foundation of nursing practice questions

foundation of nursing practice questions Related

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A patient confides to the nurse that he cannot engage in sexual activity. The patient is 27 years old and has no apparent history of chronic illness that would contribute to erectile dysfunction. What does the nurse know will be ordered for this patient to assess his sexual functioning?

  • A. Sperm count
  • B. Ejaculation capacity tests
  • C. Engorgement tests
  • D. Nocturnal penile tumescence tests
Correct Answer: D

Rationale: Nocturnal penile tumescence tests are used to assess erectile dysfunction in men who are unable to engage in sexual activity. It measures the frequency and strength of erections that occur during sleep, which can provide valuable information about a man's erectile function and whether there may be underlying physiological causes for his inability to engage in sexual activity. This test can help determine if the patient's erectile dysfunction is due to physical or psychological factors. A sperm count, ejaculation capacity tests, and engorgement tests are not typically ordered to assess sexual functioning in this case.

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A nurse is using Campinha-Bacote’s model of culturalcompetency. Which areas will the nurse focus on to become competent? (Select all that apply.)

  • A. Cultural skills
  • B. Cultural desire
  • C. Cultural transition
  • D. Cultural knowledge
Correct Answer: A

Rationale: According to Campinha-Bacote’s model of cultural competency, a nurse should focus on the following components to become culturally competent:

The nurse is caring for a patient who has undergone a mastoidectomy. In an effort to prevent postoperative infection, what intervention should the nurse implement?

  • A. Teach the patient about the risks of ototoxic medications.
  • B. Instruct the patient to protect the ear from water for several weeks.
  • C. Teach the patient to remove cerumen safely at least once per week.
  • D. Instruct the patient to protect the ear from temperature extremes until healing is complete.
Correct Answer: B

Rationale: After a mastoidectomy, the ear should be protected from water for several weeks. This is because exposing the area to water can increase the risk of infection. Keeping the ear dry allows the surgical site to heal properly and reduces the likelihood of postoperative complications such as infection. Therefore, instructing the patient to protect the ear from water is an important intervention to prevent postoperative infection following a mastoidectomy.

A nurse is discussing the advantages of a nursingclinical information system. Which advantage should the nurse describe?

  • A. Varied clinical databases
  • B. Reduced errors of omission
  • C. Increased hospital costs
  • D. More time to read charts
Correct Answer: B

Rationale: One of the key advantages associated with a nursing clinical information system is the reduction of errors of omission. By using an electronic system that prompts for required data entry and ensures completeness of documentation, nurses are less likely to miss important information, leading to improved patient care and safety. This advantage helps in promoting efficient communication among healthcare providers and contributes to better decision-making processes.

The nurse, upon reviewing the history, discoversthe patient has dysuria. Which assessment finding is consistent with dysuria?

  • A. Blood in the urine
  • B. Burning upon urination
  • C. Immediate, strong desire to void
  • D. Awakes from sleep due to urge to void
Correct Answer: B

Rationale: Dysuria is defined as a burning or painful sensation during urination. It is a common symptom of various urinary tract infections and other conditions affecting the urinary system. Patients experiencing dysuria often describe a discomfort or burning sensation while passing urine. Therefore, the assessment finding consistent with dysuria is the presence of burning upon urination.

A 50-year-old man diagnosed with leukemia will begin chemotherapy. What would the nurse do to combat the most common adverse effects of chemotherapy?

  • A. Administer an antiemetic.
  • B. Administer an antimetabolite.
  • C. Administer a tumor antibiotic.
  • D. Administer an anticoagulant.
Correct Answer: A

Rationale: Nausea and vomiting are common adverse effects of chemotherapy. Administering an antiemetic helps to prevent or reduce these symptoms in patients undergoing chemotherapy. By managing nausea and vomiting, the patient's overall well-being and quality of life during treatment can be improved. Therefore, providing an antiemetic medication is essential in combating these adverse effects and promoting patient comfort and compliance with treatment.

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