Nokea
After the nurse has finished teaching a patient who has a new prescription for exenatide
(Byetta), which patient statement indicates that the teaching has been effective?
- A. “I may feel hungrier than usual when I take this medicine.”
- B. “I will not need to worry about hypoglycemia with the Byetta.”
- C. “I should take my daily aspirin at least an hour before the Byetta.”
- D. “I will take the pill at the same time I eat breakfast in the morning.”
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks.
Incorrect choices:
A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger.
B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar.
D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.
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Which of the following is an example of an outcome measure in healthcare?
- A. Patient satisfaction scores
- B. Length of hospital stay
- C. Healthcare provider performance reviews
- D. Number of diagnostic tests ordered
Correct Answer: A
Rationale: The correct answer is A: Patient satisfaction scores. In healthcare, outcome measures are indicators of the impact of care on patients' health. Patient satisfaction scores directly reflect patients' experiences and perceptions of their care, making it a relevant outcome measure. This measure assesses the quality of care provided and the effectiveness of healthcare services in meeting patients' needs and expectations. In contrast, options B and D are process measures that do not directly reflect patient outcomes. Option C, healthcare provider performance reviews, are more related to evaluating individual provider performance rather than overall healthcare outcomes.
A recent nursing school graduate is preparing to take the NCLEX. The graduate knows which of the following is true?
- A. Upon graduation from nursing school, she cannot use the title RN.
- B. Because the NCLEX is a national examination, her RN license will allow her to practice in all states and territories of the United States.
- C. If her home state participates in the compact agreement, she may practice in other states participating in the agreement, but should renew her license in her home state.
- D. The RN license is a mandatory license.
Correct Answer: C
Rationale: Step 1: The correct answer is C because the nurse can practice in other compact states if her home state participates in the compact agreement.
Step 2: The Nurse Licensure Compact (NLC) allows nurses to practice in other compact states with one multistate license.
Step 3: Nurses must maintain an active license in their home state and follow the regulations of the compact agreement.
Step 4: Answer A is incorrect as graduates can use the title RN upon passing the NCLEX.
Step 5: Answer B is incorrect as the nurse must meet each state's requirements to practice there with the compact license.
Step 6: Answer D is incorrect as the RN license is not mandatory if the nurse does not intend to practice.
Which of the following statements regarding leadership and management is true?
- A. Leadership is focused on the achievement of organizational goals.
- B. One must develop the ability to adapt in order to lead.
- C. Management occurs when an individual attempts to influence another.
- D. Successful managers encourage others to work together toward a common goal.
Correct Answer: D
Rationale: Rationale:
D is the correct answer because successful managers indeed play a key role in encouraging collaboration and teamwork to achieve common goals. Managers are responsible for overseeing tasks, guiding employees, and fostering a positive work environment. By encouraging teamwork, managers can enhance productivity and efficiency within the organization.
A: Leadership focuses on inspiring and guiding others towards achieving organizational goals, not just solely achieving goals themselves.
B: The ability to adapt is important for effective leadership, but it is not the defining characteristic.
C: Management involves influencing others, but it is not solely about attempting to influence others; it also involves planning, organizing, and controlling resources.
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
- A. Wear an N95 respirator when giving direct care to the client.
- B. Place the client in a private room with negative-pressure airflow.
- C. Ensure the client's room has at least six air exchanges per hour.
- D. Ensure the client wears a mask when outside their room if there is construction in the area.
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client.
Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression.
Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant.
Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.
Which of the following may be considered an absenteeism management strategy?
- A. Holding regular meetings to address absenteeism
- B. Limiting career growth opportunities
- C. Reducing job stress
- D. Neglecting the issue
Correct Answer: C
Rationale: The correct answer is C: Reducing job stress. This is an absenteeism management strategy because high job stress can lead to increased absenteeism. By reducing stress through various methods such as workload management, providing support, and promoting work-life balance, organizations can effectively reduce absenteeism rates. Holding regular meetings (A) is important for communication but not a direct absenteeism strategy. Limiting career growth opportunities (B) may actually increase absenteeism due to lack of motivation. Neglecting the issue (D) will only worsen absenteeism rates.