Nokea
Color coded and gender typed clothing of infants and children are
- A. No longer allowed in hospitals
- B. Likely to change dramatically in the next 20 years
- C. universal
- D. Acceptable only in industrialized countries
Correct Answer: C
Rationale: Gender-typed clothing (e.g., pink for girls) is a widespread, universal practice.
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Which of the following health care system barriers can affect a patient's adherence?
- A. Treatment of asymptomatic disease
- B. Inadequate follow-up or discharge planning
- C. Forgetfulness
- D. Inadequate health insurance
Correct Answer: B
Rationale: Inadequate follow-up or discharge planning disrupts continuity of care, a systemic barrier to adherence.
The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration?
- A. The American Nurses Association's Scopes of Practice
- B. The American Nurses Association's Standards of Care
- C. State statutes
- D. Federal law
Correct Answer: C
Rationale: State statutes define the legal scope of practice for nurses and other healthcare personnel.
The most appropriate nursing intervention with Marie (from question 9) would be to:
- A. Refer her to her family physician for a complete physical examination.
- B. Suggest she seek outside employment now that her children have left home.
- C. Identify convenient support systems for times when she is feeling particularly despondent.
- D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
- A. Western blot
- B. Viral load testing
- C. P24 antigen testing
- D. Enzyme-linked immunosorbent assay
Correct Answer: B
Rationale: The correct answer is B: Viral load testing. This test measures the amount of HIV RNA in the blood, reflecting the effectiveness of antiretroviral therapy in suppressing viral replication. Monitoring viral load helps assess treatment response and determine if adjustments are needed.
A: Western blot is used for confirming HIV infection, not for monitoring treatment response.
C: P24 antigen testing detects a protein associated with HIV infection but is not as sensitive as viral load testing for monitoring therapy.
D: Enzyme-linked immunosorbent assay (ELISA) is used for initial HIV screening, not for monitoring treatment response.
How many drops per minute would you administer when the doctor's order states that the client should receive 1 liter of fluid over 8 hours and the intravenous set delivers 20 gtts per cc?
- A. 31 gtts
- B. 42 gtts
- C. 48 gtts
- D. 51 gtts
Correct Answer: A
Rationale: 1 L = 1000 mL; 1000 mL / 8 hr = 125 mL/hr; 125 mL x 20 gtts/mL / 60 min = 31.25 gtts/min, rounded to 31 (A).