.
Option d is incorrect because flavored ice pops without fruit pieces are acceptable clear liquids providing fluids and calories appropriately allowed routinely included.

Correct Answer: Prevent medication from draining

Punctal occlusion blocks tear ducts preventing medication drainage through nasolacrimal system, maximizing therapeutic contact time with eye tissues effectively.
Option b is incorrect because while systemic absorption decreases beneficially, the primary purpose is maximizing local effect, not preventing systemic effects specifically.
Option c is incorrect because punctal occlusion doesn't specifically affect comfort during instillation though it may prevent medication taste from drainage.
Option d is incorrect because vision improvement depends on disease treatment over time, not the immediate effect of punctal occlusion technique performed.

Correct Answer: Nine-thirty upon arrival immediately

Vital sign monitoring begins immediately at admission time establishing baseline, then continues at four-hour intervals from that point forward.
Option a is incorrect because delaying until even hours misses critical initial assessment and doesn't reflect actual admission timing accurately documented properly.
Option c is incorrect because waiting four hours delays essential baseline assessment that should occur immediately upon patient arrival for safety.
Option d is incorrect because arbitrary midnight timing doesn't reflect admission time and inappropriately delays initial assessment dangerously long unnecessarily extended.

Correct Answer: Coughing during formula infusion

Coughing during feeding suggests aspiration from displaced tube or reflux, requiring immediate cessation and assessment to prevent pneumonia development.
Option a is incorrect because hunger doesn't indicate complications and may occur despite adequate nutrition being delivered through enteral feeding appropriately provided.
Option b is incorrect because minimal residual indicates good gastric emptying and tolerance of feeding, not requiring intervention beyond routine monitoring.
Option d is incorrect because proper tube securement prevents displacement and is appropriate, not requiring intervention or adjustment currently needed immediately.

Correct Answer: Limit phosphorus and potassium

Kidney disease impairs phosphorus and potassium excretion, requiring dietary restriction to prevent dangerous accumulation causing complications like arrhythmias potentially.
Option a is incorrect because excessive protein burdens failing kidneys with nitrogen waste, typically requiring moderate restriction rather than increase recommended usually.
Option c is incorrect because while sodium restriction is important, complete elimination is unnecessary and potentially harmful for maintaining fluid balance properly.
Option d is incorrect because fluid restrictions are often necessary in kidney disease to prevent fluid overload when kidneys cannot excrete excess.

Correct Answer: Tightening thigh muscles holding

Isometric exercise involves muscle contraction without joint movement, perfect for maintaining strength during immobilization while protecting healing tissues safely.
Option a is incorrect because toe movement involves joint motion making it isotonic rather than isometric exercise as requested for immobilized patients.
Option b is incorrect because ankle rotation requires joint movement inappropriate for isometric exercises designed for immobilized extremities with casts applied currently.
Option d is incorrect because leg lifting involves hip and knee movement, not the stationary muscle contraction defining isometric exercises appropriately performed correctly.

Correct Answer: Massage the affected area

Massaging deep tissue injury causes additional trauma to already damaged tissue, accelerating breakdown rather than promoting healing or prevention occurring.
Option a is incorrect because repositioning appropriately redistributes pressure allowing tissue perfusion, essential for healing and preventing further damage from occurring progressively.
Option b is incorrect because pressure redistribution surfaces appropriately reduce pressure on injured tissue, supporting healing rather than causing additional harm inflicted.
Option d is incorrect because adequate protein provides building blocks for tissue repair, making it appropriate and necessary for healing promotion achieved.

Correct Answer: Blood glucose levels currently

Hyperglycemia causes osmotic diuresis leading to nocturia in diabetes, making glucose assessment priority for identifying and treating underlying cause effectively.
Option a is incorrect because while infections cause frequency, diabetic nocturia specifically relates to glucose control requiring priority assessment first before considering infection.
Option c is incorrect because prostate issues affect only males while diabetic nocturia affects all patients through metabolic mechanisms requiring glucose evaluation initially.
Option d is incorrect because fluid intake contributes to nocturia but doesn't address the primary hyperglycemic cause in diabetic patients experiencing symptoms described.

Correct Answer: Effective antibiotic therapy working

Decreasing white blood cells during MRSA treatment indicates infection resolution as inflammatory response diminishes with effective antibiotic therapy provided appropriately selected.
Option a is incorrect because worsening infection would cause rising white blood cells as body mounts increased inflammatory response to spreading infection present.
Option c is incorrect because bone marrow suppression would affect multiple cell lines, not just white cells responding to infection resolution occurring progressively.
Option d is incorrect because assuming laboratory error without clinical correlation delays recognition of treatment effectiveness and appropriate therapy continuation needed urgently.