Nokea
A charge nurse discovers that a nurse did not notify the provider that a client's condition had changed. The charge nurse should identify that the nurse is accountable for which of the following torts?
- A. Assault
- B. Battery
- C. Negligence
- D. False imprisonment
Correct Answer: C
Rationale: Failure to notify the provider of a change in a client's condition can be considered negligence.
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A nurse is planning to administer several medications to a client through an NG tube. Which actions should the nurse take?
- A. Dissolve crushed tablet medications in tap water
- B. Use 30-40 mL of sterile water for each medication
- C. Dissolve crushed tablet medications in sterile water
- D. Administer medications without dissolving
Correct Answer: C
Rationale: Crushed tablet medications should be dissolved in 15-30 mL of sterile water to ensure proper delivery through the NG tube.
A nurse is planning a community education program about colorectal cancer. Which of the following risk factors should the nurse identify as modifiable?
- A. Family history
- B. Smoking
- C. Age
- D. Gender
Correct Answer: B
Rationale: Smoking is a modifiable risk factor for colorectal cancer.
A nurse is caring for a client who expresses anxiety about an upcoming surgery. What should the nurse do?
- A. Reassure the client that everything will be fine
- B. Ask the client to describe feelings
- C. Tell the client to stay positive
- D. Provide information about the surgery
Correct Answer: B
Rationale: Asking the client to describe their feelings allows the nurse to understand the specific concerns and anxieties the client is experiencing.
A nurse enters a client's room and sees smoke coming from the trash can. Which of the following actions should the nurse take first?
- A. Close the window
- B. Evacuate the room
- C. Call the fire department
- D. Attempt to extinguish the fire
Correct Answer: B
Rationale: The first action in a fire situation is to evacuate the room (RACE: Rescue, Alarm, Contain, Extinguish).
A nurse in an acute care facility is caring for a client who is postop following abdominal surgery. Which of the following behaviors should the nurse identify as increasing the client's risk for constipation?
- A. Regular fluid intake
- B. Urge suppression
- C. Increased physical activity
- D. Adequate dietary fiber
Correct Answer: B
Rationale: Urge suppression can lead to constipation, especially in postoperative patients.