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A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
- A. Remove the plug from the socket by pulling the cord.
- B. Check for a tingling sensation around the cord to ensure the electricity is working.
- C. Cover extension cords with a rug.
- D. Use three-pronged grounded plugs.
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.
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A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
- A. Failure to consider client and setting differences
- B. Inadequate incorporation of evidence into practice
- C. Inferior quality of the available research evidence
- D. Lack of skills when evaluating the evidence
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
- A. Determine the client's current anxiety level
- B. Evaluating the number of clients presenting with similar diseases
- C. Giving a very informative and engaging presentation
- D. Weighing students to identify those who are overweight
Correct Answer: A
Rationale: The correct answer is A: Determine the client's current anxiety level. This is the first action the nurse should take as it helps assess the immediate emotional well-being of the client. By understanding the client's anxiety level, the nurse can provide appropriate support and interventions to address any distress or trauma experienced. Evaluating the number of clients with similar diseases (B), giving a presentation (C), and weighing students (D) are not relevant or appropriate actions in this situation. The priority is to address the client's emotional needs and ensure their safety and well-being.
A health care provider is concerned about the high number of clients with type 2 diabetes mellitus who have poor glucose control. What would be the best reference for the provider to implement evidence-based practice (EBP) in the management of this problem?
- A. Published protocols
- B. Current research findings
- C. Opinions of colleagues
- D. Nursing journals
Correct Answer: B
Rationale: The correct answer is B: Current research findings. This is the best reference for the provider to implement evidence-based practice (EBP) in managing clients with poor glucose control in type 2 diabetes mellitus. Current research findings provide the latest evidence-based interventions and recommendations that have been rigorously tested and proven effective. By utilizing current research findings, the provider can ensure that the management strategies implemented are based on the most up-to-date and reliable information. Published protocols (choice A) may be outdated or not as evidence-based, opinions of colleagues (choice C) may vary and not always be based on research, and nursing journals (choice D) may contain a mix of research findings and opinions. It's important to prioritize current research findings for the most reliable and effective evidence-based practice in this scenario.
A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy. Which of the following actions by the newly-licensed nurse requires intervention by the staff nurse?
- A. Waits for 2 minutes between suctions
- B. Engaging in policy development and encourage and assist persons to communicate their needs
- C. Giving a very informative and engaging presentation
- D. Identifying and planning for high-risk populations
Correct Answer: A
Rationale: The correct answer is A because waiting for 2 minutes between suctions is not recommended practice for tracheostomy care. Suctioning should be performed as needed based on the patient's clinical presentation, not on a fixed time interval. Waiting too long between suctions can lead to ineffective removal of secretions, compromising the patient's airway.
Choice B, C, and D are incorrect because they are unrelated to the scenario of suctioning a tracheostomy. Choice B refers to policy development and communication skills, Choice C mentions giving a presentation, and Choice D involves planning for high-risk populations. These choices do not pertain to the immediate nursing intervention needed during tracheostomy care.
A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
- A. Developing individualized exercise programs for overweight children
- B. Drafting policy for increases in noncompetitive physical activity programs
- C. Monitoring body mass index (BMI) in children to identify elevations before they become difficult to manage
- D. Notifying parents and/or guardians of their child's height–weight scale in comparison with national norms
Correct Answer: B
Rationale: The correct answer is B because drafting policies for increases in noncompetitive physical activity programs aligns with primary prevention strategies. This intervention focuses on promoting overall health and preventing health problems before they occur. This approach targets the entire school population rather than individual children, making it a more effective primary prevention strategy.
Choice A is incorrect as it focuses on individualized interventions rather than population-based prevention. Choice C focuses on early detection rather than prevention. Choice D, while involving parents, does not address primary prevention but rather provides information after the fact.