Nokea
A health care provider is screaming at the nurse in the hallway. 'Why didn't you get that surgery scheduled sooner?' What is the best response by the nurse?
- A. I am so sorry; I will get this fixed and schedule the surgery immediately
- B. I am uncomfortable with your tone, please excuse me while I locate my supervisor
- C. I delegated this task to the unlicensed assistive personnel: please follow up with them.
- D. I think you are overreacting, you should have specified the day and time
Correct Answer: B
Rationale: Responding calmly and redirecting to a supervisor de-escalates the situation professionally while addressing the inappropriate tone. Accusing the provider of overreacting is confrontational and unprofessional.
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The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?
- A. I have had some visual disturbances while driving at night.
- B. I have had trouble falling asleep over the past few months.
- C. Scaly patches of skin are developing on my elbows and knees.
- D. Sometimes my hands and feet get a tingling sensation.
Correct Answer: A
Rationale: Night vision disturbances suggest vitamin A deficiency, common in vegan diets lacking sufficient beta-carotene sources. Insomnia, scaly skin, and tingling are less specific to vegan diet complications, potentially relating to other causes like stress or neuropathy.
Mr. H. is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except:
- A. the right to examine and question the bill.
- B. the right to reasonable response to requests.
- C. the right to refuse treatment.
- D. the right to confidentiality.
Correct Answer: D
Rationale: Confidentiality is unrelated to the client's concern about hospital costs. The other rights—examining the bill, timely responses, and refusing treatment—are relevant to his situation. Coordinated Care
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
- A. CVADs are less expensive than a peripheral IV.
- B. Weekly administration is possible.
- C. Chemotherapeutic agents can be caustic to smaller veins.
- D. The client or family can administer the drug at home.
Correct Answer: C
Rationale: Many chemotherapeutic agents are vesicants, damaging smaller peripheral veins. CVADs allow safe administration into larger veins. CVADs are more expensive, dosing varies, and home administration is rare. Pharmacological Therapies
Nursing considerations when caring for African-American clients include that:
- A. families are generally distant and unsupportive.
- B. special hair, skin, and nail care might be required.
- C. fad diets are a cultural norm.
- D. clients are generally future-oriented.
Correct Answer: B
Rationale: African-American clients may require specific hair, skin, and nail care due to unique characteristics, like curly hair or skin sensitivity. The other generalizations are inaccurate or stereotypical. Psychosocial Integrity
Quality is defined as a combination of all of the following except:
- A. conforming to standards.
- B. performing at the minimally acceptable level.
- C. meeting or exceeding customer requirements.
- D. exceeding customer expectations.
Correct Answer: B
Rationale: Quality care involves meeting or exceeding standards and expectations, not merely performing at a minimal level, which is insufficient for quality. Coordinated Care