Nokea
15. What is the role of the professional nurse related to the use of complementary and alternative therapies (CAT) (select all that apply)?
- A. Seeking further education on CAT
- B. Evaluating the evidence regarding CAT
- C. Collecting data on the use of CAT as part of the nursing assessment
- D. Suggesting specific herbs the patient should take to help with his or her condition
Correct Answer: A
Rationale: Options A, B, and C reflect appropriate roles for nurses in relation to CAT, including seeking education, evaluating evidence, and collecting relevant data during assessments.
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When should discharge planning begin for a patient in a tertiary-care facility?
- A. On the day of admission
- B. After the acute crisis is resolved
- C. When the physician writes the discharge order
- D. When the patient demonstrates readiness to discuss posthospitalization needs
Correct Answer: A
Rationale: Rationale:
A: Discharge planning should begin on the day of admission to ensure a smooth transition. This early start allows for comprehensive assessment and coordination of post-discharge needs.
B: Waiting until after the acute crisis is resolved may lead to rushed planning and potential gaps in care.
C: Discharge planning should not solely rely on the physician's discharge order as it may not address all aspects of the patient's needs.
D: Patient readiness is important, but starting planning early ensures sufficient time for assessment and interventions.
What are the priority nursing diagnoses for a client in shock?
- A. Increased urine output
- B. Edema
- C. Hypertension
- D. Hypernatremia
Correct Answer: B
Rationale: Edema occurs due to excess fluid accumulation in the interstitial spaces, commonly seen in conditions like heart failure and kidney disease.
What is a mental status assessment of the older adult especially important in determining?
- A. Potential for independent living
- B. Eligibility for federal health programs
- C. Service and placement needs of the individual
- D. Whether the person should be classified as frail
Correct Answer: C
Rationale: Mental status assessments help determine appropriate services and placements based on cognitive and functional abilities.
A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 4 mL
- B. 6 mL
- C. 10 mL
- D. 5.5 mL
Correct Answer: A
Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion:
2 mg / 5 mL = 1.6 mg / x mL
Cross-multiply to solve for x:
2 * x = 1.6 * 5
2x = 8
x = 4 mL
Therefore, the correct answer is A: 4 mL.
Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.
List and briefly describe the five dimensions of pain.
- A. Biological dimension: Physiological aspects of pain
- B. Behavioral dimension: Observable responses to pain
- C. Cognitive dimension: Thought processes related to pain
- D. Emotional dimension: Psychological reactions to pain
Correct Answer: A
Rationale: The correct answer includes all five dimensions: biological, behavioral, cognitive, emotional, and sociocultural.