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When lifting a bedside cabinet to move it closer to a client, what action should the nurse take to prevent self-injury?
- A. Keep the feet close together.
- B. Use the back muscles for lifting.
- C. Stand close to the cabinet when lifting it.
- D. Bend at the waist.
Correct Answer: A
Rationale: The correct answer is A: Keep the feet close together. This helps maintain a stable base of support, improving balance and reducing the risk of injury. The wider the base of support, the more stable the body is during lifting. Keeping the feet close together also helps distribute the weight evenly and allows for better control over the movement.
Summary of why other choices are incorrect:
B: Using the back muscles for lifting can lead to strain and injury. It is important to use the legs and core muscles instead.
C: Standing close to the cabinet when lifting may cause strain due to limited range of motion. It is better to maintain a comfortable distance.
D: Bending at the waist increases the risk of back injury. Instead, it is recommended to bend at the knees and hips while keeping the back straight.
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A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
- A. use only the lispro insulin until the symptoms are resolved
- B. limit calorie intake until the glucose is less than 120 mg/dL
- C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise
- D. decrease carbohydrate intake until glycosylated hemoglobin is less than 7%
Correct Answer: C
Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise.
Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.
Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?
- A. Expertise
- B. Empathy
- C. Ethical and moral values
- D. Honesty
Correct Answer: A
Rationale: The correct answer is A: Expertise. Professionalism is often associated with possessing a high level of expertise or specialized knowledge in a particular field. This expertise allows professionals to perform their duties effectively and competently. Early definitions of professionalism emphasized the importance of possessing the necessary skills and knowledge to excel in one's profession.
Choices B, C, and D are incorrect because while empathy, ethical and moral values, and honesty are important characteristics of professionalism, they are not the defining factors. Empathy, ethics, and honesty are crucial components of professional behavior, but without expertise, a professional may not be able to effectively fulfill their responsibilities in their chosen field.
One of the steps in coaching is often overlooked and taken for granted. What is this step?
- A. Stating the target
- B. Jumping to conclusions
- C. Asking for suggestions
- D. Tying the problem to clients' care
Correct Answer: D
Rationale: Step 1: Tying the problem to clients' care is crucial in coaching to ensure the client sees the relevance and importance of addressing the issue.
Step 2: This step helps create motivation and engagement for the client to actively work towards solving the problem.
Step 3: By connecting the problem to the client's values and well-being, it enhances the client's commitment to the coaching process.
Step 4: This step also promotes a deeper understanding of the impact the problem has on the client's life, driving them towards meaningful change.
Step 5: Overall, tying the problem to clients' care is essential for effective coaching by fostering a client-centered approach and facilitating meaningful progress.
Summary:
A: Stating the target is important but not as overlooked as tying the problem to clients' care.
B: Jumping to conclusions is a common mistake to avoid in coaching.
C: Asking for suggestions can be beneficial, but it is not the often overlooked step in coaching.
The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?
- A. Teach the patient about administering regular insulin.
- B. Schedule the patient for a fasting blood glucose level.
- C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
- D. Provide teaching about an increased risk for fetal problems with gestational diabetes.
Correct Answer: B
Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.
What is the primary goal of discharge planning?
- A. Reducing readmission rates
- B. Improving patient outcomes
- C. Ensuring continuity of care
- D. Ensuring medication adherence
Correct Answer: C
Rationale: The primary goal of discharge planning is to ensure continuity of care. This involves coordinating the transition of care from the hospital to the next level of care to prevent gaps in treatment and promote a smooth recovery process. Option A focuses solely on readmission rates, which is not the sole purpose of discharge planning. Option B is a broad goal that is encompassed within ensuring continuity of care. Option D, while important, is just one aspect of the overall goal of ensuring continuity of care. Thus, option C is the correct answer as it encompasses all aspects of discharge planning.