Nokea
In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
- A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
- D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.
Correct Answer: C
Rationale: The correct order is C. First, rotate the NPH vial to mix the insulin. Then, inject 20 units of air into the NPH vial to prevent a vacuum. Next, inject 2 units of air into the regular insulin vial to maintain pressure. After that, withdraw the regular insulin to avoid contamination. Finally, withdraw 20 units of NPH, ensuring the correct dosage. This order ensures proper mixing, prevents contamination, and maintains accurate dosing. Other choices have incorrect sequences that may result in inaccurate dosing or contamination.
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In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct Answer: C
Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.
A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?
- A. Airborne
- B. Protective environment
- C. Contact
- D. Droplet
Correct Answer: B
Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.
Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?
- A. Patient outcomes
- B. Rapport with staff
- C. Daily job performance
- D. Flexibility
Correct Answer: A
Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care.
Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.
Which of the following is an example of an ethical dilemma in nursing?
- A. Choosing between two equally undesirable alternatives
- B. Reporting a colleague's unethical behavior
- C. Balancing patient confidentiality with the need to disclose information
- D. Deciding whether to comply with a patient's request that conflicts with professional ethics
Correct Answer: D
Rationale: The correct answer is D because it presents a situation where a nurse must navigate conflicting values, such as respecting patient autonomy while upholding professional ethical standards. By complying with the patient's request, the nurse may compromise ethical principles.
A: Choosing between two equally undesirable alternatives is a moral dilemma, not necessarily an ethical dilemma.
B: Reporting a colleague's unethical behavior is an ethical obligation, not a dilemma.
C: Balancing patient confidentiality with the need to disclose information is an ethical consideration, but it does not inherently present a dilemma as it can be managed through established guidelines.
Which laboratory value reported to the nurse by the unlicensed assistive personnel (UAP)
indicates the most urgent need for the nurse’s assessment of the patient?
- A. Bedtime glucose of 140 mg/dL
- B. Noon blood glucose of 52 mg/dL
- C. Fasting blood glucose of 130 mg/dL
- D. 2-hr postprandial glucose of 220 mg/dL
Correct Answer: B
Rationale: The correct answer is B: Noon blood glucose of 52 mg/dL. This value indicates hypoglycemia, which can lead to serious complications like confusion, seizures, or coma. Immediate assessment and intervention are crucial.
A: Bedtime glucose of 140 mg/dL is within the normal range.
C: Fasting blood glucose of 130 mg/dL is slightly elevated but doesn't require urgent assessment.
D: 2-hr postprandial glucose of 220 mg/dL is elevated but not as critical as hypoglycemia.