Nokea
All of the following are common reasons that nurses are reluctant to delegate except:
- A. lack of self-confidence.
- B. desire to maintain authority.
- C. confidence in subordinates.
- D. getting trapped in the 'I can do it better myself' mindset.
Correct Answer: C
Rationale: If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more likely to delegate. Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it themselves.
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The hospitalized client is able to stand to use an electronic digital scale for obtaining the client's prescribed daily weight. Which nursing interventions best ensure that the client's daily weight is accurate? Select all that apply.
- A. Ask the client to wear supportive shoes before stepping on the scale
- B. Ensure that the scale is calibrated and “zeroed†before a weight is obtained
- C. Weigh the client by moving the sliding indicator until the scale balances
- D. Weigh the client at different times of the day and then average the weights
- E. Take the weight as soon as the client wakens in the morning and after voiding
Correct Answer: B,E
Rationale: B: Calibration ensures accuracy. E: Weighing post-voiding at the same time daily standardizes results. A: Shoes add weight. C: Sliding indicators are for balance scales. D: Averaging weights reduces accuracy.
The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?
- A. serotonin
- B. cortisone
- C. alcohol
- D. narcotics
Correct Answer: A
Rationale: Serotonin is a substance that is in the body and promotes sleep. Serotonin might play a role in synthesis of a hypnogenic factor that directly causes sleep. Drugs and alcohol can disrupt REM sleep, although they might accelerate the onset of sleep.
A nurse is assessing a patient's right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient's condition?
- A. Herpes
- B. Scleroderma
- C. Dermatitis
- D. Cellulitis
Correct Answer: D
Rationale: Inflammation of cellular tissue associated with a fever most likely indicates cellulitis.
The client has asked if you would be able to offer any alternative or complementary therapy during their hospitalization. Which of the following would be appropriate to suggest? A. Physical therapy,B. Music therapy, C. Psychiatric therapy, D. Occupational therapy, E. Pet therapy
- A. B and E
- B. A and E
- C. C and D
- D. B and C
Correct Answer: A
Rationale: Music therapy and pet therapy are two forms of alternative or complementary therapy that may improve the client's condition and level of comfort. Physical, occupational, and/or psychiatric therapy are treatments that may be part of the client's care plan, and they are not considered complementary or alternative treatments. Additionally, they usually require a prescription or referral where music therapy and pet therapy typically do not.
The client was treated for constipation 1 month earlier. On a return clinic visit, which statement would best assist the nurse to evaluate that the client is no longer constipated?
- A. I drink 2000 milliliters of fluids daily, including drinking 4 ounces of prune juice.
- B. I have had a soft-formed stool without straining every other day for the past 2 weeks.
- C. I needed to give myself only one disposable enema since my appointment last month.
- D. I have a lot of discomfort from hemorrhoids during my daily bowel movements.
Correct Answer: B
Rationale: B: Soft stools every other day without straining indicates resolved constipation. A: Fluid intake prevents constipation but doesn't confirm resolution. C: Enema use doesn't confirm regular bowel function. D: Hemorrhoid discomfort doesn't clarify stool frequency or consistency.