Nokea
In what order should the PN implement these steps to provide wound care? (Place in correct order.)
- A. Don procedure gloves
- B. Remove the dressing
- C. Apply prescribed medications to the wound
- D. All of the Above
Correct Answer: D
Rationale: The correct answer is 'D - All of the Above.' The PN should first don procedure gloves to maintain aseptic technique, then remove the dressing to assess the wound, and finally apply prescribed medications to the wound. This sequence ensures that non-sterile tasks like donning gloves are done before sterile tasks like applying medications, reducing the risk of wound contamination. Choices A, B, and C are all essential steps in providing effective wound care.
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The PN notes that a UAP is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?
- A. Instruct the UAP to walk on the client's affected side
- B. Take over the ambulation and provide guidance to the UAP immediately
- C. Provide the client with an assistive device, such as a cane or walker
- D. Tell the UAP to take the client back to his room
Correct Answer: A
Rationale: The correct action for the PN to take is to instruct the UAP to walk on the client's affected side. This is essential to provide the necessary support and prevent falls, especially when the client has weakness on one side due to a stroke. Walking on the affected side helps provide stability and assistance to the weaker side. Choice B is incorrect because it would be more appropriate for the PN to provide immediate guidance and correct the UAP's positioning rather than taking over the task completely. Choice C is incorrect because while assistive devices may be beneficial, the immediate concern is the UAP's positioning during ambulation, not providing the client with an assistive device. Choice D is incorrect as there is no indication to return the client to his room unless it is necessary for his safety or well-being.
Which of the following components of nutrition has a primary function of helping with tissue growth and repair?
- A. Vitamin D
- B. Vitamin E
- C. Protein
- D. Fat
Correct Answer: C
Rationale: Protein is the correct answer as it is essential for tissue growth and repair. Proteins are composed of amino acids, the building blocks of body tissues. While vitamins D and E have important roles in the body, they are not primarily responsible for tissue growth and repair. Fats are crucial for various bodily functions, like providing energy, but they are not the primary component involved in tissue growth and repair.
The UAP reports to the nurse that a client refused to bathe for the third consecutive day. Which action is best for the nurse to take?
- A. Explain the importance of good hygiene to the client
- B. Ask family members to encourage the client to bathe
- C. Reschedule the bath for the following day
- D. Ask the client why the bath was refused
Correct Answer: D
Rationale: The correct action for the nurse to take is to ask the client why the bath was refused. Understanding the client's reason for refusal is crucial in identifying and addressing any underlying concerns or issues that may be contributing to the refusal. This approach promotes open communication, client-centered care, and helps in developing a plan of care that is tailored to the client's needs and preferences. Choices A, B, and C do not directly address the root cause of the refusal and may not effectively resolve the situation.
Which task could the nurse safely delegate to the UAP?
- A. Oral feeding of a two-year-old child after application of a hip spica cast
- B. Assessment of the placement and patency of an NG tube
- C. Participation in staff rounds to record notes regarding client goals
- D. Evaluation of a client's incisional pain following narcotic administration
Correct Answer: A
Rationale: The correct answer is A because oral feeding of a stable child is a task that can be safely delegated to a UAP. This task does not require nursing assessment or clinical judgment. Choice B involves assessment, which requires the nurse's clinical judgment. Choice C involves recording client goals during staff rounds, which may require interpretation and understanding of the goals set. Choice D involves evaluating a client's pain following medication administration, which requires assessment and clinical judgment by a nurse.
Which hormone is primarily responsible for the regulation of calcium and phosphate in the blood?
- A. Parathyroid hormone
- B. Insulin
- C. Cortisol
- D. Thyroxine
Correct Answer: A
Rationale: Parathyroid hormone is the correct answer. It regulates calcium and phosphate levels in the blood by increasing calcium reabsorption in the kidneys and releasing calcium from bones. Insulin is involved in glucose metabolism, not calcium and phosphate regulation. Cortisol is a stress hormone and is not primarily responsible for regulating calcium and phosphate levels. Thyroxine is a thyroid hormone that primarily regulates metabolism, not calcium and phosphate in the blood.