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A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
- A. Administered 8 u regular insulin sq
- B. Check gastric residuals every 4 hours
- C. Compare the client's list of home medications to the admission prescriptions
- D. Measure the client's urine output every hour
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately. Choice B is incorrect as it lacks specific details on the action to be taken. Choice C is incorrect as it does not imply any action related to medication safety. Choice D is incorrect as it does not specify the reason for measuring urine output.
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Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which are domains of public health nursing practice? (Select all that apply.)
- A. Intuitive assessment skills
- B. Community organization skills
- C. Communication skills
- D. Cultural competency skills
Correct Answer: B
Rationale: The correct answer is B: Community organization skills. Public health nursing involves working with communities to promote health and prevent diseases. Community organization skills are essential for collaborating with community members, organizations, and stakeholders to develop and implement effective health programs.
A: Intuitive assessment skills - While assessment skills are important in public health nursing, they are not necessarily intuitive. Public health nurses rely on evidence-based assessments rather than intuition.
C: Communication skills - Communication skills are crucial in public health nursing, but they are not specific to this specialty. Most nursing specialties require strong communication skills.
D: Cultural competency skills - While cultural competency is important, it is not a domain specific to public health nursing. Cultural competency is relevant in all areas of nursing practice.
The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
- A. Respite care
- B. Promoting healthy lifestyle behavior choices among the community members
- C. Eliciting the health history of a client presenting with an illness
- D. Establishing screening programs to diagnosis diseases as early as possible
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.
A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care?
- A. Having a client complete a self-reported functional status indicator and then reviewing itwith the client
- B. Explaining to a client the benefits of computer-assisted robotic surgical techniques, whichthe hospital recently implemented
- C. Recording a client's signs and symptoms in an electronic health record
- D. Performing continuous glucose monitoring of a client while the client is in the hospital
Correct Answer: A
Rationale: The correct answer is A because it involves actively engaging the client in their care by having them complete a self-reported functional status indicator and then reviewing it together. This approach empowers the client to participate in decision-making regarding their health, promotes open communication, and fosters a collaborative relationship between the nurse and the client. Choices B, C, and D do not directly involve the client in their care or prioritize their perspective. B focuses on technology rather than the client's needs, C involves documentation rather than active involvement, and D focuses on monitoring without involving the client in the process.
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
- A. Cochrane Library
- B. Agency for Healthcare Research and Quality (AHRQ)
- C. Medline with Full Text
- D. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is renowned for regularly updated systematic reviews, providing high-quality evidence for healthcare decision-making. It follows strict methodology to ensure reliability. AHRQ (B) focuses on healthcare quality improvement, not systematically updated reviews. While Medline (C) and CINAHL (D) are databases for primary research articles, they do not specifically focus on systematic reviews. Therefore, Cochrane Library is the most appropriate database for the public health nurse's research needs.
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.