Nokea
A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation?
- A. Right client
- B. Right supervision/evaluation
- C. Right direction/communication
- D. Right time
- E. Right circumstances
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E.
B: Right supervision/evaluation ensures proper oversight and assessment of tasks delegated.
C: Right direction/communication emphasizes clear instructions and effective communication.
E: Right circumstances require considering factors such as workload, staff competency, and patient condition.
A: Right client is not part of the five rights of delegation.
D: Right time is important but not specifically part of the five rights of delegation.
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Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
- A. Irrigate affected area with running water
- B. Wash affected area with antibacterial soap
- C. Brush chemical off skin & clothing
- D. Apply neutralizing agent
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial because removing the chemical from the skin and clothing helps prevent further exposure and damage. Irrigating the affected area with running water (choice A) may spread the chemical and worsen the burn. Washing with antibacterial soap (choice B) is not recommended for chemical burns. Applying a neutralizing agent (choice D) can be harmful if the chemical is unknown. The key is to remove the chemical by brushing it off to minimize skin contact and reduce the risk of absorption.
Home health nurse is discussing dangers of food poisoning with client. What information should the nurse include? (Select all that apply)
- A. Most food poisoning is caused by viruses
- B. Immunocompromised individuals are at risk for complications from food poisoning
- C. Clients who are at risk should eat/drink only pasteurized dairy products
- D. Healthy people usually recover from illness in a few weeks
- E. Handling raw & fresh food separately to avoid cross-contamination may prevent food poisoning
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for complications from food poisoning due to weakened immune systems.
C: Clients at risk should consume only pasteurized dairy products to reduce the risk of foodborne illnesses.
E: Handling raw and fresh food separately prevents cross-contamination, a common cause of food poisoning.
Incorrect options:
A: Most food poisoning is caused by bacteria, not viruses.
D: Healthy individuals typically recover from food poisoning in a few days, not weeks.
In summary, the correct answers focus on specific preventive measures and risks for vulnerable populations, while the incorrect options provide inaccurate information regarding the causes and outcomes of food poisoning.
Nurse reviewing carseat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
- A. Use car seat that has 3-point harness
- B. Position car seat so that infant is rear-facing
- C. Secure car seat in front passenger seat of car
- D. Put soft padding in car seat behind infants back & neck
Correct Answer: B
Rationale: The correct answer is B: Position car seat so that infant is rear-facing. This is important because rear-facing car seats are known to provide the best protection for infants in the event of a crash, as they support the head, neck, and spine. Other choices are incorrect because: A: A 3-point harness may not provide sufficient support for an infant's small body. C: Placing the car seat in the front passenger seat can be dangerous due to the presence of airbags. D: Soft padding can be a suffocation hazard and interfere with the proper fit of the harness.
During evaluation
- A. the nurse must gather information about the client to...
- B. Identify whether client outcomes have been met
- C. Organize resources for interventions
- D. Establish client-centered
- E. measurable outcomes
Correct Answer: A
Rationale: The correct answer is A because during evaluation, the nurse needs to gather information about the client to assess the effectiveness of interventions and progress towards goals. This step involves collecting data to determine if the client's needs are being met and if adjustments are necessary. Option B is incorrect as it focuses on outcomes rather than the client's current status. Option C is incorrect as organizing resources is more related to planning than evaluation. Option D is incorrect as it pertains to establishing goals rather than evaluating progress. Option E is incorrect as it emphasizes measurable outcomes without considering the client's specific information needed for evaluation.
Nurse in clinic caring for 21-year-old client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client?
- A. Testicular exam
- B. Blood glucose
- C. Fecal occult blood
- D. Prostate-specific antigen
Correct Answer: A
Rationale: The correct answer is A: Testicular exam. The provider should perform this screening for a 21-year-old male as part of routine health maintenance. Testicular cancer is most common in young males, and early detection through a testicular exam is crucial for successful treatment. Blood glucose (B) screening is typically done for diabetes risk assessment, which is less likely in a young, asymptomatic individual. Fecal occult blood (C) screening is for colorectal cancer, typically recommended for individuals over 50. Prostate-specific antigen (D) screening is for prostate cancer, which is rare in young males and not recommended without specific risk factors.