Which of the following criteria is necessary to establish that a patient is a candidate for self-care?
The patient cannot self-treat to avoid medical treatment
The patient cannot experience persistent symptoms or symptoms without a known cause
The patient cannot have severe symptoms
All of the above are necessary to determine that a patient is a candidate for self-care
The Correct Answer is D
A. The patient cannot self-treat to avoid medical treatment: Patients must be able to recognize when self-care is appropriate versus when professional evaluation is required. Avoiding medical care for serious or unclear conditions can lead to complications, so the ability to discern this is essential for safe self-care.
B. The patient cannot experience persistent symptoms or symptoms without a known cause: Self-care is appropriate only for minor, well-understood, and short-term conditions. Persistent symptoms or those without a clear cause require professional assessment to rule out serious underlying disease before self-treatment.
C. The patient cannot have severe symptoms: Severe symptoms may indicate acute or life-threatening conditions that require immediate medical attention. Self-care is intended for mild to moderate conditions where the risk of serious complications is low.
D. All of the above are necessary to determine that a patient is a candidate for self-care: Effective self-care requires that patients can safely manage minor conditions without risk of harm. Ensuring the patient meets all the above criteria, able to self-treat appropriately, symptoms are mild and known, and not severe, is essential to prevent delayed treatment or worsening illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Theratears Gel CMC 1%, sodium bicarbonate: This product is a lubricant eye drop designed to relieve dryness by stabilizing the tear film. It does not address the underlying allergic response, such as histamine release, so it is unlikely to relieve itching, redness, and watering associated with allergic conjunctivitis.
B. Opticrom–cromolyn sodium: Cromolyn sodium is a mast cell stabilizer that prevents release of histamine and other mediators. However, it requires consistent, scheduled use over several days to weeks for full effect, making it less suitable for intermittent, mild symptoms needing quick relief.
C. Refresh Tears–carboxymethylcellulose 0.5%: This is another artificial tear that helps with lubrication and dryness but does not treat allergic inflammation. Since NJ already tried similar tear drops without success, this would not provide additional benefit for her symptoms.
D. Opcon-A–naphazoline 0.02675% and pheniramine 0.315%: This combination provides both an antihistamine effect (pheniramine) to relieve itching and a vasoconstrictor (naphazoline) to reduce redness. It works quickly and is appropriate for short-term, intermittent allergic eye symptoms, aligning well with NJ’s presentation.
Correct Answer is C
Explanation
A. Loperamide 2 mg tablets - She should take 4 mg x 1 dose by mouth then 2 mg for each loose stool, do not exceed 8 mg/day, duration of use 48 hours: Loperamide is appropriate for acute, non-bloody diarrhea in otherwise healthy adults. It reduces intestinal motility, helping decrease stool frequency and improve comfort.
B. Bismuth subsalicylate liquid or tablets - She should take 525 mg every 30–60 minutes up to 4200 mg/day, duration of use 48 hours: Bismuth subsalicylate is effective for mild to moderate acute diarrhea and has antimicrobial and anti-secretory effects. It is particularly useful in cases of suspected infectious diarrhea from food exposure, such as a picnic setting, making it appropriate
C. A or B: Both loperamide and bismuth subsalicylate are appropriate first-line OTC treatments for acute diarrhea in a healthy adult without contraindications. Either can be selected based on patient preference, symptom severity, and tolerance, making this the best overall answer.
D. There are no appropriate recommendations for JW's diarrhea given in the options listed: JW’s presentation is consistent with uncomplicated acute diarrhea likely due to foodborne illness. She has no contraindications, so OTC options like loperamide or bismuth subsalicylate are appropriate and recommended.
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