Explanation:

Option A autonomy means self-determination by the client. It means let the client and significant others to determine what they wish to do ,Non- maleficence means doing no harm,Justice means treat everyone equally. fidelity means faithfulness

Explanation:

Obtaining vital signs is objective data and determining level of comfort by asking the patient is subjective data .Obtaining subjective and objective data from patient is known as assessment in nursing process.Nursing process includes assessment,Nursing diagnosis,planning,Implementation and evaluation

Explanation:

Mass in the abdomen is palpable and the healthcare worker can fee,so it belongs to sign and objective data, so option D is the correct choice

Explanation:

The given respiration is kussmaul respiration which  is seen in metabolic acidosis .In this condition the hydrogen ion combine with bicarbonate and form carbonic acid , It disintegrate and form water and carbon dioxide . The carbon dioxide need to eliminate from the body ,so rate and depth of respiration will increase ,It is seen in diabetic ketoacidosis also

Explanation:

In patient with hypovolemia , An increase in heart rate can be noted.

Explanation:

 Thyroid is the only endocrine gland which can store its hormonal secretion and can secrete it into the blood whenever the body is in need

Explanation:

Calcitonin produced by thyroid gland help to mobilize calcium from blood to bone and parathormone produced by parathyroid gland help to mobilize calcium from bone to blood ,both these hormones involved in calcium metabolism

Explanation:

Bed sore is considered as a contaminated wound. In this wound Periphery is considered as more clean,so cleaning of the wound has to be done from outer to inner . In surgical wound cleaning has to be done from inner to outer

Explanation:

Downward and backward is the appropriate method to hold pinna in children which help to straighten the ear canal ,in adult it has to be done upward and backward

Explanation:

Always do first suction in the mouth, then the nose because if do first suction in the nose  first it will stimulate pharynx and cause aspiration ,so to avoid this always do suction first in the mouth

Explanation:

Albumin is the plasma protein responsible for determining oncotic pressure .Decrease in albumin cause edema over the body.

Explanation:

Stroking over the sole cause toe to bend downward ,it is negative Babinski and is normal for adult.But in children stroking over the sole cause toe to move upward and outward ,That is called as positive babinski and is normal for children. positive babinski is considered as abnormal for adult 

Explanation:

Deficiency of oxygen in tissue is hypoxia If it is in the blood it is known as hypoxemia .Bluish discoloration of skin and mucous membrane due to the lack of oxygen is known as cyanosis.Apnea  is absence of respiration more than 20 seconds

Explanation:

Presence of fresh blood in the stool is hematochezia,if it is old blood ,that means blood clots occur as a result of upper Gi tract bleeding which resulting in dark tarry stool that is known as malena. presence of blood is sputum is hemoptysis and blood in urine is hematuria

Explanation:

Option A is the correct answer.option B indicate the difficulty in swallowing , C indicate difficulty in drinking and D indicate difficulty ib speaking 

Explanation:

Use of narrow cuff leads to falsely high reading and use of large cuff will cause falsely low reading . The BP cuff size is width of the cuff should be 40% of the circumference and length of the cuff will be 80% of the circumference

Explanation:

It means decrease in platelet count. Lecopenia means decrease in WBC count

Explanation:

International day for nurses is celebrated on may 12 , Which is the birthday of florence nightingale

Explanation:

Blood group AB Individuals have both  A and B antigens on the surface of their RBC’S, and their blood plasma does  not contain any antibodies against either A or B antigen. therefor an individual with type AB blood can Receive blood from any group (With AB being preferable ) but can not donate blood to any group other than AB

Explanation:

0.9 gm of NaCL is present in 100 ml of salline.

Explanation:

All the above given options are the result of hot application

Explanation:

2 % gluteraldehyde is used for the disinfection of tubes and catheters

Explanation:

Hey’s test will be used to detect urine bile presence.Benedict’s and fehling’s test will be used to detect urine sugar and cold test and hot test are used to detect urine albumin

Explanation:

Ringer lactate solution is contra indicated in lactic acidosis.

Explanation:

All the above methods are used to confirm the NG tube position , pH test of the aspirated content can be also done to ensure the location of tube.

Explanation:

Muscle, Weakness,paralytic ileus , abdominal distention. ST wave depression, abdominal U wave are the characteristic of hypokalemia. Option A and B Indicate hyperkalemia option C indicate hypocalcemia

Explanation:

Nosocomial infection are those infecton occur in patient after 48 hrs of hospital stay.

Explanation:

NG tube insertion length is measured from tip of nose to ear lobe then to xiphoid process.

Explanation:

Gloves need to wear on the non-dominant hand and then dominant hand.

Explanation:

Algor mortis :Decfrease of the body’s temperature

Livor mortis : discoloration of the skin after death

Rigor mortis : Stiffening of the body that occurs about 2-4 hours after death

Explanation:

Daily weight of the client give more accurate information 1L=1 Kg

Explanation:

Foot drop is occur because of injury to peroneal nerve.Foot board help to maintain the alignment of foot and thereby help to prevent foot drop.

Explanation:

One tea spoon equals 5ml of fluid

Explanation:

All the technique used in physical examination. Inspection means observing , palpation means touch and find out percussion means tap the body and listen to the sound produced and one more technique ausculation is also there.

Explanation:

Cleaning has to be done from more clean to less clean area, so inner canthus to outer canthus

Explanation:

All the above are the drug of choice to treat pediculosis

Explanation:

Allen’s test will be performed to find out the adequacy of ulnar circulation before radial artery cannulation. Option B and C belongs to hearing assessment. cold test is a urine test done to examine urine for albumin

Explanation:

STAT order means the medication need to be administered immediately.

Explanation:

All the above mentioned fluids are isotonic. Dextrose 5% in NS is hypertonic but dextrose 5% in water is isotonic. isotonic fluids are those fluids which has same osmolality as that of blood plasma

Explanation:

Otoscope is used for examining ears and proctoscope will be used to examine the anal cavity, rectum and sigmoid colon . Endoscope is used to visualize body cavity

Explanation:

All the Above mentioned , sites will provide information regarding core body temperature . Tympanic membrane is supplied by same blood vessel which is supplying hypothalamus . so it will give information related to core body temperature

Explanation:

Trendelenburg position promote venous return in patient with hypovolemic shock.

Explanation:

Best functioning of body tissue ensured with optimal body temperature of 36-38 Degree C

Explanation:

All the given except option D are heat loss mechanism from the body, irradiation is not a mechanism , radiation is the mechanism responsible for heat loss

Explanation:

Pule oxymeter is the instrument used to measure the oxygen saturation

Explanation:

Option A indicate abbreviation of drop. Gtts indicate drops.

Explanation:

Side lying position is the best indicated position because it will reduce the risk of aspiration

Explanation:

Testosterone hormone present in the males is responsible for highest BMR in them

Explanation:

oral temperature is 1 Degree F higher than axillary and 1 Degree F less than rectum

Explanation:

Genupectorial position is also known as knee chest position

Explanation:

All the Above factors help us to have information regarding client’s hydration status , Elasticity of skin decreases, Sunken eyes will be present , Thirst and poor drinking can be also 

Explanation:

2 Hourly position change is the most effective way to prevent bed sore in a bed ridden patient , other than that good nutritional status , avoidance of moisture also need to be done since these all are the risk factors for bed sore