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1. The healthcare professional in the dialysis unit understands that patients may experience various complications during hemodialysis. What describes a common complication during hemodialysis?
- A. confusion
- B. profuse sweating
- C. hypertension
- D. leg cramps
Correct answer: D
Rationale: Leg cramps are a common complication during hemodialysis due to shifts in fluid and electrolyte levels that occur during the treatment. Confusion (choice A) is not a common complication specifically related to hemodialysis. Profuse sweating (choice B) is not typically associated with hemodialysis complications. Hypertension (choice C) might be a pre-existing condition in some patients but is not a direct common complication of hemodialysis.
2. People with only one arm or hand may benefit from using a ____ when eating?
- A. dish with suction cups
- B. rocker knife
- C. utensil holder
- D. flexible straw
Correct answer: B
Rationale: A rocker knife is specifically designed for individuals with limited use of one hand or arm, allowing them to cut food easily. This makes it a suitable option for people with only one arm or hand. Choice A, a dish with suction cups, may not directly aid in cutting food with one hand. Choice C, an utensil holder, is not typically used for cutting food. Choice D, a flexible straw, is more related to drinking liquids and not specifically designed to assist in cutting food one-handed.
3. A pregnant woman has applied to use WIC services to supplement her food intake. The WIC program would provide vouchers for _____ in this situation.
- A. lean beef
- B. fruit-flavored yogurt
- C. whole grain bread
- D. refried beans
Correct answer: C
Rationale: The correct answer is C: whole grain bread. The WIC program aims to provide nutritious foods to support a healthy diet during pregnancy. Whole grain bread is a good source of fiber and essential nutrients. Choice A, lean beef, is a protein source but may not be as versatile as whole grain bread in providing a variety of nutrients essential during pregnancy. Choice B, fruit-flavored yogurt, may contain added sugars and may not offer the same level of essential nutrients as whole grain bread. Choice D, refried beans, is a good source of protein and fiber, but whole grain bread is often a staple recommended in pregnancy for its nutritional benefits.
4. Which of the following nursing interventions is appropriate after a total thyroidectomy?
- A. Place pillows under your patient’s shoulders.
- B. Raise the knee-gatch to 30 degrees
- C. Keep you patient in a high-fowler’s position.
- D. Support the patient’s head and neck with pillows and sandbags.
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
5. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?
- A. Pink, moist, and slightly protruding from the abdomen
- B. Gray, moist, and slightly protruding from the abdomen
- C. Pink, dry, and slightly protruding from the abdomen
- D. Red, moist, and slightly protruding from the abdomen
Correct answer: A
Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.
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