Nokea
A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care?
- A. Limit the adolescent's visitors.
- B. Select the adolescent's food choices.
- C. Encourage the adolescent's guardian to assist with personal hygiene.
- D. Allow the adolescent to make decisions regarding their daily routine.
Correct Answer: C
Rationale: The correct answer is C. Encouraging the adolescent's guardian to assist with personal hygiene is crucial after a lumbar laminectomy. Postoperatively, the adolescent may require assistance with activities of daily living due to limited mobility and risk of injury. Involving the guardian ensures proper care and promotes faster recovery.
Choice A is incorrect as limiting visitors can negatively impact the adolescent's emotional well-being and support system. Choice B is incorrect as food choices are not typically restricted postoperatively unless medically necessary. Choice D is incorrect as the adolescent may not be in the optimal state to make decisions regarding their daily routine immediately after surgery.
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Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws created by legislative bodies. These laws outline the scope of practice, licensure requirements, and regulations for nursing professionals. Common laws (B) are based on court decisions and do not specifically govern nursing practice. Administrative laws (C) regulate administrative agencies and their functions, not nursing practice. Constitutional laws (D) pertain to the constitution and the rights of individuals, not the specific regulations for nursing practice.
What is the main focus of the Magnet Recognition Program?
- A. Nurse satisfaction
- B. Patient outcomes
- C. Financial performance
- D. Nursing excellence
Correct Answer: D
Rationale: The correct answer is D: Nursing excellence. The main focus of the Magnet Recognition Program is to recognize healthcare organizations that demonstrate nursing excellence in practice. This includes promoting a positive work environment, professional development, and quality patient care outcomes. Choice A, nurse satisfaction, is important but not the primary focus of the program. Choice B, patient outcomes, is related to nursing excellence but not the main focus of the program. Choice C, financial performance, is not directly related to nursing excellence and is not a focus of the Magnet Recognition Program.
A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?
- A. Amitriptyline decreases the depression caused by your foot pain.
- B. Amitriptyline helps prevent transmission of pain impulses to the brain.
- C. Amitriptyline corrects some of the blood vessel changes that cause pain.
- D. Amitriptyline improves sleep and reduces awareness of nighttime pain.
Correct Answer: B
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One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct Answer: B
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Which of the following best describes the role of an informatics nurse specialist?
- A. Managing electronic health records
- B. Providing technical support
- C. Educating nursing staff
- D. Improving patient care through technology
Correct Answer: D
Rationale: The correct answer is D: Improving patient care through technology. Informatics nurse specialists focus on utilizing technology to enhance patient outcomes and streamline healthcare processes. They analyze data, implement new technologies, and design systems to improve efficiency and quality of care. This role involves understanding both nursing practice and technology to bridge the gap between the two, ultimately benefiting patients.
A: Managing electronic health records - While informatics nurse specialists may oversee EHR systems, their primary focus is on using technology to enhance patient care, not just managing records.
B: Providing technical support - While they may provide some technical support, their main role is to leverage technology to improve patient outcomes, not solely to troubleshoot technical issues.
C: Educating nursing staff - While education is a part of their role, the primary objective of an informatics nurse specialist is to improve patient care through technology, not just educating staff.