Nokea
A nurse is contributing to planning an interprofessional conference for a client who reports concerns about their BMI of 30. Which of the following members of the interprofessional team should the nurse include?
- A. Occupational therapist
- B. Pharmacist
- C. Dietician
- D. Spiritual support personnel
Correct Answer: C
Rationale: A dietician addresses BMI concerns through nutritional planning.
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A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?
- A. To an employer for a pre-employment screening
- B. To an insurance agency in regard to a life insurance policy
- C. To a family member when the client is not available
- D. To a medical interpreter service on behalf of a client
Correct Answer: D
Rationale: Disclosure to an interpreter is permitted under HIPAA to facilitate care.
A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?
- A. BMI of 24
- B. Orthostatic hypotension
- C. Type 1 diabetes mellitus
- D. Family history of osteoporosis
Correct Answer: C
Rationale: Type 1 diabetes increases cardiovascular risk due to chronic hyperglycemia.
A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?
- A. Return the medication to the medication cabinet.
- B. Notify the provider of the client's refusal.
- C. Document the refusal in the client's medical record.
- D. Inform the client of the potential consequences of their refusal
Correct Answer: D
Rationale: Informing about consequences first respects autonomy and may encourage compliance.
A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.
- A. Open the outside cover of the sterile kit and remove the dust cover
- B. Grasp the outermost flap of the sterile kit while opening away from the body.
- C. Prepare a dry work surface above the waist level
- D. Open the innermost lower flap of the sterile kit while standing away from the sterile field
- E. Open each side flap of the sterile kit individually while pulling to the side
Correct Answer: C, A, B, D, E
Rationale: Sequence maintains sterility: prepare surface, open kit, unfold flaps systematically.
A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?
- A. The client verbalizes regret about never marrying.
- B. The client has poorly fitting dentures.
- C. The client has no living family.
- D. The client is sedentary throughout most of the day.
Correct Answer: D
Rationale: Sedentary lifestyle is a priority as it poses immediate health risks like thrombosis or muscle atrophy.