Nokea
A healthcare provider is planning care for a client who has a latex allergy. Which of the following actions should the healthcare provider include in the plan?
- A. Use latex gloves with powder.
- B. Place a sign on the client's door.
- C. Apply oil-based lotion before donning gloves.
- D. Avoid using plastic equipment.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following statement is TRUE about responsibility?
- A. The nurse can delegate all her tasks
- B. Means the nurse is liable for her actions
- C. The nurse should not accept tasks she's not competent
- D. All of the above
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?
- A. To promote health
- B. To prevent illness
- C. To restore health
- D. To facilitate coping with death and/or disability
Correct Answer: C
Rationale: Nursing practice is guided by four broad goals that shape interventions based on client needs. In this scenario, the nurse's coordination with a physical therapist to address the client's weakened right side post-stroke aligns with the goal of restoring health. This involves efforts to regain lost function, improve strength, and enhance the client's physical capacity following an illness or injury. Promoting health focuses on maintaining wellness before illness occurs, such as through lifestyle education, while preventing illness aims to stop disease onset, like via vaccinations. Facilitating coping with death or disability pertains to supporting clients and families through terminal conditions or permanent impairments, not necessarily recovery. Here, the emphasis is on rehabilitation and recovery, targeting the restoration of the client's pre-stroke abilities as much as possible. This collaborative approach underscores nursing's role in helping clients reclaim their health after a significant medical event, aligning with the restorative aim.
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
- A. The mottled appearance of the trunk
- B. The presence of conjunctival hemorrhages
- C. Cyanosis of the hands and feet
- D. Respiratory rate of 20-28 per minute
Correct Answer: C
Rationale: A 5-minute Apgar score of 9 typically reflects one point deduction, often for color, with cyanosis of the hands and feet (acrocyanosis) being common in newborns, especially post-C-section, due to initial circulation adjustments. Mottling or hemorrhages don't directly score points off, and a respiratory rate of 20-28 is low (normal is 30-60), potentially docking more points. Nurses recognize acrocyanosis as benign, resolving naturally, and use this score to reassure parents while monitoring transition, ensuring no further intervention is needed.
The client is scheduled to have surgical removal of the tumor on her left breast. Which of the following manifestation indicates that she is experiencing Mild Anxiety?
- A. She has increased awareness of her environmental details
- B. She focused on selected aspect of her illness
- C. She experiences incongruence of action, thoughts and feelings
- D. She experiences random motor activities
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a new prescription for a dry-powder inhaler (DPI) is receiving teaching from a healthcare provider. Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will take the medication with food.
- C. I will inhale the medication quickly.
- D. I will use a spacer with the inhaler.
Correct Answer: C
Rationale: Choosing option C, 'I will inhale the medication quickly,' demonstrates an understanding of DPI use. Inhaling the medication quickly ensures effective delivery of the dry powder to the lungs, maximizing its therapeutic effects. Options A, B, and D are incorrect as shaking the DPI, taking it with food, and using a spacer are not recommended practices for DPI administration.