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Language is an unavoidable barrier for many patients in the U.S. What role do ad hoc interpreters play in bridging the language gap?
- A. Ad hoc interpreters may be helpful, but they lack the clinical foundation and experience of trained medical interpreters
- B. Ad hoc interpreters make invaluable contributions to patient care
- C. Ad hoc interpreters are economical and convenient for physicians and patients
- D. Ad hoc interpreters offer little help in communicating with patients
Correct Answer: A
Rationale: Ad hoc interpreters can assist but lack the precision and training of medical interpreters.
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Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
- A. Call the doctor and advise them that the client's physical status has significantly changed and that they have just had a cardiopulmonary arrest.
- B. Begin cardiopulmonary resuscitation other emergency life saving measures.
- C. Notify the family of the client's condition and ask them what they should be done for the client.
- D. Insure that the client is without any distressing signs and symptoms at the end of life.
Correct Answer: A
Rationale: Resuscitation must begin immediately as per the advance directive until further instructions from the doctor.
What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016?
- A. 7/7/2017
- B. 8/7/2017
- C. 6/7/2017
- D. 8/1/2017
Correct Answer: A
Rationale: Using Naegele's rule, the due date is calculated as July 7, 2017.
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
- A. Secondary intention healing
- B. Tertiary intention healing
- C. Primary prevention healing
- D. Secondary prevention healing
Correct Answer: A
Rationale: Secondary intention (A) occurs with open, infected wounds like peritonitis.
If-efficacy is one of the main components of self esteem. If a person has high self efficacy he/she is likely to
- A. Believe that most assignments are difficult and confusing
- B. Ask for a considerable amount of help in determining how to start a difficult task
- C. Feel that he/she lacks the skill necessary to carry out a specific task
- D. Believe that he/she has the ability to do what is necessary to accomplish the task
Correct Answer: D
Rationale: High self-efficacy (Bandura) is the belief in one's capability to succeed, boosting confidence in tasks.
Select the complication of intravenous therapy that is accurately paired with one of its interventions.
- A. Infection: Lowering the limb to promote circulation
- B. Infiltration: The application of cold to the site
- C. Extravasation: The aspiration of contents including blood from the IV cannula
- D. Hematoma: The administration of dexrazonxane
Correct Answer: C
Rationale: Extravasation (C) involves aspirating contents to mitigate damage.