Nokea
A health care provider is screaming at the nurse in the hallway. 'Why didn't you get that surgery scheduled sooner?' What is the best response by the nurse?
- A. I am so sorry; I will get this fixed and schedule the surgery immediately
- B. I am uncomfortable with your tone, please excuse me while I locate my supervisor
- C. I delegated this task to the unlicensed assistive personnel: please follow up with them.
- D. I think you are overreacting, you should have specified the day and time
Correct Answer: B
Rationale: Responding calmly and redirecting to a supervisor de-escalates the situation professionally while addressing the inappropriate tone. Accusing the provider of overreacting is confrontational and unprofessional.
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What is the primary theory that explains a family's concept of health and illness?
- A. Health Belief Model
- B. Education-School-Completing Factor
- C. Family Health Expert Factor
- D. Disconnected Family Factor
Correct Answer: A
Rationale: The Health Belief Model explains how families perceive health threats and motivations for wellness, guiding their health and illness concepts. The other options are not recognized theories. Health Promotion and Maintenance
A client with chronic kidney disease has an arteriovenous fistula placed in the left wrist for hemodialysis. Which of the following statements indicate that the client understands how to care for the fistula properly? Select all that apply.
- A. I should not worry if I have slight numbness or tingling in my left arm.
- B. I will be sure to avoid sleeping on my left arm.
- C. I will make sure that I always have my blood pressure taken in my left arm.
- D. I will squeeze a small sponge with my left hand several times a day.
- E. I will touch the site and feel for a vibration several times a day.
Correct Answer: B,D,E
Rationale: Avoiding sleeping on the arm prevents pressure on the fistula, squeezing a sponge promotes circulation, and feeling for a thrill ensures patency. Numbness/tingling requires evaluation, and blood pressure should be taken on the opposite arm to avoid fistula damage.
Which of the following findings suggests a complication in a client with surgical removal of a pituitary tumor?
- A. Polyuria
- B. Anuria
- C. Oliguria
- D. Dysuria
Correct Answer: A
Rationale: Polyuria may indicate diabetes insipidus, a common complication post-pituitary surgery due to disruption of antidiuretic hormone production.
A young woman is admitted to the hospital complaining of severe fatigue and weakness of several weeks in duration. Her physician suspects a diagnosis of myasthenia gravis. Which additional findings would the nurse expect the client to have?
- A. Ataxia and poor coordination
- B. Diplopia and ptosis of the eyelids
- C. Slurred speech
- D. Headaches and tinnitus
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, commonly manifesting as diplopia and ptosis due to ocular muscle involvement. Ataxia, slurred speech, or headaches are less typical.
An adolescent tells the nurse that she is afraid she will get AIDS and asks how she can avoid this. What should be included in the nurse's response? Select all that apply.
- A. Avoid using public toilets because the virus may be on the seat.
- B. Do not have sexual intercourse until you are married.
- C. Using a condom lowers the risk of contracting HIV.
- D. Oral contraceptives lower the risk of contracting HIV.
- E. Do not share razors with anyone else.
- F. The virus may be transmitted by drinking from the same glass.
Correct Answer: C,E
Rationale: Condoms reduce HIV transmission risk during sexual activity, and not sharing razors prevents bloodborne exposure. Public toilets, abstinence until marriage, oral contraceptives, and sharing glasses are not relevant to HIV prevention.