Nokea
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
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A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?
- A. Physician as medical director
- B. Interdisciplinary staff
- C. Nurse as chief manager
- D. Partnership with an academic institution
Correct Answer: C
Rationale: Nurses should be the chief managers of community nursing centers, accountable for care and professional practice.
A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?
- A. Ciprofloxacin (Cipro)
- B. Metoprolol (Toprol)
- C. Atorvastatin (Lipitor)
- D. Lansoprazole (Prevacid)
Correct Answer: B
Rationale: Beta-blockers like metoprolol can alter heart rate response, limiting its usefulness as a measure of exercise intensity.
A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement?
- A. Education about building on current strengths of the family
- B. Education about hand hygiene
- C. Education about health care resources in the community
- D. Education about child safety seats
Correct Answer: B
Rationale: Decreasing susceptibility involves providing education on how to reduce risks, such as hand hygiene to prevent the spread of diseases.
An infant is lying in a crib watching and listening to a colorful mobile. What is the purpose of having a mobile?
- A. Provides stimulation necessary for continued growth and development for the infant
- B. Provides too much stimulation for the infant, making it difficult for the infant to focus
- C. Serves as inadequate stimulation for the infant because it is an inanimate object
- D. Serves as a distractor for the infant, making it easier to fall asleep
Correct Answer: A
Rationale: The mobile provides visual and auditory stimulation, which is important for an infant’s development.