Nokea
A child's plan of care lists increasing protein intake as a goal. Which of the following foods that the child likes should the nurse encourage the child to eat?
- A. A bacon, lettuce, and tomato sandwich.
- B. Fruit-flavored yogurt.
- C. Nacho chips and salsa.
- D. Crackers with butter and jelly.
Correct Answer: B
Rationale: Fruit-flavored yogurt is a good source of protein, suitable for increasing protein intake in a child's diet.
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You are a hospice nurse who, as part of your role, does follow up counseling and care for the significant others of deceased spouses for one year after their loss. Whose theory of grief and loss would you most likely integrate into your practice as you perform this role?
- A. Engel's theory
- B. Kubler Ross' theory
- C. Lewin's theory
- D. Warden's theory
Correct Answer: B
Rationale: Kubler-Ross' theory of the five stages of grief (denial, anger, bargaining, depression, acceptance) is widely used in hospice care to guide counseling for grieving significant others.
Place these steps of the medication reconciliation process in the correct sequential order from # 1 to # 5. Do NOT include steps that are not part of the medication reconciliation process. 1: Compile a list of newly prescribed medications and other preparations 2: Compile a list of current medications and other preparations 3: Compile a list of only current vitamins, over the counter medications, herbal remedies, nutritional and dietary supplements 4: Compare the two lists and make note of any discrepancies and inconsistencies 5: Employ critical thinking and professional judgments during the comparisons of the two lists 6: Communicate and document the new list of medications to the appropriate healthcare providers
- A. 3,2,1,4,6
- B. 2,1,4,5,6
- C. 1,2,3,5,4
- D. 4,1,3,2,6
Correct Answer: B
Rationale: The medication reconciliation process involves: 1) Compiling current medications, 2) Compiling new medications, 3) Comparing lists for discrepancies, 4) Using critical thinking, 5) Communicating the reconciled list.
The client with a burn injury is assessed using the 'rule of nines' to determine which of the following?
- A. Amount of body surface area burned.
- B. Rehabilitation needs.
- C. Respiratory needs.
- D. Type of intravenous fluids required.
Correct Answer: A
Rationale: The rule of nines estimates the percentage of body surface area burned to guide treatment.
The stages of conflict and conflict resolution in the correct sequential order are:
- A. Conceptualization
- B. Frustration
- C. Resolution
- D. Taking action
Correct Answer: B,A,D,C
Rationale: The correct sequence of conflict stages is Frustration (B, emotional response), Conceptualization (A, understanding the conflict), Taking action (D, implementing solutions), and Resolution (C, resolving the conflict).
Clozapine (Clozaril) therapy has been initiated for a client with schizophrenia who has been unresponsive to other antipsychotics. The client states, 'Why do I have to have a blood test every week?' Which of the following responses by the nurse would be most appropriate?
- A. Weekly blood tests are necessary to determine safe dosage and to monitor the effect of the medication on the blood.'
- B. Weekly blood tests are done so that you can receive another week's supply of the medication.'
- C. Your physician will want to know how well you are personally progressing with the medication therapy.'
- D. Everyone who takes this drug must go through the same procedure because it is required by the drug company.'
Correct Answer: A
Rationale: Weekly blood tests monitor for agranulocytosis, a serious side effect of clozapine, ensuring safe dosing and early detection of blood abnormalities.