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A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
- A. Social worker
- B. Pharmacist
- C. Respiratory therapist
- D. Child protective services
Correct Answer: A
Rationale: The correct answer is A: Social worker. A social worker can assist the parent in finding resources to afford the nebulizer. While a pharmacist may provide information about medications and devices, they may not have direct resources to address financial concerns. A respiratory therapist focuses on respiratory care but may not specialize in financial assistance. Referring to child protective services is not appropriate in this scenario as the parent's inability to afford a nebulizer does not indicate neglect or abuse.
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Which of the following strategies can help improve patient adherence to treatment plans?
- A. Providing clear and understandable instructions
- B. Using medical jargon
- C. Limiting patient education
- D. Ignoring patient feedback
Correct Answer: A
Rationale: Providing clear and understandable instructions can help improve patient adherence to treatment plans. Clear instructions help patients better understand their treatment plans, leading to increased compliance. Choices B, C, and D are incorrect. Using medical jargon can confuse patients and reduce adherence. Limiting patient education deprives patients of essential information needed for adherence. Ignoring patient feedback can lead to misunderstandings and hinder the patient's commitment to the treatment plan.
Which of the following joints normally allows 360-degree circumflexion?
- A. The knee
- B. The shoulder
- C. The elbow
- D. The fingertips
Correct Answer: B
Rationale: The correct answer is B: The shoulder. The shoulder joint is a ball-and-socket joint that allows for a wide range of motion, including 360-degree circumflexion. This joint provides flexibility and mobility in various directions. Choice A, the knee joint, primarily allows flexion and extension but does not have a 360-degree circumflexion. Choice C, the elbow joint, is a hinge joint that permits flexion and extension but not circumflexion. Choice D, the fingertips, do not form a specific joint that allows circumflexion; rather, they have joints that enable bending and straightening movements.
Which of the following foods enhances the absorption of an iron supplement?
- A. Orange juice
- B. Green beans
- C. Fortified milk
- D. Baked potato
Correct Answer: A
Rationale: The correct answer is Orange juice. Orange juice enhances the absorption of an iron supplement due to its high vitamin C content. Vitamin C helps in the absorption of non-heme iron, the type of iron found in plant-based foods and iron supplements. Green beans, fortified milk, and baked potato do not have the same level of vitamin C as orange juice, making them less effective in enhancing iron absorption.
Which skin disorder most closely resembles and mimics dandruff?
- A. Lice infestation
- B. Scabies
- C. Dermatitis
- D. Acne vulgaris
Correct Answer: C
Rationale: Dermatitis can closely resemble and mimic dandruff due to similar symptoms like flaking and itching. Lice infestation (choice A) is characterized by the presence of lice and their eggs attached to the hair shaft, different from dandruff. Scabies (choice B) is a contagious skin condition caused by mites, presenting as burrows, rashes, and intense itching, not typically resembling dandruff. Acne vulgaris (choice D) is a skin condition involving hair follicles and sebaceous glands, manifesting as pimples and inflammation, which is distinct from dandruff.
A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?
- A. No transport assistance is available to take the client to PT.
- B. A client is refusing care from an AP of the opposite gender.
- C. Three staff members have called to say they will be absent.
- D. Two nurses had a heated disagreement about a scheduling issue.
Correct Answer: C
Rationale: The correct answer is C. Addressing the absence of three staff members should be the nurse manager's priority as it directly impacts staffing levels and patient care. This situation can lead to staffing shortages, affecting patient safety and workload distribution. Option A, lack of transport assistance, although important, can be addressed after ensuring adequate staffing. Option B involves a client's preference and can be addressed by assigning care appropriately. Option D, a disagreement between two nurses, is important but can be addressed after ensuring adequate staffing and patient care.