Nokea
A client is preparing for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client's ring?
- A. Agree to keep the ring for the client until after surgery
- B. Place the ring in the bag with the client's clothing
- C. Tape the ring securely to the client's finger
- D. Place the client's ring in the facility safe
Correct Answer: D
Rationale: In this scenario, placing the client's ring in the facility safe is the most appropriate procedure. This ensures the ring is kept secure and prevents any risk of loss or damage during the surgery. Agreeing to keep the ring for the client could raise concerns about accountability, while placing it in the bag with the client's clothing might lead to misplacement. Taping the ring securely to the client's finger is not recommended as it may hinder blood circulation or cause discomfort.
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A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
- A. The client's health care provider
- B. A collaborative, user-edited website
- C. The facility's case manager
- D. An evidence-based nursing journal
Correct Answer: D
Rationale: An evidence-based nursing journal is the correct choice for the nurse to obtain information about the prevalence of Tay-Sachs disease. These journals contain peer-reviewed research and studies conducted by experts in the field, providing accurate and reliable information. Choice A, the client's health care provider, may have general information but may not provide detailed prevalence data. Choice B, a collaborative, user-edited website, is not a reliable source as the information may be inaccurate or outdated. Choice C, the facility's case manager, is unlikely to have specific prevalence data on Tay-Sachs disease.
Select the types of pain that are accurately coupled with an example of it. Select all that are correct.
- A. Radicular pain: Pain shooting down the leg from a herniated disc
- B. Central neuropathic pain: Pain from nerve damage after a stroke
- C. Peripheral neuropathic pain: Pain from diabetic neuropathy in the feet
- D. Chronic pain: Pain lasting for more than 3-6 months
Correct Answer: D
Rationale: The correct answer is D because chronic pain is characterized by lasting for a prolonged period, typically more than 3-6 months, and is not necessarily related to acute injuries like a stab wound to the chest. Choices A, B, and C are incorrect because they do not accurately match the type of pain with its corresponding example. Radicular pain is pain that radiates along the nerve path, often from a pinched nerve or herniated disc, not a broken bone. Central neuropathic pain arises from damage to the central nervous system, such as after a stroke, not a leg injury. Peripheral neuropathic pain is caused by damage to the peripheral nerves, such as in diabetic neuropathy, not a fractured leg bone.
Which skin disorder most closely resembles and mimics dandruff?
- A. Lice infestation
- B. Scabies
- C. Dermatitis
- D. Acne vulgaris
Correct Answer: C
Rationale: Dermatitis can closely resemble and mimic dandruff due to similar symptoms like flaking and itching. Lice infestation (choice A) is characterized by the presence of lice and their eggs attached to the hair shaft, different from dandruff. Scabies (choice B) is a contagious skin condition caused by mites, presenting as burrows, rashes, and intense itching, not typically resembling dandruff. Acne vulgaris (choice D) is a skin condition involving hair follicles and sebaceous glands, manifesting as pimples and inflammation, which is distinct from dandruff.
What does the mnemonic device ABCDE stand for?
- A. Allergy, bleeding, chemicals, dietary, environment
- B. Allergy, bleeding, cardio, diabetes, endocrine
- C. Allergy, bleeding, cardio, digestive, endocrine
- D. Allergy, bleeding, cortisone, diabetes, emboli
Correct Answer: D
Rationale: The correct answer is D: 'Allergy, bleeding, cortisone, diabetes, emboli.' The ABCDE mnemonic is used in healthcare to help remember key assessment points. Choice A is incorrect as 'chemicals' and 'dietary' are not part of the ABCDE assessment. Choice B is incorrect as 'cardio' is not part of the ABCDE mnemonic. Choice C is incorrect as 'cardio' and 'digestive' are not part of the ABCDE mnemonic.
A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the service?
- A. A nurse can disclose information to a family member with the client's permission
- B. A nurse can apply restraints on an as-needed basis
- C. A nurse can administer medications without consent to a client as part of a research study
- D. A nurse is responsible for informing clients about treatment options
Correct Answer: A
Rationale: The correct statement to include in the in-service about client rights is that a nurse can disclose information to a family member with the client's permission. This respects the client's autonomy and privacy. Choice B is incorrect because restraints should only be applied based on a specific assessment and order, not on an as-needed basis. Choice C is incorrect as administering medications without consent is a violation of ethical principles and legal standards. Choice D is incorrect because while nurses should educate clients about treatment options, the ultimate decision lies with the client after being informed.