Nokea
A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching?
- A. My baby will receive three doses of the meningococcal immunization before kindergarten.
- B. I should not feed my baby anything for 2 hours prior to an immunization.
- C. I should expect my baby to have a high fever for 24 hours after an immunization.
- D. My baby will receive the rotavirus immunization orally.
Correct Answer: D
Rationale: Rotavirus vaccine is given orally, indicating understanding.
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While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications.
A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?
- A. Autonomy
- B. Justice
- C. Veracity
- D. Beneficence
Correct Answer: C
Rationale: Veracity reflects truthfulness, as the nurse honestly discusses medication adverse effects.
The son of a client who has Alzheimer's disease and mild hypertension.
A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease and mild hypertension. Which of the following responses should the nurse make?
- A. You owe it to your mother to take care of her now that she needs you.
- B. Let me give you some information about respite care for your mother.
- C. I think you should find other family members who could help your mother.
- D. You should think about placing your mother in a long-term care facility.
Correct Answer: B
Rationale: Respite care information supports the caregiver's well-being.
The client is expressing suicidal ideations.
A nurse is collecting data from a client who is expressing suicidal ideations. Which of the following questions is the nurse's priority?
- A. Do you have a plan for harming yourself?
- B. Has anyone in your family ever died by suicide?
- C. Do you have someone to discuss your feelings with?
- D. Can you tell me about the stresses in your life?
Correct Answer: A
Rationale: Assessing a plan determines immediate risk, the priority in suicide assessment.
A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?
- A. Impetigo contagiosa
- B. Neisseria gonorrhoeae
- C. Human papillomavirus
- D. Sarcoptes scabiei
Correct Answer: B
Rationale: Neisseria gonorrhoeae (gonorrhea) is a reportable disease per public health regulations.
A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?
- A. Cantaloupe
- B. Orange juice
- C. Sweet potato
- D. Baked chicken breast
Correct Answer: D
Rationale: Baked chicken breast has the lowest potassium content compared to the other options, which are potassium-rich.