Nokea
People who live in poverty are most likely to obtain health care from:
- A. their primary care physician (family doctor)
- B. a neighborhood clinic
- C. specialists
- D. Emergency Departments or urgent care centers
Correct Answer: D
Rationale: Economic barriers often lead those in poverty to seek care from Emergency Departments or urgent care centers, which are more accessible than primary care or specialists.
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The client is receiving 2 liters of oxygen by nasal cannula. Which rationale should the nurse use to explain the reason for oxygen being bubbled through a humidifier?
- A. Prevents the burning sensation of direct oxygen
- B. Prevents the drying of the nasal passages
- C. Prevents a chemical reaction between the tubing and oxygen
- D. Prevents contamination with environmental gases
Correct Answer: B
Rationale: B: Humidification prevents nasal passage drying. A: Oxygen doesn't burn. C: No chemical reaction occurs with tubing. D: Environmental gases don't contaminate oxygen.
For safety, the nurse should ask the client to:
- A. drink 1000 cc prior to the procedure to affect fluid loss.
- B. eat foods low in fat.
- C. empty his bladder prior to the procedure.
- D. assume the prone position.
Correct Answer: C
Rationale: When performing a paracentesis, the client must be sitting up to allow the fluid to settle to the lower abdomen. To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.
The nurse is developing guidelines to assist personnel in meeting the hygiene needs of clients with dementia. Which guidelines are appropriate for the nurse to include? Select all that apply.
- A. To limit the client's ability to physically resist, two staff should quickly bathe the client.
- B. Include music and dim lighting to create a calm environment when giving a bed bath.
- C. Allow clients who are willing and able to participate in some of the hygienic activities.
- D. Assess for and treat the client's pain before initiating hygienic cares with the client.
- E. Wash the client's hair and body separately if either activity causes the client distress.
Correct Answer: B,C,D,E
Rationale: B: Calm environments reduce agitation. C: Participation fosters cooperation. D: Pain management improves compliance. E: Separating tasks minimizes distress. A: Quick bathing increases agitation.
The LPN is preparing to ambulate a client post total knee replacement. Which of the following actions should the nurse perform prior to ambulating the client?
- A. Assist the client to a sitting position at the edge of the bed.
- B. Have the client march in place for 30 seconds.
- C. Have the client raise his arms above his head.
- D. Ask the client the last time he fell.
Correct Answer: A
Rationale: The client should be assisted to a sitting position prior to standing. This action can prevent orthostatic hypotension. Marching in place and raising the client's arms above his head are not necessary prior to ambulation. While knowing about the client's last fall can be important, it is not the priority action before ambulating the client.
Which of the following foods present a problem for a client diagnosed with Celiac Disease?
- A. Butter
- B. Oats or barley cereal
- C. Fresh vegetables
- D. Coffee or tea
Correct Answer: B
Rationale: Celiac disease, or celiac sprue, is a malabsorption disorder affecting the small intestine in which there is a problem with the ingestion of gluten, a protein normally found in grain products such as wheat, rye, oats, or barley. The other choices reflect substances that do not contain gluten and should not pose problems for a client with this disorder.