Nokea
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
- A. Balancing the bottle on the sterile basin while pouring the liquid
- B. Clarify the reason for the referral
- C. Identify family needs and interventions
- D. Provide discharge teaching
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination. Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
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A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
- A. Compare the client's list of home medications to the admission prescriptions written for the client
- B. Working with community groups to create policies to improve the environment
- C. Recognizing the reasons why 30 minutes of walking each day is one of the best health promotion activities
- D. Asking community leaders what interventions should be chosen
Correct Answer: A
Rationale: The correct answer is A because medication reconciliation involves comparing the client's list of home medications with the admission prescriptions to ensure accuracy and prevent medication errors. This step is crucial in identifying any discrepancies or omissions in the client's medication regimen. Choice B is incorrect as it pertains to community policy development, unrelated to medication reconciliation. Choice C is incorrect as it focuses on health promotion activities, not medication reconciliation. Choice D is incorrect as it involves seeking community leaders' input, not relevant to medication reconciliation.
A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
- A. Naltrexone
- B. Chlordiazepoxide
- C. Clonidine
- D. Bupropion
Correct Answer: D
Rationale: The correct answer is D: Bupropion. Bupropion is an antidepressant that is also FDA-approved for smoking cessation. It works by reducing nicotine cravings and withdrawal symptoms. Naltrexone (A) is used for alcohol and opioid dependence, not smoking cessation. Chlordiazepoxide (B) is a benzodiazepine used for alcohol withdrawal. Clonidine (C) is used to manage withdrawal symptoms in opioid and alcohol dependence, not specifically for smoking cessation. Therefore, Bupropion is the most appropriate choice for assisting the client with smoking cessation.
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
- A. I can visit my nephew who has chickenpox 5 days after the sores have crusted.
- B. I should take antibiotics when I have a virus.
- C. I can clean my cat's litter box during my pregnancy.
- D. I should wash my hands for 10 seconds with hot water after working in the garden.
Correct Answer: A
Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission. Choice B is incorrect because antibiotics are ineffective against viruses. Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis. Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.
Which information is the nurse assessing when appraising the applicability of a research article?
- A. The intended audience of the article
- B. The degree to which the results relate to a specific population
- C. The accuracy or credibility of the research
- D. The purpose of the research
Correct Answer: B
Rationale: The correct answer is B: The degree to which the results relate to a specific population. This is crucial in determining the relevance and applicability of the research findings to the target population. Assessing the generalizability of the results is essential for making informed decisions in practice.
Incorrect Choices:
A: The intended audience of the article - While important, it does not directly impact the applicability of the research findings to a specific population.
C: The accuracy or credibility of the research - While important for validity, it does not address the specific relevance to a population.
D: The purpose of the research - While understanding the purpose is important, it doesn't directly assess the applicability to a specific population.
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
- A. Administrators
- B. Insurance companies
- C. Nurses
- D. Physicians
Correct Answer: A
Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.