Nokea
A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
- A. Collaborating with providers to perform obesity screenings during routine office visits.
- B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity.
- C. Providing specialized intraoperative training in surgical treatments for obesity.
- D. Educating acute care nurses about postoperative complications related to obesity.
Correct Answer: A
Rationale: The correct answer is A: Collaborating with providers to perform obesity screenings during routine office visits. This is a primary health care strategy as it focuses on prevention and early detection, which are key components of managing obesity. Screening during routine visits allows for timely identification of obesity and related health risks, enabling early intervention. Choices B, C, and D do not align with primary health care strategies for obesity. Ensuring availability of specialized beds, providing intraoperative training, and educating about postoperative complications are more focused on secondary and tertiary levels of care, rather than primary prevention and early detection.
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The nurse is providing discharge instructions to a client who has been prescribed an iron supplement. Which statement by the client indicates a need for further teaching?
- A. I should take the supplement with milk to increase absorption.
- B. I should expect my stools to turn black while taking this supplement.
- C. I should take the supplement with a full glass of water.
- D. I should take the supplement on an empty stomach.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When caring for a client with diarrhea due to Shigella, which of the following precautions should the nurse take?
- A. Wash hands before and after contact with the client
- B. Wear a surgical mask
- C. Use a face shield
- D. Wear a gown and gloves only
Correct Answer: A
Rationale: The correct precaution for Shigella infection is to wash hands thoroughly before and after contact with the client. Shigella is transmitted through the fecal-oral route, so hand hygiene is crucial in preventing its spread. Wearing a surgical mask or face shield is not necessary for Shigella as it is not primarily transmitted through respiratory droplets. While wearing a gown and gloves is important for standard precautions, the key precaution specific to Shigella is proper hand hygiene.
A healthcare provider is assessing a client's ability to balance. Which of the following actions is appropriate when the healthcare provider conducts a Romberg test?
- A. Ask the client to extend their arms in front of their body.
- B. Ask the client to walk in a straight line heel to toe.
- C. Have the client stand with their feet together.
- D. Have the client place their hands on their hips.
Correct Answer: C
Rationale: The Romberg test is a neurological test that assesses proprioception and balance. To perform this test, the client is asked to stand with their feet together and arms at their sides while closing their eyes. By removing visual input, the test challenges the vestibular and proprioceptive systems. Choices A, B, and D are incorrect because they do not align with the proper procedure for conducting the Romberg test. Extending arms in front, walking heel to toe, or placing hands on hips are not part of the Romberg test protocol and may introduce variables that could affect the assessment of balance.
A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide?
- A. Breath sounds
- B. Client's history of smoking
- C. Current medication list
- D. Client's family history of respiratory illness
Correct Answer: A
Rationale: In a client with pneumonia, assessing breath sounds is crucial as it provides immediate information about the client's respiratory status. Changes in breath sounds could indicate complications like fluid accumulation or worsening pneumonia. While the client's history of smoking (Choice B), current medication list (Choice C), and family history of respiratory illness (Choice D) are important factors to consider, they are not as urgent or directly related to the client's immediate condition as assessing breath sounds.
A client is scheduled for hip surgery in an hour. Which of the following actions is the nurse's priority?
- A. Ensure that the client signs the consent form.
- B. Lock the client's valuables in a secure location.
- C. Verify the client's lab values in the medical record.
- D. Administer the prescribed preoperative sedative.
Correct Answer: A
Rationale: The nurse's priority is to ensure that the client signs the consent form before the hip surgery. This is crucial as it ensures that the client has provided informed consent for the procedure. Locking valuables, verifying lab values, and administering sedatives are important tasks but ensuring consent takes precedence as it directly impacts the client's right to make decisions about their care.