Nokea
A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?
- A. Restricting visitors to a few hours in the afternoon to promote client rest
- B. Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period
- C. Scheduling toilet breaks before and after any other planned activity
- D. Scheduling energy-intensive activities at the time of day when the client has higher energy levels
Correct Answer: D
Rationale: The correct answer is D: Scheduling energy-intensive activities at the time of day when the client has higher energy levels. This option best conserves the client's energy as it aligns the demanding tasks with the client's peak energy periods, optimizing efficiency and reducing fatigue. This approach ensures that the client can complete tasks requiring more physical or mental effort when they are most capable, minimizing strain and preventing energy depletion. Restricting visitors (A) may not necessarily conserve energy as social interactions can be energizing for some clients. Scheduling all activities within a small block of time (B) may lead to fatigue if demanding tasks are clustered together. Scheduling toilet breaks before and after activities (C) is important but does not address energy conservation directly.
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A nurse is providing education regarding biologic threats. When discussing anthrax, which of the following should be included as potential portals of entry? SELECT ALL THAT APPLY
- A. Central nervous system
- B. Integumentary system
- C. Respiratory system
- D. Renal system
- E. Gastrointestinal system
Correct Answer: B,C,E
Rationale: The correct answer includes the integumentary system (B), respiratory system (C), and gastrointestinal system (E) as potential portals of entry for anthrax. Anthrax can enter the body through broken skin (integumentary system), inhalation of spores (respiratory system), or ingestion of contaminated food/water (gastrointestinal system). The central nervous system (A) and renal system (D) are not typical routes of entry for anthrax. Central nervous system is not a common portal for anthrax entry, and the renal system is not a primary site for anthrax spore invasion.
A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
- A. Use of antibiotics to fight infections
- B. Sanitation and other public health activities
- C. Technology increases in the field of medical laboratory research
- D. Advances in surgical techniques and procedures
Correct Answer: B
Rationale: The correct answer is B: Sanitation and other public health activities. Improved sanitation, clean water supply, and public health initiatives such as vaccination programs played a crucial role in increasing life expectancy in the 20th century. Sanitation helped reduce the spread of infectious diseases, leading to a significant decrease in mortality rates. Public health activities focused on prevention rather than treatment, which had a long-term positive impact on overall population health. Antibiotics (choice A) were important but came later in the century. Technology increases in medical laboratory research (choice C) and advances in surgical techniques (choice D) contributed to healthcare improvements but were not the primary factors behind the dramatic increase in life expectancy.
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
- A. A negative-pressure isolation room
- B. A private room
- C. A semi-private room with a client who has pediculosis capitis
- D. A positive-pressure isolation room
Correct Answer: B
Rationale: The correct answer is B: A private room. This is because scabies is transmitted through close skin-to-skin contact, so placing the client in a private room will help prevent the spread of the infestation to others. A negative-pressure isolation room (choice A) is used for airborne infections, not for scabies. Placing the client in a semi-private room with a client who has pediculosis capitis (lice) (choice C) increases the risk of cross-infection. Positive-pressure isolation rooms (choice D) are used to protect immunocompromised clients from airborne pathogens.
A nurse is caring for a client scheduled for a functional assessment who asks, 'What is the purpose of this assessment?' How should the nurse most appropriately respond to the client?
- A. It is a test that determines which activities you feel most comfortable performing
- B. It is a tool that is used to determine your maximum level of self-sufficiency
- C. It is a tool that is used to assess what services you will need a home health aide to perform for you
- D. It is a tool used by insurance companies to determine qualifications for medical reimbursement
Correct Answer: B
Rationale: The correct answer is B: It is a tool that is used to determine your maximum level of self-sufficiency. The purpose of a functional assessment is to evaluate a person's ability to perform daily activities independently. By determining the client's level of self-sufficiency, healthcare providers can tailor care plans to support and enhance the client's functional abilities.
Explanation of other choices:
A: Incorrect. The assessment is not about comfort but rather about assessing functional abilities.
C: Incorrect. The assessment focuses on the client's abilities, not the services they may need from a home health aide.
D: Incorrect. While assessments may impact insurance reimbursement, the primary purpose is not insurance-related but rather focused on the client's functional abilities.
A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
- A. Security phase
- B. Mitigation phase
- C. Response phase
- D. Practice phase
Correct Answer: B
Rationale: The correct answer is B: Mitigation phase. In the National Response Framework, the mitigation phase focuses on actions taken to prevent or minimize the impact of a disaster. By identifying at-risk populations, educating residents about evacuation routes, and providing information on emergency shelters, the nurse is proactively working to reduce the potential negative effects of flooding. This aligns with the goals of the mitigation phase, which aims to reduce vulnerability and enhance resilience. The other choices are incorrect because they do not specifically address the proactive measures taken to prevent or minimize the impact of a disaster, as seen in the mitigation phase.