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On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
- A. Use a damp cloth to remove the dust.
- B. Use a feather duster to remove dust.
- C. Vacuum up the dust.
- D. Use a broom covered with a cloth.
Correct Answer: A
Rationale: Teaching the family to use a damp cloth removes dust effectively, trapping particles rather than dispersing them, unlike feather dusters or brooms. Vacuuming works but isn't always practical for small areas. This method reduces allergens and infection risks in the home, a simple, accessible nursing intervention for environmental hygiene.
You may also like to solve these questions
Which of the following statement best describe nursing informatics?
- A. A type of surgery
- B. Use of technology in nursing
- C. A medical diagnosis
- D. A cultural practice
Correct Answer: B
Rationale: Nursing informatics is use of technology in nursing (B), per definition e.g., EHRs for care. Not surgery (A), diagnosis (C), culture (D) tech-focused. B best defines informatics' role, 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.
Client perceptions about their health problems are:
- A. Objective data
- B. Observational recordings
- C. Aucilliary reports from the data collector
- D. Subjective data
Correct Answer: D
Rationale: Subjective data are clients' perceptions e.g., 'I feel dizzy' reported directly, capturing experiences unmeasurable by others. This contrasts with objective data (e.g., pulse), observable by nurses. Observational recordings are objective, like noting pallor, not perceptions. Ancillary reports (e.g., lab results) are objective, external data, not client-voiced. Subjective data's focus on personal input e.g., pain severity enriches assessment, guiding nurses to explore symptoms' impact (e.g., anxiety's role), making it vital for holistic care and the correct classification here.
During an abdominal assessment, what is the correct sequence of steps for a healthcare provider to follow?
- A. Inspection, percussion, palpation, auscultation
- B. Percussion, auscultation, inspection, palpation
- C. Auscultation, palpation, inspection, percussion
- D. Inspection, auscultation, percussion, palpation
Correct Answer: D
Rationale: During an abdominal assessment, the correct sequence of steps is inspection, auscultation, percussion, and palpation. This sequence is followed to prevent altering bowel sounds. Inspection allows for visual observation, followed by auscultation to listen for bowel sounds without causing disturbance, percussion to assess for tympany or dullness, and finally palpation to feel for any abnormalities or tenderness. Choice A is incorrect because palpation should come after percussion. Choice B is incorrect as auscultation should be performed after inspection. Choice C is incorrect because palpation should be the final step after percussion.
Examples of patients suffering from impaired awareness include all of the following except:
- A. A semiconscious or over fatigued patient
- B. A disoriented or confused patient
- C. A patient who cannot care for himself at home
- D. A patient demonstrating symptoms of drugs or alcohol withdrawal
Correct Answer: C
Rationale: Inability to self-care at home doesn't inherently impair awareness.