Nokea
Mr. Gary signed a DNR to avoid CPR. This is an example of?
- A. DNR order
- B. Advance directives
- C. Health policy
- D. Nursing informatics
Correct Answer: A
Rationale: Signing to avoid CPR is a DNR order (A) specific directive, per definition. Advance directives (B) broader, policy (C) rules, informatics (D) tech not CPR-specific. A fits Mr. Gary's precise wish, part of broader directives, making it correct.
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When the physician telephones to order a therapy such as a medication for the client of a student nurse, who is the best person to take this telephone order?
- A. whoever is authorized by hospital policy
- B. the student nurse giving the client's care
- C. the student nurse's instructor
- D. any licensed nurse on duty
Correct Answer: A
Rationale: Hospital policy dictates who takes telephone orders, ensuring legal and safety compliance, typically a licensed nurse, not a student or instructor alone. This standard protects clients from errors by untrained personnel, aligning with nursing scope and institutional rules for accurate order execution.
The nurse is providing dietary instruction for a client with hypoglycemia. To prevent hypoglycemic reactions, the nurse should instruct the client to:
- A. Eat a candy bar if he feels lightheaded
- B. Always carry a quick source of sugar
- C. Limit his intake of fluids with meals
- D. Avoid eating large meals
Correct Answer: B
Rationale: Carrying a quick sugar source (e.g., glucose tabs) prevents hypoglycemic reactions by rapidly raising blood sugar candy is less precise, fluid limits are unrelated, and large meals don't directly cause drops. Nurses teach this, ensuring safety, critical for hypoglycemia management.
Which of the following statement best describe spiritual care in nursing?
- A. Ignoring beliefs
- B. Supporting spiritual needs
- C. A medical fix
- D. A one-time talk
Correct Answer: B
Rationale: Spiritual care is supporting spiritual needs (B), per nursing e.g., prayer support. Not ignoring (A), not medical (C), not one-time (D) holistic focus. B best defines its role, enhancing Mr. Gary's well-being, making it correct.
The nurse is caring for a client who sustained a traumatic brain injury. Which intervention should the nurse perform to prevent an increase in intracranial pressure (ICP)?
- A. Suction the client every hour
- B. Maintain the head of the bed at 30 degrees
- C. Encourage the client to cough frequently
- D. Administer a bolus of intravenous fluids
Correct Answer: B
Rationale: Maintaining HOB at 30 degrees (B) reduces ICP by aiding venous drainage. Hourly suctioning (A) or coughing (C) raises ICP. Fluid bolus (D) may worsen it. B is correct. Rationale: Elevation optimizes cerebral perfusion pressure while minimizing ICP, per brain injury care standards, unlike actions that increase intrathoracic pressure.
They put girls clothes on male infants to drive evil forces away
- A. Chinese
- B. Egyptian
- C. Indian
- D. Babylonian
Correct Answer: A
Rationale: Ancient Chinese dressed male infants in girls' clothes to confuse demons e.g., during infancy rites believing males drew evil. Unlike Egyptian, Indian, or Babylonian customs, this reflects spiritual protection, offering insight into cultural health beliefs relevant to nursing's cultural competence.