Nokea
The nurse is caring for a client diagnosed with rule-out nephritic syndrome. Which intervention should be included in the plan of care?
- A. Monitor the urine for bright-red bleeding
- B. Evaluate the calorie count of the 500-mg protein diet
- C. Assess the client's sacrum for dependent edema
- D. Monitor for a high serum albumin level
Correct Answer: C
Rationale: Assessing the client's sacrum for dependent edema is crucial in the care plan for nephritic syndrome as it is common due to protein loss. Dependent edema occurs as a result of decreased oncotic pressure from protein loss in the urine. Monitoring urine for bright-red bleeding (choice A) is more relevant to conditions like glomerulonephritis. Evaluating calorie count or protein intake (choice B) is important for other conditions but not specifically for nephritic syndrome. Monitoring for a high serum albumin level (choice D) is not typically part of the immediate care plan for nephritic syndrome.
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Who typically collects blood specimens?
- A. The nurse
- B. Medical technologist
- C. Physician
- D. Pharmacist
Correct Answer: A
Rationale: Nurses typically collect blood specimens from patients as part of their everyday duties in medical settings. They are trained in venipuncture techniques and are responsible for ensuring that blood samples are properly obtained and labeled for diagnostic testing. Medical technologists process and analyze the blood specimens in the laboratory under the direction of a physician, but the actual collection of specimens is commonly performed by nurses. Physicians are primarily responsible for diagnosing and treating medical conditions rather than collecting blood specimens. Pharmacists are healthcare professionals who specialize in medication management and dispensing, not in collecting blood specimens.
Which of the following drugs may cause weight gain?
- A. Amphetamines
- B. Steroids
- C. Antibiotics
- D. Nonsteroidal anti-inflammatory drugs
Correct Answer: B
Rationale: The correct answer is B, Steroids. Steroids are known to cause weight gain as a side effect. Amphetamines, choice A, are more likely to cause appetite suppression and weight loss. Antibiotics, choice C, and nonsteroidal anti-inflammatory drugs, choice D, are not typically associated with weight gain as a common side effect.
In which situation(s) can personal health information be disclosed?
- A. Compliance with legal proceedings
- B. For research purposes in limited circumstances
- C. To a family member or significant other in an emergency
- D. All of the above
Correct Answer: D
Rationale: Personal health information can be disclosed in various situations. Compliance with legal proceedings allows for disclosure under specific legal requirements. Disclosure for research purposes is permitted in limited circumstances with appropriate approvals. In emergencies, information can be shared with family members or significant others. Therefore, all of the choices are correct as they represent valid scenarios for disclosing personal health information.
During peacetime, most CONUS hospital military personnel are organized into what type of organization?
- A. DVA
- B. TOE
- C. TDA
- D. NDMS
Correct Answer: C
Rationale: During peacetime, most CONUS hospital military personnel are organized under a Table of Distribution and Allowances (TDA) structure. This organizational type outlines the personnel positions and equipment allocation within a unit. Choice A, 'DVA,' refers to the Department of Veterans Affairs and is not the organizational structure for military hospital personnel. Choice B, 'TOE,' stands for Table of Organization and Equipment which is more commonly used in a wartime setting to define unit structure and equipment requirements. Choice D, 'NDMS,' refers to the National Disaster Medical System which is not the typical organization for CONUS hospital military personnel during peacetime.
During a synchronized cardioversion on a client in atrial fibrillation, when the machine is activated and there is a pause, what action should the nurse take?
- A. Wait until the machine discharges
- B. Shout "all clear" and don't touch the bed
- C. Make sure the client is all right
- D. Increase the joules and re-discharge
Correct Answer: B
Rationale: The correct action for the nurse to take when there is a pause after activating the machine for synchronized cardioversion on a client in atrial fibrillation is to shout "all clear" and not touch the bed. This step is crucial to ensure the safety of everyone present by warning them that the machine will discharge, preventing anyone from being inadvertently shocked. Waiting for the machine to discharge (choice A) is not recommended as it can lead to accidental injury. While ensuring the client is all right (choice C) is important, the immediate focus should be on safety during the procedure. Increasing the joules and re-discharging (choice D) without assessing the situation can pose risks to the client and the healthcare team.