The correct answer is: Discussing a patient’s condition outside the nursing unit, like in cafeteria, elevator and parking lot consists invasion of privacy. Always remember only the patient can tell anyone about their conditions but when the patient becomes incapacitated the healthcare agent is allowed to provide and receive patient information's.

The correct Answer: 4 side rails pulled up by the nurse. Do not allow 4 side rails up even if the patient is on or off restraint.

The correct answer is: Rolling from front to back is a common behavior of a 6 month old baby also a dangerous time for the baby to fall when left alone in the bed.

The correct answer is: Failure to perform an important nursing responsibility is a form of negligence. Choice B does not constitute negligence. Digoxin is not administered if apical rate is 60bpm and below to prevent bradycardia. Choice C is a correct nursing action. It does not constitute negligence. Choice D is also a correct action. Potassium is not given if urine output is not adequate (urine output should be at least 30mls/hour).

The correct answer is: Antidepressants start to take effect at a minimum of after a week. Full therapeutic effect will be evident in 3 to 4 weeks. Zoloft, an SSRI does not require special diet. MAOI should not be taken with tyramine- rich foods to prevent hypertensive crisis. Antidepressants may cause elevation of blood pressure, not hypotension.

The correct answer is: Cannot be given with regular insulin. The long acting insulin cannot be combined with regular insulin.

The correct answer is: A full liquid diet is made up only of fluids and foods that are normally liquid and foods that turn to liquid when they are at room temperature, like ice cream. It also includes strained creamy soups, tea, juice, Jell-O, milkshakes, pudding, and popsicles.

The correct answer is: Increased urine output after transphenoidal surgery may indicate occurrence of diabetes insipidus. This is supported by low specific gravity of urine. Choices C and D are expected manifestations after this type of surgery. CSF leakage from the nose is normal for 72 hours postoperative. The incision is done between the upper lip and upper gum.

The correct answer is: 1. eye opening 2. motor response 3. verbal performance. The Glasgow coma scale is a clinical scale used to reliability measure a person's level of consciousness after a brain injury.

The correct answer is: Cover the ulcer with transparent dressing. Radiation therapy may cause desquamation of skin in the areas involved. The client should avoid applying lotion, powder or heat and cold application in the area. There is no need for isolation after external radiation therapy.

The correct answer is: Choice C is incorrect. Beta- blockers like Atenolol should be given on full stomach to prevent GI irritation.

That correct answers: Insulin is essential for treating DKA. Frequent monitoring of blood glucose levels is necessary to assess the effectiveness of treatment. IV fluids are needed to replace fluid and electrolyte losses. Hypokalemia is a common complication of DKA, so monitoring for signs of this electrolyte imbalance is important.

The correct answer is: To stop the burning process, the body part with burns should be immersed in cold water. Jewelries should be removed because metals can be superhead and will cause further tissue injury. Applying dressings on the fingers separately prevents contractures and adhesions. Splints should be applied with the fingers curbed to allow flexion and extension exercises of the fingers. This will also prevent hyperextension deformity of the fingers.

The correct answer: Poor glycemic control. Consistent and effective blood sugar management is crucial for preventing the progression of diabetic retinopathy.

The correct answer is: Hypothyroidism is characterized by hypometabolism, decreased body heat production and hypercalcemia (“Everything is low, slow and dry.”). Choices A, B and C are manifestations of hyperthyroidism.

The correct answer: Smoking history. Smoking cessation can reduce the risk of developing pneumonia, especially in individuals with underlying respiratory conditions.

The correct answer is: Left homonymous hemianopsia, Right sided weakness and uncoordinated movements are manifestations of Left CVA. Choices  C and D are manifestations of right CVA.

The correct answer: Patient education can help improve adherence to medication regimens and blood pressure control, reducing the risk of hypotension during surgery.

The correct answer: Immobility. Regular skin assessments and frequent repositioning can help prevent pressure ulcers by reducing the pressure on bony prominences.

The correct answer: Infection of the foot ulcer. Early identification and treatment of a diabetic foot ulcer can help prevent infection and subsequent complications.

The correct Answers: Deep breathing exercises can help improve lung expansion and oxygenation.  Oxygen therapy can help improve oxygenation in patients with pneumonia. Monitoring for signs of respiratory distress is important to detect worsening of the condition. Antibiotics are often used to treat pneumonia caused by bacteria.

The correct answers: Smoking cessation and influenza vaccination can help reduce the risk of developing pneumonia.

The correct answers: Dietary indiscretion and Stressful life events. Patient education can help individuals with heart failure understand the importance of dietary restrictions and stress management in preventing exacerbations.

Correct Answers: Antiemetics can help prevent nausea and vomiting associated with chemotherapy. Small, frequent meals can be easier to tolerate than large meals. Spicy or greasy foods can exacerbate nausea and vomiting.

The correct answer is: Dehydration is characterized by elevated body temperature, tachycardia, tachypnea due to sympathetic nervous stimulation. Decreased urine output, dark concentrated urine and weight loss also occur. Fluid loss from the body will result to hypotension due to decrease in circulating volume.

Correct Answers: IV fluids are essential to maintain hydration and prevent shock in patients with acute pancreatitis. A CT scan is often used to diagnose and assess the severity of acute pancreatitis. Pain management is crucial for patients with acute pancreatitis.

The correct answer: Infection. Effective infection control measures, such as hand hygiene and appropriate antibiotic use, can help prevent the development of infections that may lead to sepsis.

The correct answers: Oxygen therapy can help improve oxygenation in patients with AMI. Monitoring cardiac rhythm is important to detect any arrhythmias. Thrombolytic therapy can help dissolve blood clots and restore blood flow to the heart. Beta-blockers can help reduce heart rate and blood pressure, which can improve cardiac function in patients with AMI.

The correct answer is: Second degree burns affect the epidermis and dermis; the area appears reddish, moist, with blisters or vesicles, it is painful, it is partial thickness burns.

The correct answer is: The emergent phase of burns is also called shock phase or fluid accumulation phase. This occurs during the first 48 hours of burns. The fluid shifting is fromIVC to ISC due to vasodilation. This results from the heat and release of histamine in response to tissue injury.

The correct answer is: Foot care is necessary in clients with DM to prevent gangrene formation. Choice D is incorrect. Cutting lateral edges of the toenails and removing ingrown may cause trauma that may lead to gangrene. Choice D is incorrect. Cutting lateral edges of the toenails and removing ingrown may cause trauma that may lead to gangrene. Choice E is incorrect. Lotion, cream, powder should not be applied in spaces between the toes. These may cake and cause infection.

Correct Answers: Daily weights can help monitor fluid status in patients with heart failure. Diuretics can help reduce fluid retention and alleviate symptoms of heart failure. A low-sodium diet can help reduce fluid retention. Beta-blockers can help improve heart function and reduce symptoms of heart failure.

The correct answer is: Effective management of CHF produce the following expected outcome: increased cardiac output, increased urine output, decreased weight, lowering of BP, may include stronger pulse, normal breath sounds.

The correct answer: Prolonged immobility. Early mobilization and exercise can help prevent DVT by improving blood flow and reducing the risk of blood clot formation.

The correct answer is: Metabolic alkalosis leads to hypokalemia, hypocalcaemia and hyperphosphatemia. In alkalosis there is increased excretion of potassium, calcium is damaged. As calcium decreases, there is inverse hyperphosphatemia.