Nokea
A mother of a newborn notices a nurse placing liquid in her baby's eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?
- A. Eyedrops following birth help reduce the risk of eye infection.
- B. Eyedrops are required by the law.
- C. Eyedrops will keep the eye moist.
- D. Eyedrops are required by law every 6 hours following birth.
Correct Answer: D
Rationale: Laws do require placement of eyedrops; however, physicians indicate a timeframe, and it is not required every 6 hours following birth.
You may also like to solve these questions
Incidences of child abuse appear to be higher in the African-American community and might be explained by:
- A. The increased number of African Americans viewing violence on television
- B. More single-parent households in African-American communities
- C. Stricter child-rearing practices in African-American households
- D. A higher occurrence of rage in African Americans
Correct Answer: B
Rationale: Higher child abuse rates in African-American communities correlate with socioeconomic stress and single-parent households, not violence exposure, strict practices, or inherent rage.
The nurse can best communicate to a client that he or she has been listening by:
- A. restating the main feeling or thought the client has expressed.
- B. making a judgment about the client's problem.
- C. offering a leading question such as, 'And then what happened?'
- D. saying, 'I understand what you're saying.'
Correct Answer: A
Rationale: Restating allows the client to validate the nurse's understanding of what has been communicated. It's an active listening technique. Judgments should be suspended in a nurse-client relationship. Leading questions ask for more information rather than showing understanding. Saying 'I understand' communicates understanding, but the client has no way of measuring the understanding.
A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
- A. Aspirin
- B. Diazoxide
- C. Procardia
- D. Mannitol
Correct Answer: C
Rationale: Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.
During the work phase of the nurse-client relationship, the client says to her primary nurse, 'You think that I could walk if I wanted to, don't you?' What is the best response by the nurse?
- A. Yes, if you really wanted to, you could.
- B. Tell me why you're concerned about what I think.
- C. Do you think you could walk if you wanted to?
- D. I think you're unable to walk now, whatever the cause.
Correct Answer: D
Rationale: This response answers the question honestly and nonjudgmentally and helps to preserve the client's self-esteem. Choice 1 is an open and candid response but diminishes the client's self-esteem. Choice 2 doesn't answer the client's question and is not helpful. Choice 3 increases the client's anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
- A. mild.
- B. moderate.
- C. severe.
- D. panic.
Correct Answer: C
Rationale: The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of what's happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed. The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced. The individual with moderate anxiety grasps less information about the situation, has some difficulty problem-solving, and might have mild changes in vital signs. The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.