When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?

Wound infection

Bacteremia

Aspiration pneumonia

Urinary tract infection

Answer and Explanation

The Correct Answer is C

A. Wound infection: While important to address, a wound infection does not directly impact airway, breathing, or circulation unless it leads to severe complications.

B. Bacteremia: This condition is serious and can lead to sepsis, which affects circulation, but immediate airway and breathing issues take precedence.

C. Aspiration pneumonia: This directly affects breathing by causing respiratory complications, making it a priority when considering airway and breathing issues.

D. Urinary tract infection: Although it requires treatment, it does not immediately impact airway, breathing, or circulation like aspiration pneumonia can.

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Correct Answer is ["B","D","E"]

Explanation

A. Increase consumption of dairy products: While dairy products can be part of a balanced diet, increasing consumption without consideration of fat content or sodium is not specifically a preventive strategy for hypertension.

B. Choose foods like bananas and sweet potatoes: Foods rich in potassium, such as bananas and sweet potatoes, can help manage blood pressure by balancing sodium levels.

C. Consume two to three glasses of red wine daily: Excessive alcohol consumption can raise blood pressure, so this is not a recommended strategy for hypertension prevention.

D. Use a low sodium seasoning to flavor food: Reducing sodium intake is crucial in managing and preventing hypertension, so using low sodium seasonings is a beneficial strategy.

E. Walk briskly 30 minutes per day: Regular physical activity, such as brisk walking, is an effective way to help manage and prevent hypertension.

A. Diverticulosis B. Nephrolithiasis C. Acute Cholecystitis D. Appendicitis

Correct Answer is C

Explanation

A. Diverticulosis: This condition involves the formation of pouches in the colon and is not associated with Murphy's sign.

B. Nephrolithiasis: This refers to kidney stones and is not associated with Murphy's sign.

C. Acute Cholecystitis: Murphy's sign is a clinical test for acute cholecystitis, which is inflammation of the gallbladder. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.

D. Appendicitis: Appendicitis is an inflammation of the appendix and is not related to Murphy's sign.

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When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?

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Naxlex Comprehensive Predictor Exams

A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A positive Murphy's sign is indicative of?

Correct Answer is C

Explanation

During a health class, the nurse is emphasizing exercise and healthy eating. The level of prevention being utilized by the nurse is

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When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?