Nokea
In palpating the client's breast, Which of the following position is necessary for the patient to assume before the start of the procedure?
- A. Supine
- B. Dorsal recumbent
- C. Sitting
- D. Lithotomy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse followed state laws on what she can do for Mr. Gary. This is an example of?
- A. Scope of practice
- B. Licensure
- C. Malpractice
- D. Health literacy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your assigned client has encephalitis, and there are other cases in the community. In a team meeting regarding your client and prevention of other cases of encephalitis, the nurse supervisor talks about breaking the chain of infection at the second link: the reservoir. You realize the nurse supervisor is talking about which of the following things?
- A. an area for the storage and filtering of water
- B. a place where the microorganism enters the body
- C. the place where the microorganism naturally lives
- D. the microorganism itself
Correct Answer: C
Rationale: Breaking the infection chain at the reservoir means targeting where the microorganism naturally lives like mosquitoes for encephalitis. This differs from the pathogen itself, entry portals, or unrelated water storage. Controlling reservoirs, such as vector elimination, stops transmission early, a vital nursing strategy in outbreak prevention discussed in team settings.
A healthcare professional is preparing to administer a subcutaneous injection. Which of the following actions should the healthcare professional take?
- A. Use a 1-inch needle.
- B. Insert the needle at a 90-degree angle.
- C. Use a tuberculin syringe.
- D. Aspirate before injecting.
Correct Answer: B
Rationale: When administering a subcutaneous injection, it is important to insert the needle at a 90-degree angle to ensure proper medication delivery into the subcutaneous tissue. This angle helps prevent the medication from being injected too deeply or too superficially, ensuring optimal absorption and therapeutic effect.
When assessing a client with diabetes mellitus experiencing DKA, which of the following findings should the nurse expect?
- A. Tremors
- B. Urine retention
- C. Kussmaul respirations
- D. Bradypnea
Correct Answer: C
Rationale: Kussmaul respirations are a type of deep and labored breathing pattern associated with severe metabolic acidosis, commonly observed in diabetic ketoacidosis (DKA). In DKA, the body tries to compensate for the acidic environment by increasing the respiratory rate, resulting in Kussmaul respirations. This helps eliminate excess carbon dioxide and reduce the acidity of the blood.
Which of the following statement best describe advocacy in nursing?
- A. Ignoring patient wishes
- B. Protecting patient rights
- C. A routine task
- D. A medical diagnosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.