Nokea
Clinitest is used to assess urine for
- A. Protein
- B. Sugar
- C. Phenylketones
- D. Bilirubin
Correct Answer: B
Rationale: Clinitest detects sugar e.g., glucose in diabetes via tablet reaction, unlike acetic (protein), PKU tests (phenylketones), or bilirubin assays. Nurses use e.g., bedside for quick checks, per diagnostics.
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The nurse is caring for a client with a T4 spinal cord injury. Which finding indicates that the client is experiencing neurogenic shock?
- A. Blood pressure 82/40 mm Hg, pulse 48 beats/min
- B. Blood pressure 150/90 mm Hg, pulse 110 beats/min
- C. Blood pressure 110/70 mm Hg, pulse 88 beats/min
- D. Blood pressure 130/80 mm Hg, pulse 62 beats/min
Correct Answer: A
Rationale: Neurogenic shock in T4 SCI features hypotension and bradycardia (A, 82/40, 48 bpm) from sympathetic loss. Hypertension/tachycardia (B) suggests dysreflexia. C and D are normalish. A is correct. Rationale: Loss of vasomotor tone below T4 causes vasodilation and unopposed vagal activity, per SCI pathophysiology, requiring fluids and atropine.
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
- A. At bedtime
- B. With breakfast
- C. Before lunch
- D. After dinner
Correct Answer: B
Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.
Which of the following findings is associated with right-sided heart failure?
- A. Shortness of breath
- B. Nocturnal polyuria
- C. Daytime oliguria
- D. Crackles in the lungs
Correct Answer: B
Rationale: Nocturnal polyuria is linked to right-sided heart failure, where fluid shifts from edematous tissues to the bloodstream at night, increasing urine output as the heart struggles to pump against venous congestion. Shortness of breath and crackles typify left-sided failure, while daytime oliguria isn't specific. Nurses monitor this to assess heart function, guiding fluid management and diuretic use effectively.
Which of the following statement best describe fidelity in nursing?
- A. Telling the truth
- B. Keeping promises
- C. Doing good
- D. Avoiding harm
Correct Answer: B
Rationale: Fidelity in nursing is keeping promises (B), per ethics e.g., returning as pledged. Telling truth (A) is veracity, doing good (C) beneficence, avoiding harm (D) nonmaleficence not promise-focused. B best defines fidelity's commitment to trust, a cornerstone of nurse-patient relationships, making it the correct description.
Which of the following statement best describe incident reporting?
- A. Hiding errors
- B. Reporting adverse events
- C. A patient task
- D. A routine check
Correct Answer: B
Rationale: Incident reporting is reporting adverse events (B), per nursing e.g., falls logged. Not hiding (A), not task (C), not routine (D) safety-focused. B best defines its role, improving Mr. Gary's care safety, making it correct.