Nokea
The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?
- A. A community-based nurse would provide care in a mobile unit in the neighborhood.
- B. A community-based nurse only provides education.
- C. A community health nurse performs cardiac assessments.
- D. A community health nurse only provides hands-on care.
Correct Answer: A
Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.
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The nurse is discussing legal issues surrounding OB nursing. What statement might that nurse make?
- A. Legal issues are the concern of the OB.'
- B. I'm glad that people understand that all childbirth carries risk.'
- C. Medical malpractice insurance is cheap.'
- D. OB nurses are held to a standard of care and can be sued if proper care is not provided.'
Correct Answer: D
Rationale: The correct answer is D because OB nurses are indeed held to a standard of care and can be sued if proper care is not provided. OB nurses have a duty to ensure the safety and well-being of both the mother and the baby during childbirth. Failure to meet this standard of care can result in legal consequences such as being sued for medical malpractice.
Choice A is incorrect because legal issues surrounding OB nursing are not solely the concern of the OB, but rather a shared responsibility among all healthcare providers involved in the care of the mother and baby.
Choice B is incorrect as it does not directly address legal issues surrounding OB nursing, but rather focuses on the general understanding of childbirth risks.
Choice C is incorrect as medical malpractice insurance is not necessarily cheap, and the cost can vary depending on factors such as the nurse's experience, the hospital's history of malpractice claims, and the specific coverage needed.
In summary, choice D is the correct answer as it directly addresses the legal responsibilities and potential
A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:
- A. Activates the liver to dispose the bilirubin
- B. Breaks down the unconjugated bilirubin in the skin to conjugated form permitting excretion
- C. Activates Vit. K to facilitate excretion of the bilirubin
- D. Dissolves the bilirubin and allows it to be excreted from the skin
Correct Answer: B
Rationale: Phototherapy converts bilirubin into a form that can be excreted.
For which health history should the nurse counsel a woman that the diaphragm may lead to a recurrence of her problem?
- A. Urinary tract infections.
- B. Herpes simplex infections.
- C. Deep vein thromboses.
- D. Human papilloma warts.
Correct Answer: A
Rationale: Diaphragm use can increase the risk of UTIs.
The nurse is caring for a 14-year-old girl with multiple health problems. Which activity would best reflect evidence-based practice by the nurse?
- A. Following blood pressure monitoring recommendations
- B. Determining how often the vital signs are monitored
- C. Using hospital protocol for ordering diagnostic tests
- D. Deciding the prescribed medication dose
Correct Answer: A
Rationale: Using hospital protocol for ordering a diagnostic test, determining how often the vital signs are monitored, and deciding the medication dose ordered would be the health care provider's responsibility. However, following blood pressure monitoring recommendations would be part of evidence-based practice reflected in the nursing care delivered.
A yellow crust has formed over the circumcision site.
- A. After circumcision, the diaper should be changed frequently and fastened snugly.
- B. This yellow crust is an early sign of infection.
- C. The yellow crust should not be removed.
- D. Discontinue the use of petroleum jelly to the tip of the penis.
Correct Answer: C
Rationale: The yellow crust is part of the healing process and should not be removed.