Nokea
Indicate true or false: (Adapted: Which statement is true about IV solutions?)
- A. Hypotonic solutions should be replaced intracellular fluid loss.
- B. Smaller veins are ideal for intravenous solutions that are irritating.
- C. Both statements are true.
- D. Neither statement is true.
Correct Answer: A
Rationale: Hypotonic solutions (e.g., 0.45% saline) shift fluid into cells, replacing intracellular loss (e.g., dehydration), making this true ideal for cellular rehydration. Smaller veins aren't ideal for irritating solutions (e.g., potassium); larger veins dilute and tolerate them better, reducing phlebitis making this false. Adapting the true/false format, 'hypotonic solutions should replace intracellular loss' stands as true, supported by fluid dynamics in nursing. Both being true fails due to the vein statement. Neither true ignores the hypotonic role. The first statement's accuracy aligns with IV therapy principles, guiding nurses in fluid management, making it the correct choice.
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The nurse ensured Mr. Gary's treatment wishes were followed. This is an example of?
- A. Advocacy
- B. Management
- C. Health literacy
- D. Quality improvement
Correct Answer: A
Rationale: Ensuring treatment wishes is advocacy (A) protecting rights, per definition. Management (B) organizes, literacy (C) understands, QI (D) enhances not rights-specific. A fits patient voice, making it correct.
What is an example of a subjective data?
- A. Heart rate of 68 beats per minute
- B. Yellowish sputum
- C. Client verbalized, 'I feel pain when urinating.'
- D. Noisy breathing
Correct Answer: C
Rationale: Subjective data consists of information reported by the patient, reflecting their personal experiences, sensations, or perceptions, which cannot be directly measured by the nurse. The statement 'I feel pain when urinating' is a classic example, as it conveys the patient's subjective sensation of pain, reliant on their verbal report rather than objective observation. This type of data is crucial for understanding symptoms like pain or discomfort that lack visible signs. In contrast, a heart rate of 68 beats per minute is objective, measurable via pulse check. Yellowish sputum and noisy breathing are also objective, observable through sight and sound during assessment. Subjective data, like the patient's pain report, enhances the nurse's ability to assess holistic needs, guiding further inquiry or intervention, such as checking for urinary tract issues, making it distinct from observable, objective findings.
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
- A. Increased appetite
- B. Elevated liver enzymes
- C. Hypotension
- D. Improved short-term memory
Correct Answer: B
Rationale: Elevated liver enzymes are a key adverse reaction to Cognex, requiring monitoring in dementia appetite, BP, and memory aren't primary concerns. Nurses check LFTs, ensuring safety, critical for managing Alzheimer's medication risks.
Which of the following is the nurse's role in the health promotion
- A. Health risk appraisal
- B. Teach client to be effective health consumer
- C. Worksite wellness
- D. None of the above
Correct Answer: B
Rationale: Teaching clients to manage their health effectively is a key nursing role in promotion.
A healthcare provider is providing teaching to a client regarding protein intake. Which of the following foods should the healthcare provider include as an example of an incomplete protein?
- A. Eggs
- B. Soybeans
- C. Lentils
- D. Yogurt
Correct Answer: C
Rationale: The correct answer is C: Lentils. Incomplete proteins lack one or more essential amino acids required for protein synthesis in the body. Examples of incomplete proteins include lentils, vegetables, grains, nuts, and seeds. Lentils, a plant-based protein source, are considered incomplete as they do not contain all essential amino acids in sufficient amounts. Choices A, B, and D are incorrect as eggs, soybeans, and yogurt are examples of complete proteins, containing all essential amino acids in the right proportions for the body's needs.