Nokea
A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
- A. Will cause dark staining of the surrounding skin
- B. Produces a cooling sensation when applied
- C. Can alter the function of the thyroid
- D. Produces a burning sensation when applied
Correct Answer: D
Rationale: Sulfamylon cream causes a burning sensation on application to burns, a known effect due to its penetration into damaged tissue, requiring pain management a pediatric care priority. Staining, cooling, or thyroid impact aren't typical. Nurses prepare for this, using analgesics to ease discomfort, supporting healing in young clients.
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The nurse is assessing the client for abdominal distention, which of the following technique should be performed by the nurse?
- A. Inspection alone is sufficient
- B. Inspection and Palpation
- C. Inspection and Percussion
- D. Inspection, Palpation and Percussion
Correct Answer: C
Rationale: Abdominal distention needs inspection (e.g., bloating) and percussion (e.g., tympany for gas) unlike inspection alone or palpation (tenderness). Nurses use e.g., tap for cause, per assessment.
Florence nightingale is born in
- A. Germany
- B. Britain
- C. France
- D. Italy
Correct Answer: D
Rationale: Florence Nightingale was born May 12, 1820, in Florence, Italy, to British parents named for her birthplace. She trained in Germany and worked in Britain, not France. Her Italian origin ties to her environmental theory's roots, shaping nursing's global history and Crimean legacy.
A client receives education on dietary management for ulcerative colitis from a nurse. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-fiber foods.
- B. You should avoid foods containing lactose.
- C. You should decrease your intake of dairy products.
- D. You should increase your intake of dairy products.
Correct Answer: C
Rationale: The correct statement the nurse should include in the teaching is to decrease the intake of dairy products. This is because reducing the intake of dairy products is beneficial in managing symptoms of ulcerative colitis. Dairy products can aggravate symptoms due to their lactose content, thus advising the client to decrease their consumption can help alleviate discomfort and promote better management of the condition.\nChoice A is incorrect because increasing high-fiber foods may worsen symptoms in some individuals with ulcerative colitis.\nChoice B is incorrect as while it is advised to avoid foods containing lactose, this alone does not encompass the full dietary management for ulcerative colitis.\nChoice D is incorrect as increasing the intake of dairy products can exacerbate symptoms in individuals with ulcerative colitis due to their lactose content.
A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain?
- A. Content for the NCLEX
- B. The members of the state board of nursing
- C. Definition of legal scope of nursing practice
- D. Definition of important terms related to nursing
Correct Answer: C
Rationale: State nurse practice acts are critical legal frameworks that govern nursing practice within each jurisdiction, ensuring safe and competent care. For a newly licensed registered nurse, understanding the definition of the legal scope of nursing practice is essential, as it outlines what nurses are authorized to do, including specific tasks, responsibilities, and limitations in an acute care setting. Equally important is the definition of key terms related to nursing, which clarifies concepts like licensure, delegation, and accountability, helping the nurse navigate their role legally and ethically. While the NCLEX content is vital for licensure, it's a national exam and not state-specific. Knowing the members of the state board of nursing might be useful for context but isn't directly relevant to daily practice guidelines. The nurse practice act provides the foundational rules for compliance, protecting both the nurse and the public by setting clear professional boundaries and expectations.
A client with a new diagnosis of osteoporosis is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. You should increase your intake of calcium-rich foods.
- B. You should decrease your intake of potassium-rich foods.
- C. You should avoid foods that contain vitamin D.
- D. You should increase your intake of high-sodium foods.
Correct Answer: A
Rationale: The correct answer is A: 'You should increase your intake of calcium-rich foods.' Increasing intake of calcium-rich foods is essential for managing osteoporosis because calcium is necessary for bone health and density. Adequate calcium intake can help prevent further bone loss and reduce the risk of fractures in individuals with osteoporosis. Choices B, C, and D are incorrect. Decreasing intake of potassium-rich foods is not necessary for osteoporosis management. Avoiding foods that contain vitamin D is counterproductive since vitamin D is essential for calcium absorption. Increasing intake of high-sodium foods is not recommended as it can contribute to bone loss and negatively impact bone health.