Nokea
In obtaining a urine specimen for culture and sensitivity on a catheterized patient, the nurse is correct if:
- A. Clamp the catheter for 30 minutes, Alcoholize the tube above the clamp site, Obtain a sterile syringe and draw the
- B. Alcoholize the self sealing port, obtain a sterile syringe and draw the specimen on the self sealing port
- C. Disconnect the drainage bag, obtain a sterile syringe and draw the specimen from the drainage bag
- D. Disconnect the tube, obtain a sterile syringe and draw the specimen from the tube
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You are taking care of critically ill client and the doctor in charge calls to order a DNR (do not resuscitate) for the client. Which of the following is the appropriate action when getting DNR order over the phone?
- A. Have the registered nurse, family spokesperson, nurse supervisor and doctor sign
- B. Have 2 nurse validate the phone order, both nurses sign the order and the doctor should sign his order within 24
- C. Have the registered nurse, family and doctor sign the order
- D. Have 1 nurse take the order and sign it and have the doctor sign it within 24 hours
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the rationale in the use of bag technique during home visits?
- A. It helps render effective nursing care to clients or other members of the family
- B. It saves time and effort of the nurse in the performance of nursing procedures
- C. It should minimize or prevent the spread of infection from individuals to families
- D. It should not overshadow concerns for the patient
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Legally, Patients chart are:
- A. Owned by the government since it is a legal document
- B. Owned by the doctor in charge and should be kept from the administrator for whatever reason
- C. Owned by the hospital and should not be given to anyone who request it other than the doctor in charge
- D. Owned by the patient and should be given by the nurse to the client as requested
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for an infant whose parent reports the infant takes a bottle to go to sleep. What should the nurse instruct to prevent baby bottle tooth decay?
- A. Water
- B. Milk
- C. Iron-fortified formula
- D. Unsweetened fruit juice
Correct Answer: A
Rationale: The correct answer is A, Water. Water is recommended to prevent baby bottle tooth decay caused by sugary substances present in milk, formula, or fruit juice. Water does not contain sugars that can contribute to tooth decay, unlike the other options. Milk, formula, and unsweetened fruit juice can all lead to tooth decay if the baby falls asleep with them in their mouth, as the sugars can linger on the teeth and cause decay over time. Iron-fortified formula, although beneficial for the infant's nutrition, still contains sugars that can be harmful to the teeth.
A nurse is discussing sources of vitamin K with a client. Which food should the nurse recommend?
- A. Fish
- B. Leafy greens
- C. Citrus fruits
- D. Nuts
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.