The patient presents with fever for the last few days, sore throat and enlarged lymph nodes under the jaw. What is the appropriate response of the nurse when the patient asks about the cause of the enlarged lymph nodes?

Enlarged lymph nodes are associated with hypertensive heart disease."

"They are most likely enlarged as a result of the throat infection.

"You should probably see an oncologist to rule out lymphedema.

You probably have a blockage in the thoracic lymph duct"

Answer and Explanation

The Correct Answer is B

A. Enlarged lymph nodes are associated with hypertensive heart disease is not a correct association. Hypertension does not directly cause lymph node enlargement.
B. They are most likely enlarged as a result of the throat infection is the correct answer. Enlarged lymph nodes, especially under the jaw, are commonly seen in response to infections, particularly in the throat (such as a viral or bacterial infection like pharyngitis).
C. You should probably see an oncologist to rule out lymphedema is an unnecessary response at this time. Lymphedema usually presents with other symptoms, and the patient's symptoms (fever, sore throat, and localized lymph node enlargement) suggest an infection rather than cancer.
D. You probably have a blockage in the thoracic lymph duct is not a common cause of localized lymph node enlargement. Blockages in the thoracic duct would affect lymphatic flow more generally and would present with more systemic symptoms.

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Correct Answer is C

Explanation

A. Caring and curing are basically synonymous is incorrect. Leininger’s theory distinguishes between caring (focused on the emotional and cultural aspects) and curing (focused on medical interventions).
B. Caring acts are independent of patient values is also incorrect. According to Leininger, caring is culturally based and must be aligned with the patient’s values, beliefs, and preferences.
C. Care is tailored to meet the needs of the individual patient is correct. Leininger’s Transcultural Nursing Theory emphasizes that caring should be specific to the individual, considering their cultural background and personal experiences.
D. Care uses a standardized approach for all patients is incorrect because Leininger’s theory advocates for culturally specific care, not a one-size-fits-all approach.

Correct Answer is ["31"]

Explanation

Flowrate(gtt/min)=Time(min)Volume(mL)×Dropfactor(gtt/mL)

Given:

Volume = 250 mL (vancomycin in 250 mL of D5W)

Time = 2 hours = 120 minutes

Dropfactor=15gtt/mLtubingdropfactor

Step 1: Calculate the flow rate:

rate=250 mL120 min×15 gtt/mL

Flowrate=2.0833×15=31.25gtt/min

Step 2: Round to the nearest whole number:

Answer: 31 drops per minute

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The patient presents with fever for the last few days, sore throat and enlarged lymph nodes under the jaw. What is the appropriate response of the nurse when the patient asks about the cause of the enlarged lymph nodes?

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Naxlex Comprehensive Predictor Exams

Which statement is part of Leininger's Transcultural View of Caring?

Correct Answer is C

Explanation

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.

Correct Answer is ["31"]

Explanation

The nurse educator uses manikins to teach patients how to correctly perform CPR on a victim of cardiac arrest. Which teaching technique is used by the nurse?

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