Nokea
Select the ethical term that is accurately paired with its brief description.
- A. Deontology: The school of ethical thought that requires that only the means to the goal must be ethical.
- B. Utilitarianism: The school of ethical thought that requires that only the end goal must be ethical.
- C. Deontology: The school of ethical thought that requires that only the end goal must be ethical.
- D. Utilitarianism: The school of ethical thought that requires that only the means to the goal must be ethical.
Correct Answer: B
Rationale: Utilitarianism focuses on the outcomes, requiring that the end goal be ethical (maximizing overall good). Deontology emphasizes the ethics of the means, not the end (contrary to A and C).
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A child's plan of care lists increasing protein intake as a goal. Which of the following foods that the child likes should the nurse encourage the child to eat?
- A. A bacon, lettuce, and tomato sandwich.
- B. Fruit-flavored yogurt.
- C. Nacho chips and salsa.
- D. Crackers with butter and jelly.
Correct Answer: B
Rationale: Fruit-flavored yogurt is a good source of protein, suitable for increasing protein intake in a child's diet.
The nurse is working on discharge plans with a client who is diagnosed with intermittent explosive disorder, characterized by sudden angry outbursts. The nurse determines that the client is ready for discharge when he makes which of the following comments?
- A. I'm just not going to let myself get angry anymore.'
- B. Spilling doesn't help, but I like being with my buddies at the bar.'
- C. I'll be taking valproic acid (Depakote) and propranolol (Inderal) to help stay in control.'
- D. It would help if my mom would stop getting on my case all the time.'
Correct Answer: C
Rationale: Understanding the role of medications (valproic acid and propranolol) in controlling outbursts indicates readiness for discharge in managing intermittent explosive disorder.
Which of the following interventions is recommended protocol for all clients who are at risk for pressure sore development?
- A. Identify clients at risk upon admission to the health care facility.
- B. Place at-risk clients on an every-2-hour turning schedule.
- C. Automatically place clients in specialty beds.
- D. Provide at-risk clients with a high-protein, high-carbohydrate diet.
Correct Answer: B
Rationale: Regular repositioning every 2 hours prevents prolonged pressure on skin, reducing the risk of pressure sores in at-risk clients.
The nurse is obtaining a nursing history of a client suspected of having hepatitis C. The nurse should ask the client if he has:
- A. Drunk contaminated water.
- B. Traveled to India.
- C. Had a tattoo.
- D. Eaten shellfish.
Correct Answer: C
Rationale: Hepatitis C is commonly transmitted through blood exposure, such as via tattoos with unsterile equipment. The other options are more associated with hepatitis A.
Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?
- A. 45 mg
- B. 60 mg
- C. 52 mg
- D. 55 mg
Correct Answer: C
Rationale: To calculate: 48 pounds ÷ 2.2 = 21.82 kg. Then, 5 mg/kg × 21.82 kg = 109.1 mg/day. Divided into two doses: 109.1 ÷ 2 = 54.55 mg, rounded to 52 mg per dose.