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[π©ββοΈ]Answer & Rationale: B. Caring for the back by means of massage. Back care, in the context of nursing, can encompass various techniques to promote the overall well-being and comfort of the patient's back. This includes not only cleansing the back area but also providing massages to alleviate muscle tension, increase circulation, and promote relaxation.
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[π©ββοΈ]Answer & Rationale: D. Provide hygiene, comfort, and refreshment for bedridden patients. The primary objective of administering a cleansing bed bath is to provide hygiene, comfort, and refreshment for bedridden patients. A bed bath helps maintain the patient's personal hygiene, which is essential for overall well-being and preventing infections, skin irritations, and pressure ulcers. Additionally, the process can be refreshing and comforting, promoting relaxation and a sense of cleanliness.
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[π©ββοΈ]Answer & Rationale: B. Axillary method. For a patient who has undergone oral surgery, the most appropriate method to measure body temperature is the axillary method. The axillary method is non-invasive and avoids any potential complications or discomfort related to the patient's oral surgery.
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[π©ββοΈ]Answer & Rationale: C. Gtts. The abbreviation "gtts." represents drops in medical terms. It is used to indicate the number of drops of a liquid medication or solution to be administered.
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[π©ββοΈ]Answer & Rationale: C. Teach clients to be an effective health consumer. A nurse's role in health promotion involves educating and empowering clients to take control of their health, make informed decisions, and adopt healthy lifestyle habits. By teaching clients to be effective health consumers, nurses help them understand their health needs, access appropriate resources, and make choices that promote overall well-being.
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[π©ββοΈ]Answer & Rationale: C. Teach clients to be an effective health consumer. A nurse's role in health promotion involves educating and empowering clients to take control of their health, make informed decisions, and adopt healthy lifestyle habits. By teaching clients to be effective health consumers, nurses help them understand their health needs, access appropriate resources, and make choices that promote overall well-being.
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[π©ββοΈ]Answer & Rationale: D. Assessment. When a nurse takes the patient's vital signs, they are implementing the assessment phase of the nursing process. Assessment is the first step and involves collecting data about the patient's health status, including physiological, psychological, and sociocultural factors.
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[π©ββοΈ]Answer & Rationale: D. Assessment. When a nurse takes the patient's vital signs, they are implementing the assessment phase of the nursing process. Assessment is the first step and involves collecting data about the patient's health status, including physiological, psychological, and sociocultural factors.
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[π©ββοΈ]Answer & Rationale: B. Maintenance of a sufficient intake of air. Dorothea Orem's self-care deficit nursing theory emphasizes the importance of self-care and the nurse's role in helping patients maintain or regain their ability to care for themselves. According to Orem, there are universal self-care requisites (basic needs) that apply to all individuals, including the maintenance of a sufficient intake of air. This need is crucial for overall health, as oxygen is essential for cellular respiration and energy production.
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[π©ββοΈ]Answer & Rationale: B. Maintenance of a sufficient intake of air. Dorothea Orem's self-care deficit nursing theory emphasizes the importance of self-care and the nurse's role in helping patients maintain or regain their ability to care for themselves. According to Orem, there are universal self-care requisites (basic needs) that apply to all individuals, including the maintenance of a sufficient intake of air. This need is crucial for overall health, as oxygen is essential for cellular respiration and energy production.
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[π©ββοΈ]Answer & Rationale: C. Inhibiting the transmission of microorganisms. The primary reason for handwashing is to inhibit the transmission of microorganisms. Proper hand hygiene is essential in preventing the spread of infection and illness in healthcare settings and everyday life. By washing hands regularly and effectively, healthcare providers can minimize the risk of transmitting microorganisms to themselves, their patients, and others.
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[π©ββοΈ]Answer & Rationale: C. Inhibiting the transmission of microorganisms. The primary reason for handwashing is to inhibit the transmission of microorganisms. Proper hand hygiene is essential in preventing the spread of infection and illness in healthcare settings and everyday life. By washing hands regularly and effectively, healthcare providers can minimize the risk of transmitting microorganisms to themselves, their patients, and others.
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[π©ββοΈ]Answer & Rationale: C. Bed making. Bed making refers to the process of arranging abed with fresh linens. In a healthcare setting, bed making is anessential nursing skill that promotes patient comfort, cleanliness,and hygiene. It also helps prevent the development of pressureulcers and contributes to a healing environment.
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[π©ββοΈ]Answer & Rationale: C. Lens. The lens is the part of the eye responsible for focusing incoming light onto the retina. It is a transparent, biconvex structure situated behind the iris and the pupil. The lens changes shape (accommodation) to adjust its refractive power, allowing the eye to focus on objects at varying distances.
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[π©ββοΈ]Answer & Rationale: A. Complete Bed Rest. The abbreviation "CBR" stands for"Complete Bed Rest." It is used in healthcare to indicate that apatient should remain in bed and minimize physical activity, oftendue to illness or injury that requires rest for proper healing andrecovery.
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[π©ββοΈ]Answer & Rationale: A. Complete Bed Rest. The abbreviation "CBR" stands for"Complete Bed Rest." It is used in healthcare to indicate that apatient should remain in bed and minimize physical activity, oftendue to illness or injury that requires rest for proper healing andrecovery.
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[π©ββοΈ]Answer & Rationale: D. Insulin. The Islets of Langerhans are specialized groups of cellswithin the pancreas. They secrete two important hormones,insulin and glucagon, which play crucial roles in regulating bloodglucose levels. Insulin lowers blood glucose levels by promotingthe uptake and storage of glucose in cells, while glucagon raisesblood glucose levels by stimulating the breakdown of glycogen inthe liver.
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[π©ββοΈ]Answer & Rationale: A. Side-lying position. When providing mouth care for an unconscious patient, the most appropriate position is the side-lying position. This position allows for better drainage of oral secretions and helps prevent aspiration of fluids into the lungs.
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[π©ββοΈ]Answer & Rationale: D. Inspection. Inspection is the medical examination technique thatprimarily utilizes the sense of vision. During inspection,healthcare providers carefully observe the patient's appearance,body movements, and other visual cues to gather informationabout their health status. Inspection is often the first step in aphysical examination, and it can provide valuable informationabout the patient's overall condition.
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[π©ββοΈ]Answer & Rationale: C. Stomach. The stomach is a muscular, enlarged pouch or sac located slightly to the left, which temporarily stores food. The stomach is responsible for breaking down food through a combination of mechanical and chemical digestion, using stomach muscles to mix and churn the food and gastric juices to break it down further.
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