Nokea
A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?
- A. Candidiasis
- B. Gonorrhea
- C. Human papillomavirus
- D. Trichomoniasis
Correct Answer: B
Rationale: Gonorrhea is a reportable STI due to its serious long-term health impacts and public health implications, requiring notification to track and control spread.
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A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
- A. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.
- B. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.
- C. A nurse explains to a client's family that a DNR order includes withholding comfort measures.
- D. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.
Correct Answer: C
Rationale: The correct answer is C. This is the only behavior that goes against ethical practice in this scenario. The charge nurse should recognize the need for further education when a nurse incorrectly explains that a DNR order includes withholding comfort measures, as this is inaccurate information. Justification for other choices: A is incorrect because it shows compassionate care. B is incorrect because it demonstrates appropriate pain management for a terminally ill client. D is incorrect because nurses have the right to refuse participation in procedures that go against their beliefs.
A nurse tells the unit manager, 'I am tired of all the changes on the unit. If things don't get better, I'm going to quit.' Which of the following responses by the unit manager is appropriate?
- A. So you are upset about all the changes on the unit?
- B. You should file a written complaint with hospital administration.
- C. Just stick with it a little longer. Things will get better soon.
- D. I think you have a right to be upset. I am tired of the changes, too.
Correct Answer: A
Rationale: The correct response is A: "So you are upset about all the changes on the unit?" This response is appropriate because it shows empathy and active listening by reflecting back the nurse's feelings. It acknowledges the nurse's concerns and opens up a dialogue for further discussion. Choice B is incorrect because escalating the issue to hospital administration may not address the nurse's underlying feelings. Choice C dismisses the nurse's concerns and implies they should just endure the situation. Choice D shifts the focus from the nurse to the unit manager's own feelings, which is not helpful in addressing the nurse's concerns.
A nurse is caring for a client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?
- A. Occupational therapist
- B. Social worker
- C. Dietitian
- D. Physical therapist
Correct Answer: D
Rationale: The correct answer is D: Physical therapist. The physical therapist specializes in helping individuals regain mobility and strength after a stroke, making them the most appropriate professional to address the client's difficulty walking. They will develop a personalized exercise program to improve balance and coordination. Referring to the other options would not directly address the client's physical mobility issues. Occupational therapists focus on daily living activities, social workers on emotional and social support, and dietitians on nutritional needs, none of which directly address the client's walking difficulty.
A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home?
- A. Pipe cleaners
- B. Oxygen tank
- C. Obturator
- D. Cotton balls
- E. Petroleum jelly
Correct Answer: B,C
Rationale: The correct answers are B and C. Option B, an oxygen tank, is essential for providing supplemental oxygen if the client experiences any respiratory distress at home. Option C, an obturator, is crucial for reinserting the tracheostomy tube if it accidentally dislodges.
Pipe cleaners (A) are not necessary for tracheostomy care. Cotton balls (D) can leave fibers behind and are not recommended. Petroleum jelly (E) can cause aspiration if applied near the stoma.
A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?
- A. Teach an adolescent who has an exacerbation of ulcerative colitis about a high-protein, low fiber diet.
- B. Administer a bronchodilator two times a day for child who has cystic fibrosis.
- C. Check the neurovascular status every 4 hr of a child who had a hip spica cast placed 6 hr ago.
- D. Maintain eye shields for a newborn receiving phototherapy for hyperbilirubinemia.
Correct Answer: B
Rationale: Bronchodilators for cystic fibrosis are needed more frequently, typically before each chest physiotherapy session, requiring revision of the care plan.