The patient has been diagnosed with diabetes. When admitted, the patient is unkempt and is in need of a bath and foot care. When questioned about hygiene habits, the nurse learns the patient takes a bath once a week and a sponge bath every other day. To provide ultimate care for this patient, which principle should the nurse keep in mind?

All cultures value cleanliness with the same degree of importance.

Patients who appear unkempt place little importance on hygiene practices.

The patient’s illness may require teaching of new hygiene practices.

Personal preferences determine hygiene practices and are unchangeable.

Answer and Explanation

The Correct Answer is C

A. Cultural values regarding cleanliness vary, so it is inaccurate to assume uniform standards.
B. Judging the patient as placing "little importance" on hygiene due to appearance can lead to biases and does not consider the patient’s routine.
C. Diabetes may necessitate changes in hygiene practices, especially regarding foot care, to prevent complications. Education on optimal hygiene practices is essential for health management in diabetic patients.
D. While personal preferences influence hygiene, they can be adapted with appropriate education and guidance when necessary for health reasons.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The P wave represents atrial depolarization, which is initiated by the SA node, the heart's natural pacemaker.
B. The AV node is responsible for conducting impulses from the atria to the ventricles but does not initiate the P wave.
C. The Bundle of His transmits the electrical impulses to the ventricles but is not directly associated with the P wave.
D. Purkinje fibers are involved in ventricular depolarization, which corresponds to the QRS complex, not the P wave.

A. Infections. B. Low blood pressure. C. Diabetes. D. Allostasis. E. Cancer.

Correct Answer is ["A","C","D","E"]

Explanation

A. Prolonged stress can weaken the immune system, making patients more susceptible to infections.
B. Prolonged stress typically leads to increased blood pressure due to the body's stress response, rather than low blood pressure.
C. Chronic stress can contribute to the development of diabetes by affecting glucose metabolism and increasing insulin resistance.
D. Allostasis refers to the process of achieving stability through change; prolonged stress can disrupt allostatic balance and lead to health issues.
E. Prolonged stress has been linked to an increased risk of developing certain types of cancer due to its effects on immune function and hormonal balance.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?

Correct Answer is A

Explanation

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a group of patients. Which patient should the nurse see first?

A patient diagnosed with terminal cancer asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?

A nurse is helping parents who have a child diagnosed with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

A nurse caring for a patient prescribed warfarin discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?