Nokea
A nurse is caring for a patient who is 1 day postoperative for a temporary colostomy. The nurse assesses no feces in the collection bag. What should the nurse do next?
- A. Notify the physician immediately.
- B. Ask another nurse to check her findings.
- C. Nothing; this is normal.
- D. Recheck the bag in 2 hours.
Correct Answer: C
Rationale: No output day 1 post-colostomy is normal due to bowel rest.
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Which of the following is the best way for a nursing assistant to communicate with a resident who has depression?
- A. The NA should use body language that shows interest.
- B. The NA should avoid eye contact with the resident.
- C. The NA should discourage other residents from talking to the resident.
- D. The NA should change the subject when the resident wants to talk about his feelings.
Correct Answer: A
Rationale: Step-by-step rationale:
1. Showing interest through body language helps build trust and rapport with the resident.
2. Positive body language can convey empathy and understanding, which are crucial when communicating with someone with depression.
3. Avoiding eye contact may make the resident feel ignored or unimportant, worsening their feelings of isolation.
4. Discouraging others from talking to the resident can further isolate them and hinder social support.
5. Changing the subject when the resident wants to talk about their feelings can invalidate their emotions and discourage open communication.
In summary, choice A is correct as it promotes empathy and connection, while choices B, C, and D can exacerbate the resident's feelings of depression by isolating them or invalidating their emotions.
The following are criteria for transfer to a burn center EXCEPT for:
- A. Partial-thickness and full-thickness burns on greater than 10% of the BSA
- B. Any full-thickness burn
- C. perineum and skin overlying major joints
- D. Elevated central venous pressure
Correct Answer: D
Rationale: The correct answer is D because elevated central venous pressure is not a criterion for transfer to a burn center. A, B, and C are all valid criteria for transfer based on the severity and location of burns. Criteria A and B indicate the extent of burns in terms of partial-thickness and full-thickness involvement, while C highlights specific anatomical areas that may require specialized care due to the risk of complications. Elevated central venous pressure is not typically used as a criterion for transfer to a burn center as it is not directly related to the severity or management of burns. Hence, choice D is the exception among the given criteria.
The medical term for nosebleed is
- A. Epidermis
- B. Epiglottis
- C. Emesis
- D. Epistaxis
Correct Answer: D
Rationale: The correct answer is D: Epistaxis. "Epistaxis" is the medical term for nosebleed. "Epi-" means above or upon, and "staxis" refers to dripping or oozing. Therefore, "epistaxis" specifically refers to bleeding from the nose.
A: Epidermis refers to the outermost layer of skin, not related to nosebleeds.
B: Epiglottis is the flap of tissue that covers the trachea during swallowing, not related to nosebleeds.
C: Emesis refers to vomiting, not related to nosebleeds.
In summary, the correct answer is D because it is the term specifically used to describe bleeding from the nose, while the other choices are unrelated terms in the context of nosebleeds.
Initial treatment of frostbite injuries involves:
- A. "application of dry heat"
- B. "Debridement of hemorrhagic blisters"
- C. "Early amputation to prevent septic complications"
- D. "Massage of the affected area"
Correct Answer: D
Rationale: The correct answer is D: "Massage of the affected area." Massaging the affected area can help improve blood flow and promote circulation, aiding in the rewarming process for frostbite injuries. This helps prevent further tissue damage and supports healing.
Explanation for other choices:
A: "Application of dry heat" can actually worsen frostbite by causing additional tissue damage.
B: "Debridement of hemorrhagic blisters" is not recommended as it can lead to infection and further complications.
C: "Early amputation to prevent septic complications" is an extreme measure and not warranted in the initial treatment of frostbite injuries.
Ageism is
- A. The natural process of aging
- B. Disabilities that occur with aging
- C. Prejudice toward or discrimination against the elderly
- D. The loss of memory associated with aging
Correct Answer: C
Rationale: The correct answer is C: Prejudice toward or discrimination against the elderly. This is because ageism refers to negative attitudes, stereotypes, and discrimination based solely on a person's age, particularly towards older individuals. It is a social issue that can lead to unfair treatment and exclusion.
Explanation for other choices:
A: The natural process of aging - This is incorrect as ageism is not about the biological process of aging itself.
B: Disabilities that occur with aging - This is incorrect as disabilities are physical or mental impairments, not attitudes or discrimination.
D: The loss of memory associated with aging - This is incorrect as it specifically refers to cognitive decline, not societal attitudes towards older individuals.