Nokea
The client is at risk for developing ------- and--------
- A. Hypoglycemia
- B. bronchopulmonary dysplasia
- C. transient tachypnea of the newborn
- D. Tachycardia
Correct Answer: A, C
Rationale: The correct answer is A and C. Hypoglycemia and transient tachypnea of the newborn are common risks for newborns. Hypoglycemia can occur due to immature liver function, while transient tachypnea results from retained lung fluid. The other choices are incorrect because bronchopulmonary dysplasia is a chronic lung condition seen in premature infants, and tachycardia is a symptom of various conditions but not typically a primary risk for newborns.
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Which of the following actions should the nurse take first?
- A. Determine the client's Glasgow Coma Scale score
- B. Insert an indwelling urinary catheter for the client.
- C. Administer mannitol IV bolus to the client
- D. Prepare the client for an MRI of the brain.
Correct Answer: A
Rationale: The correct answer is A: Determine the client's Glasgow Coma Scale (GCS) score. This is the priority action as it helps assess the client's level of consciousness and neurological status quickly. It guides further interventions and treatment decisions. Inserting an indwelling urinary catheter (B) or administering mannitol IV bolus (C) may be needed but assessing neurological status comes first. Preparing for an MRI (D) is important but not the initial step.
Which of the following actions should the nurse expect from the leader during the session?
- A. The leader allows the group to discuss whatever they would like to regarding their medications
- B. The leader encourages group members to remain silent until questions are called for
- C. The leader has group members vote on what they would like to learn about during the session.
- D. The leader lectures about medication adverse effects to the group members.
Correct Answer: A
Rationale: The correct answer is A. The leader should allow the group to discuss whatever they would like regarding their medications to encourage active participation and engagement. This approach promotes a patient-centered discussion, empowers group members to share their experiences, concerns, and questions, and fosters a supportive and collaborative learning environment. This helps to address individual needs and promote a deeper understanding of medication management.
Choice B is incorrect because it inhibits open communication and stifles group participation. Choice C is incorrect as it may not address the specific needs of the group and may limit the discussion to only popular topics. Choice D is incorrect as it is a passive approach and does not promote active engagement or address individual concerns.
Which of the following dysrhythmias is the client displaying?
- A. First-degree atrioventricular block
- B. Complete heart block
- C. Premature atrial complexes
- D. Atrial fibrillation
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. This dysrhythmia is characterized by a delay in conduction at the atrioventricular node, causing a prolonged PR interval (>0.20 sec) on ECG. It is a benign condition and does not typically require treatment unless symptomatic. Choices B and D are more serious dysrhythmias that have different ECG patterns and clinical implications. Complete heart block (Choice B) presents with a lack of conduction between the atria and ventricles, leading to a slow ventricular rate. Atrial fibrillation (Choice D) is characterized by rapid, irregular atrial depolarizations without effective atrial contractions. Premature atrial complexes (Choice C) are early ectopic atrial beats that appear as abnormal P waves on ECG but do not cause significant conduction delays.
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. I cannot be a witness for your consent to donate.
- B. You must be at least 21, years of age to become an organ donorâ€
- C. Your desire to be an organ donor must be documented in writingâ€
- D. Your name cannot be removed once you are listed on the organ donor list.
Correct Answer: C
Rationale: The correct response should be C: "Your desire to be an organ donor must be documented in writing." This is the correct answer because in order for someone to become an organ donor, their decision must be documented in writing, typically through an organ donor card, a driver's license designation, or registration with a national organ donation registry. This documentation is crucial to ensure that the individual's wishes are respected and followed in the event of their death.
The other choices are incorrect:
A: "I cannot be a witness for your consent to donate." This statement is incorrect as a nurse can provide information and support regarding organ donation, but they are not required to be a witness for consent.
B: "You must be at least 21 years of age to become an organ donor." This statement is incorrect as the legal age requirement to become an organ donor varies by country or state, and it is not always 21 years of age.
D: "Your name cannot be removed once you are listed
Which of the following foods should the nurse suggest the client include in their diet?
- A. Cheese
- B. Red meat
- C. Canned black beans
- D. Fish
Correct Answer: D
Rationale: Fish is low in saturated fats and beneficial for cardiovascular health.