Nokea
Contraindications to Lumbar puncture include all except:
- A. Raised ICP
- B. Neoplasm
- C. Hematoma
- D. Headache
Correct Answer: D
Rationale: Lumbar puncture (LP) risks complications if contraindicated. Raised intracranial pressure (ICP) (choice A) can cause herniation post-LP, a fatal risk. Neoplasm (choice B) or hematoma (choice C) may increase ICP or bleeding risk, making LP dangerous. Headache (choice D) is a symptom, not a contraindication, and may even prompt LP (e.g., meningitis diagnosis). D is correct, as headache doesn't preclude LP. Nurses assess for ICP signs (e.g., papilledema), ensure safety, and manage post-LP headaches, supporting diagnostic accuracy.
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Which of the following Nursing diagnosis is INCORRECT?
- A. Fluid volume deficit R/T Diarrhea
- B. High risk for injury R/T Absence of side rails
- C. Possible ineffective coping R/T Loss of loved one
- D. Self esteem disturbance R/T Effects of surgical removal of the leg
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving continuous enteral feedings. Which of the following interventions should the nurse implement?
- A. Monitor intake and output every 8 hours.
- B. Flush the feeding tube every 4 hours.
- C. Measure the client's temperature every 24 hours.
- D. Change the feeding bag and tubing every 72 hours.
Correct Answer: B
Rationale: Flushing the feeding tube every 4 hours is essential to maintain patency and prevent clogging, ensuring the client receives the prescribed enteral nutrition without interruption. Monitoring intake and output, measuring temperature, and changing the feeding bag and tubing are also important aspects of care but not directly related to maintaining the patency of the feeding tube in a client receiving continuous enteral feedings.
Which of the following statement is TRUE about responsibility?
- A. The nurse can delegate all her tasks
- B. Means the nurse is liable for her actions
- C. The nurse should not accept tasks she's not competent
- D. All of the above
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Postulated the INTERPERSONAL ASPECT OF NURSING
- A. Travelbee
- B. Swanson
- C. Zderad
- D. Peplau
Correct Answer: A
Rationale: Joyce Travelbee's Interpersonal Theory, from the 1960s, views nursing as a human-to-human relationship during illness e.g., helping a patient find meaning in cancer. Swanson's caring processes, Zderad's humanism, and Peplau's therapeutic focus differ. Travelbee's emphasis on interpersonal coping and meaning-making, distinct from Parse's human becoming, guides nurses in emotional support, especially in terminal care.
The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
- A. Codeine
- B. Aspirin
- C. Penicillin
- D. Sulfa drugs
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.