Nokea
On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:
- A. Potential for respiratory distress
- B. Poor oxygenation
- C. Cold stress
- D. Acrocyanosis
Correct Answer: D
Rationale: Acrocyanosis is a normal finding in newborns.
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A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?
- A. Arranging for her mother to be with her
- B. Telling the child the test will not hurt
- C. Assuring the child that the test will be done quickly
- D. Introducing the child to the lab technicians
Correct Answer: B
Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it does not honor the child's right to be educated honestly about his or her health care.
What statement best describes risk management?
- A. identifying risk factors by analyzing processes and procedures
- B. creating disciplinary actions for nursing errors
- C. identifying health-care providers who are derogatory to patients
- D. implementing programs to keep errors secret
Correct Answer: A
Rationale: The correct answer is A because risk management involves identifying potential risks through analyzing processes and procedures to prevent any adverse events. This approach helps in proactively mitigating risks and improving overall safety.
Choice B is incorrect as risk management focuses on prevention rather than disciplinary actions after errors occur. Choice C is incorrect as it pertains to identifying problematic individuals rather than systemic risks. Choice D is incorrect as it goes against the principles of transparency and learning from mistakes in risk management.
When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake is essential to assess their nutritional status and identify areas for improvement. This step helps the nurse understand the patient's eating habits, preferences, and potential deficiencies, laying the groundwork for personalized dietary recommendations. Option A is incorrect because teaching about MyPlate is premature without understanding the patient's current diet. Option C is incorrect as blanket advice to limit fatty foods may not be suitable for all pregnant patients. Option D is incorrect as cautioning about vitamins should come after assessing the patient's current intake to avoid unnecessary restrictions.
What signs/symptoms is the client likely to complain of after contracting herpes simplex 2 for the first time?
- A. Flu-like symptoms.
- B. Metrorrhagia.
- C. Amenorrhea.
- D. Abdominal cramping.
Correct Answer: A
Rationale: Initial herpes simplex infection often presents with flu-like symptoms.
The nurse is discussing legal issues surrounding OB nursing. What statement might that nurse make?
- A. Legal issues are the concern of the OB.'
- B. I'm glad that people understand that all childbirth carries risk.'
- C. Medical malpractice insurance is cheap.'
- D. OB nurses are held to a standard of care and can be sued if proper care is not provided.'
Correct Answer: D
Rationale: The correct answer is D because OB nurses are indeed held to a standard of care and can be sued if proper care is not provided. OB nurses have a duty to ensure the safety and well-being of both the mother and the baby during childbirth. Failure to meet this standard of care can result in legal consequences such as being sued for medical malpractice.
Choice A is incorrect because legal issues surrounding OB nursing are not solely the concern of the OB, but rather a shared responsibility among all healthcare providers involved in the care of the mother and baby.
Choice B is incorrect as it does not directly address legal issues surrounding OB nursing, but rather focuses on the general understanding of childbirth risks.
Choice C is incorrect as medical malpractice insurance is not necessarily cheap, and the cost can vary depending on factors such as the nurse's experience, the hospital's history of malpractice claims, and the specific coverage needed.
In summary, choice D is the correct answer as it directly addresses the legal responsibilities and potential