Nokea
The client has an allergy with penicillin. What is the best way to communicate this information?
- A. Place an allergy alert in the Kardex
- B. Notify the attending physician
- C. Write it on the patient's chart
- D. Take note when giving medications
Correct Answer: A
Rationale: Placing an allergy alert in the Kardex (A) is best; it's immediately accessible to all staff, per safety protocols. Notifying the physician (B) or charting (C) delays visibility, noting mentally (D) risks errors. A ensures quick action, making it correct.
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You are the nurse working with an elderly, competent client who refuses a vitamin B injection ordered by the physician. The family insists that this injection be given, and you give it while the client is objecting. Even though the client improves, the client contacts a lawyer. From your knowledge of nursing and the law, you realize that you:
- A. did the right thing because the client improved.
- B. should have had the family put their request in writing.
- C. have commited an assault against the client.
- D. have committed an act of battery against the client.
Correct Answer: D
Rationale: Administering a vitamin B injection to a competent client who refuses it, despite family insistence and subsequent improvement, constitutes battery. Battery is the unlawful physical contact with a person without consent, and in healthcare, consent is a fundamental right for competent adults. The client's objection overrides family wishes, and giving the injection violates autonomy, a core ethical principle. The outcome of improvement doesn't justify the action legally or ethically. Assault involves threatening harm, whereas battery is the act itself, making this the correct classification. Getting family requests in writing or focusing on the outcome doesn't negate the lack of consent. This scenario underscores the importance of respecting patient rights and the legal consequences of disregarding them, even with good intentions.
Mr. Gary uses acupuncture along with his meds. This is an example of?
- A. Complementary therapy
- B. Alternative therapy
- C. Therapeutic touch
- D. Health promotion
Correct Answer: A
Rationale: Acupuncture with meds is complementary therapy (A) with conventional, per definition. Alternative (B) replaces, touch (C) hands, promotion (D) well-being not combo-specific. A fits integrated use, making it correct.
These are nursing intervention that requires knowledge, skills and expertise of multiple health professionals.
- A. Dependent
- B. Independent
- C. Interdependent
- D. Intradependent
Correct Answer: C
Rationale: Interdependent interventions rely on multiple health professionals' expertise, such as a nurse, physiotherapist, and doctor co-managing a stroke patient's rehab plan. Dependent actions follow orders (e.g., giving meds), independent ones are nurse-initiated (e.g., repositioning), and 'intradependent' isn't a term. For instance, adjusting a patient's diet with a nutritionist reflects shared knowledge, ensuring holistic care. This collaboration, common in complex cases, leverages diverse skills, enhancing outcomes like mobility or nutrition, a hallmark of modern interdisciplinary healthcare teams.
Mr. Gary named his wife to make decisions if he can't. This is an example of?
- A. Health care proxy
- B. Living will
- C. Patient education
- D. Care transition
Correct Answer: A
Rationale: Naming his wife for decisions is a health care proxy (A) chosen surrogate, per definition. Living will (B) states wishes, education (C) teaches, transition (D) moves not proxy-specific. A fits Mr. Gary's delegation of authority, making it correct.
Which of the following is TRUE about the blood pressure determinants?
- A. Hypervolemia lowers BP
- B. Hypervolemia increases GFR
- C. HCT of 70% might decrease or increase BP
- D. Epinephrine decreases BP
Correct Answer: C
Rationale: HCT 70% e.g., polycythemia can raise BP (viscosity) or lower (poor flow), unlike hypervolemia (raises BP, GFR), or epinephrine (raises). Nurses assess this e.g., anemia for impacts, per dynamics.