Nokea
A nurse is evaluating teaching for a client who has heart failure. Which of the following statements by the client indicates an understanding of the teaching?
- A. I am limiting my sodium intake to 2 grams daily.
- B. I have been weighing myself every other morning.
- C. I am trying to decrease my intake of foods with potassium.
- D. I am eating fewer potato chips and more fruit for snacks.
Correct Answer: A
Rationale: The correct answer is A because limiting sodium intake to 2 grams daily is crucial for managing heart failure by reducing fluid retention and strain on the heart. This statement shows understanding of dietary restrictions to manage the condition effectively.
Choice B is incorrect because while monitoring weight is important for heart failure, it does not specifically demonstrate understanding of the teaching provided.
Choice C is incorrect because decreasing potassium intake is not recommended for heart failure management unless specifically advised by a healthcare provider.
Choice D is incorrect as it mentions a positive dietary change, but does not address the key issue of sodium intake, which is essential for managing heart failure.
You may also like to solve these questions
An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
- A. give a bolus of 50% dextrose.
- B. insert a large-bore IV catheter.
- C. initiate oxygen via nasal cannula.
- D. administer glargine (Lantus) insulin.
Correct Answer: B
Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice A) would worsen hyperglycemia, initiating oxygen (choice C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice D) is not the initial priority in managing acute HHS.
What is the primary goal of infection control practices in healthcare settings?
- A. To reduce the length of hospital stays
- B. To ensure patient safety and prevent infections
- C. To control the spread of infections within the healthcare setting
- D. To comply with healthcare regulations
Correct Answer: C
Rationale: The correct answer is C: To control the spread of infections within the healthcare setting. This is the primary goal of infection control practices as it aims to prevent the transmission of infections among patients, healthcare workers, and visitors. By implementing measures such as hand hygiene, proper use of personal protective equipment, and environmental cleaning, healthcare facilities can effectively minimize the risk of infections spreading.
Explanation of why other choices are incorrect:
A: To reduce the length of hospital stays - While infection control practices may contribute to shorter hospital stays indirectly by preventing additional complications from infections, this is not the primary goal.
B: To ensure patient safety and prevent infections - While patient safety and infection prevention are important aspects of infection control, the primary goal is specifically focused on controlling the spread of infections within the healthcare setting.
D: To comply with healthcare regulations - While compliance with regulations is essential for maintaining a safe healthcare environment, it is not the primary goal of infection control practices, which is centered on preventing the spread of infections.
Which of the following is an example of a clinical decision support system (CDSS)?
- A. Electronic health record (EHR)
- B. Barcode medication administration
- C. Smart infusion pumps
- D. Automated drug dispensing system
Correct Answer: C
Rationale: The correct answer is C: Smart infusion pumps. A smart infusion pump is an example of a CDSS as it helps healthcare providers in administering medications accurately by providing alerts, dosage calculations, and other decision support tools. This system enhances patient safety and clinical outcomes.
Incorrect choices:
A: Electronic health record (EHR) - While EHRs store and manage patient health information, they do not provide decision support features like CDSS.
B: Barcode medication administration - While barcoding helps in verifying medication administration, it is not a CDSS that provides clinical decision support.
D: Automated drug dispensing system - While these systems help in dispensing medications accurately, they do not provide clinical decision support tools like smart infusion pumps do.
Politics is a means for influencing events and the decisions of others. The nurse manager who consistently reminds the staff that 'there is no I in team' and periodically brings treats for the staff is using:
- A. Image enhancement
- B. Political skills
- C. Reward power
- D. Expert power
Correct Answer: B
Rationale: The correct answer is B: Political skills. The nurse manager is using political skills by emphasizing teamwork and building relationships through treats to influence the staff. This demonstrates an understanding of social dynamics and power structures within the team. Image enhancement (A) focuses on improving one's personal or professional reputation, not team dynamics. Reward power (C) involves using rewards or incentives to influence behavior, which is not the case here. Expert power (D) is based on knowledge and expertise, but the scenario does not indicate that the nurse manager is leveraging expertise to influence the team.
A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?
- A. Intrasender conflict
- B. Diagonal communication
- C. Metacommunication
- D. Upward communication
Correct Answer: A
Rationale: The correct answer is A: Intrasender conflict. This is when the message sent conflicts with the nonverbal cues. In this scenario, the nurse manager's verbal message of being approachable conflicts with the nonverbal cue of keeping the office door closed. This creates confusion for the staff, leading to intrasender conflict.
B: Diagonal communication refers to communication between individuals at different levels or departments.
C: Metacommunication involves the underlying message or context of the communication.
D: Upward communication is when employees communicate with their superiors.
In this case, the closed door contradicts the verbal message, indicating intrasender conflict.