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A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
- A. Act as a leader of the health care team.
- B. Develop good communication skills.
- C. Work solely with nurses.
- D. Avoid conflict.
Correct Answer: B
Rationale: The correct answer is B: Develop good communication skills. In interdisciplinary collaboration, effective communication is essential for teamwork. By developing good communication skills, the nurse can effectively interact with other healthcare professionals to provide holistic care. Choice A is incorrect as the nurse should collaborate as part of a team, not necessarily be the leader. Choice C is incorrect as interdisciplinary collaboration involves working with professionals from various disciplines. Choice D is incorrect as conflict resolution is an important aspect of effective collaboration.
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Which of the ff is the characteristic of a ketogenic diet that is suggested for children with seizures?
- A. High carbohydrate diet
- B. High fat diet
- C. High protein diet
- D. Low fat diet
Correct Answer: B
Rationale: Correct Answer: B (High fat diet)
Rationale:
1. Ketogenic diet for seizures aims to produce ketones for brain energy, achieved through high fat intake.
2. High fat intake helps induce ketosis, which may help reduce seizures in some children.
Incorrect Choices:
A: High carbohydrate diet - Contradicts the purpose of a ketogenic diet.
C: High protein diet - Excessive protein can hinder ketosis and is not the primary focus of a ketogenic diet.
D: Low fat diet - Opposite of the high fat requirement for a ketogenic diet to induce ketosis.
A 62-year old client diagnosed with pyelonephritis and possible septicemia has had five urinary tract infections over the past 2 years. She’s fatigued from lack of sleep; urinates frequently, even during the night, and has lost weight recently. Tests reveal the following: sodium level 152mEq/L, osmolarity 340mOsm/L, glucose level 125mg/dl, and potassium level of 3.8mEq/L. Which of the following nursing diagnoses is most appropriate for this client?
- A. Deficient fluid volume related to inability to conserve water
- B. Imbalanced nutrition: Less than body requirements related to hypermetabolic state
- C. Deficient fluid volume related to osmotic diuresis induced by hypernatremia
- D. Imbalanced nutrition: Less than body requirements related to catabolic effects of insulin deficiency
Correct Answer: C
Rationale: The most appropriate nursing diagnosis for this client is C: Deficient fluid volume related to osmotic diuresis induced by hypernatremia. The client's elevated sodium level of 152mEq/L indicates hypernatremia, which leads to osmotic diuresis and subsequent fluid loss. This results in deficient fluid volume, causing the client to urinate frequently and experience fatigue from lack of sleep. The other choices are incorrect because:
A: Deficient fluid volume related to inability to conserve water is not the most appropriate diagnosis as the primary issue is the osmotic diuresis induced by hypernatremia, not the client's inability to conserve water.
B: Imbalanced nutrition: Less than body requirements related to hypermetabolic state is not the most appropriate diagnosis as the client's weight loss is likely due to fluid loss from osmotic diuresis, not a hypermetabolic state.
D: Imbalanced nutrition: Less than body requirements related to catab
A client is undergoing peritoneal dialysis. Which of the ff is a major complication of the procedure that the nurse should monitor for?
- A. Internal hemorrhage
- B. Hydronephrosis
- C. Ecchymosis
- D. Peritonitis
Correct Answer: D
Rationale: The correct answer is D: Peritonitis. Peritonitis is a major complication of peritoneal dialysis due to infection of the peritoneum. It can lead to serious consequences if not treated promptly. The nurse should monitor for signs of peritonitis such as abdominal pain, cloudy dialysate, fever, and increased white blood cell count.
Internal hemorrhage (A), hydronephrosis (B), and ecchymosis (C) are not major complications specific to peritoneal dialysis. Internal hemorrhage can occur but is less common. Hydronephrosis is more related to obstruction of the ureters. Ecchymosis refers to bruising and is not directly associated with peritoneal dialysis.
When testing visual fields, the nurse is assessing which of the following parts of vision?
- A. Peripheral vision
- B. Distance vision
- C. Near vision
- D. Central vision
Correct Answer: A
Rationale: The correct answer is A: Peripheral vision. When testing visual fields, the nurse evaluates the ability to see objects outside the direct line of sight, which is indicative of peripheral vision. Peripheral vision helps detect objects and movement in the side vision. Distance vision (B) refers to the ability to see clearly at a distance, while near vision (C) pertains to close-up vision. Central vision (D) is essential for focusing on details and seeing straight ahead. Therefore, A is the correct choice as it specifically pertains to the assessment of visual fields.
Under which of the ff situations should a nurse notify the physician when caring for a client with lymphangitis? Choose all that apply
- A. Affected area appears to enlarge
- B. Red streaks extend up the arm or leg
- C. Additional lymph nodes become
- D. Liver and spleen become enlarged
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Lymphangitis is an inflammation of lymphatic vessels.
2. If the affected area appears to enlarge, it indicates possible worsening or spreading of the infection.
3. Nurse should notify the physician for further evaluation and treatment.
4. Red streaks extending up the arm or leg (B) are common signs of lymphangitis, not necessarily requiring immediate physician notification.
5. Additional lymph nodes becoming (C) is a normal response to infection and may not warrant immediate physician notification.
6. Liver and spleen enlargement (D) are not directly related to lymphangitis and do not require immediate notification.