Nokea
Growth chart is also known as:
- A. New Ballard Scale
- B. Road to health chart
- C. Apgar Score
- D. GCS Score
Correct Answer: B
Rationale: Growth charts track child development. New Ballard Scale (choice A) assesses gestational age, not growth. Road to health chart (choice B), per WHO, plots weight-for-age, monitoring nutrition and health longitudinally. Apgar Score (choice C) evaluates newborns at birth, not growth. GCS Score (choice D, Glasgow Coma Scale) assesses consciousness. B is correct, synonymous with growth charts. Nurses use it to detect malnutrition, educate caregivers, and guide interventions, ensuring child well-being.
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Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?
- A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
- B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
- C. Medicate client for pain
- D. Tell client that cooperation is vital to improve recovery
Correct Answer: C
Rationale: Medicating for pain (C) is needed before teaching post-splenectomy exercises; pain hinders participation, per nursing care. General benefits (A), specific risks (B), and cooperation (D) follow pain control. C ensures effective learning, making it correct.
The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care?
- A. A student entering a local university
- B. A client who is a migrant and works on a farm
- C. An older adult client living independently
- D. A client who has been unemployed for 6 months
Correct Answer: B
Rationale: Barriers to healthcare access often hit vulnerable groups hardest, requiring nursing intervention. A migrant farm worker faces language, mobility, and economic hurdles, limiting care access e.g., no insurance or transport. An older adult living alone may struggle with mobility, health literacy, or isolation, delaying treatment. An unemployed client, lacking income or coverage, often skips care due to cost, risking worsening conditions. A student entering university or an employed pregnant client typically has fewer systemic barriers students may access campus health, employed clients insurance. Nursing must target the migrant, elderly, and jobless, addressing disparities poverty, age, ethnicity ensuring equitable care. This reflects nursing's equity mission, bridging gaps for those society sidelines, enhancing health outcomes through advocacy and resource linkage.
The physician has ordered amitriptyline (Elavil) for a client with depression. The nurse should tell the client that:
- A. The medication will produce a rapid improvement in mood
- B. He might experience difficulty with urination
- C. He should avoid milk products while taking the medication
- D. The medication should be discontinued if he experiences dry mouth
Correct Answer: B
Rationale: Difficulty with urination is a common amitriptyline side effect (anticholinergic), needing monitoring mood improvement takes weeks, milk isn't restricted, and dry mouth doesn't warrant stopping. Nurses teach this, managing expectations, ensuring adherence in depression treatment.
The nurse threatened to force Mr. Gary to take meds. This is an example of?
- A. Assault
- B. Battery
- C. Negligence
- D. Malpractice
Correct Answer: A
Rationale: Threatening to force meds is assault (A) intentional threat, per law. Battery (B) touch, negligence (C) lapse, malpractice (D) breach not threat-specific. A fits the nurse's menacing act toward Mr. Gary, making it correct.
Which of the following statement is NOT true about health care economics?
- A. Affects care delivery
- B. Involves funding
- C. Ignores patient needs
- D. Shapes policy
Correct Answer: C
Rationale: Economics affects delivery (A), involves funding (B), shapes policy (D) 'ignores patient needs' (C) isn't true, impacts them, per system. C's neglect contradicts economics' role, like Mr. Gary's care costs, making it untrue.