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A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?
- A. The client reports relief of nausea.
- B. The tube aspirate has a pH less than 5.
- C. Bowel sounds are present on auscultation.
- D. An x-ray shows the end of the tube above the pylorus.
Correct Answer: A
Rationale: The correct answer is A: The client reports relief of nausea. This is because when an NG tube is correctly placed in the stomach, it can help decompress the stomach and relieve nausea. Choice B is incorrect because pH less than 5 indicates gastric placement, but it does not confirm correct placement. Choice C is incorrect as bowel sounds can be present even if the tube is incorrectly placed. Choice D is incorrect because an x-ray showing the tube above the pylorus only confirms tube position, not necessarily correct placement.
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Which of the following statements about time management is true?
- A. Time management is not important in nursing
- B. Writing goals will increase stress
- C. Effective time management reduces stress
- D. Setting goals is a time waster
Correct Answer: C
Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity.
Now, let's analyze why the other choices are incorrect:
A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently.
B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run.
D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.
When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
- A. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.
- B. Discuss the reason for the use of insulin therapy during the immediate postoperative period.
- C. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
- D. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
Rationale:
1. Administering insulin falls under the scope of practice for an LPN/LVN.
2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure.
3. LPN/LVNs are trained to administer medications safely and accurately.
Summary:
A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN.
B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse.
D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.
What is dysfunctional turnover?
- A. Retaining all employees.
- B. Losing employees consistently.
- C. Losing highly skilled employees who are hard to replace.
- D. Hiring new employees.
Correct Answer: C
Rationale: The correct answer is C because dysfunctional turnover refers to the loss of highly skilled employees who are difficult to replace, leading to negative impacts on the organization. Losing such employees can harm productivity, morale, and innovation. Retaining all employees (choice A) is not necessarily dysfunctional, and losing employees consistently (choice B) does not specify the impact on the organization. Hiring new employees (choice D) is not directly related to dysfunctional turnover. In summary, choice C is correct because it specifically addresses the detrimental effects of losing key employees.
Which of the following are significant benefits to an organization that is considering adoption of a practice partnership model? (Select all that apply.)
- A. Clients express reduced satisfaction.
- B. It is less expensive to implement than other models.
- C. Continuity of care is facilitated.
- D. Leadership is well accepted.
Correct Answer: C
Rationale: Rationale:
C is correct because a practice partnership model enhances continuity of care, leading to improved patient outcomes and satisfaction. It promotes collaboration among healthcare providers, ensuring seamless transitions between different levels of care. This model also fosters better communication and coordination among team members.
Summary:
A: Incorrect. Clients actually benefit from increased satisfaction due to improved care coordination.
B: Incorrect. Practice partnership models may require initial investment but yield long-term benefits.
D: Incorrect. Leadership acceptance may vary, but the primary benefit lies in improved care continuity.
What is a common method used to collect work activity information from an applicant?
- A. Self-report logs
- B. Work sample questions
- C. Motion studies
- D. Interviewing
Correct Answer: B
Rationale: The correct answer is B: Work sample questions. This method allows applicants to demonstrate their skills in real work scenarios, providing concrete evidence of their abilities. Self-report logs (A) rely on subjective information, which may not accurately reflect the applicant's actual work activity. Motion studies (C) involve observing and analyzing work processes, but do not directly collect information from applicants. Interviewing (D) is a common method for gathering information but may not always provide specific details about an applicant's work activities compared to work sample questions.