Nokea
The charge nurse assigned the care of a client with acute renal failure and hypernatremia to you, a newly graduated RN. Which actions can you delegate to the nursing assistant? (Choose all that apply.)
- A. Provide oral care every 3-4 hours
- B. Monitor for indications of dehydration
- C. Administer 0.45% saline by IV line
- D. Assess daily weights for trends
Correct Answer: A
Rationale: Oral care and assessing daily weights are tasks that can be delegated to a nursing assistant. Monitoring for dehydration and administering IV fluids require more advanced clinical skills.
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Which of the following tests would a nurse use to test whether air conduction or bone conduction is greater in the client?
- A. Romberg test
- B. Rinne Test
- C. Weber test
- D. Otoscopic examination
Correct Answer: B
Rationale: The Rinne test compares air conduction to bone conduction to identify conductive or sensorineural hearing loss.
What type of infectious agent may the client have been exposed to if they recently ate meat in Europe?
- A. Fungi
- B. Bacteria
- C. Protozoa
- D. Prions
Correct Answer: D
Rationale: The correct answer is D because prions are associated with certain meat-borne diseases, such as Creutzfeldt-Jakob disease.
What might have been the precipitating cause of Wendy’s asthmatic attack?
- A. Breaking up with her boyfriend
- B. Personal history of allergies
- C. Restless sleeping pattern
- D. Smoking five cigarettes daily
Correct Answer: B
Rationale: Allergies are common triggers for asthma exacerbations.
List at least three behaviors or practices that can contribute to insomnia.
- A. Irregular sleep schedule
- B. Consumption of caffeine or alcohol
- C. Excessive screen time before bed
- D. Provide enough positive pressure in the airway to prevent airway collapse
Correct Answer: A
Rationale: The correct answers are A, B, and C. Irregular sleep schedules, caffeine/alcohol consumption, and excessive screen time disrupt sleep patterns, contributing to insomnia.
What should the nurse teach a client who is recommended antianxiety drugs?
- A. Use the drug on a long-term basis
- B. Avoid lifting heavy weights
- C. Use caution when driving
- D. Be aware that the drug causes excessive sleeplessness
Correct Answer: C
Rationale: Antianxiety drugs can impair motor skills, so clients should avoid driving or operating machinery until they know how the medication affects them.