Nokea
The emergency department has been notified of a potential bioterrorism attack. Which action by the nurse is priority?
- A. Prepare for potential posttraumatic stress related to this bioterrorism attack.
- B. Transport patients quickly and efficiently through the elevators.
- C. Monitor for specific symptoms related to the bioterrorism attack.
- D. Manage all patients using standard precautions.
Correct Answer: D
Rationale: During a potential bioterrorism attack, the priority for the nurse is to manage all patients using standard precautions. This approach ensures the safety of both patients and healthcare providers by preventing the spread of potential bioterrorism-related illnesses. Option A is incorrect because managing patient care and safety through standard precautions takes precedence. Option B is incorrect as patient transport should also be done while adhering to infection control measures. Option C is incorrect as monitoring for specific symptoms is important but not the priority when all patients need to be managed with standard precautions.
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A client who is 97 years old has successfully been treated for heart failure and is found not breathing. There is no DNR order in place. What should the nurse do?
- A. Notify the family and await further instructions.
- B. Initiate CPR and call for emergency assistance.
- C. Allow the family to make decisions about care.
- D. Follow the family's wishes and perform no interventions.
Correct Answer: B
Rationale: In this scenario, with no DNR order in place and the client not breathing, the nurse should initiate CPR and call for emergency assistance. Option A is incorrect as immediate action is required in the absence of breathing. Option C is incorrect as the nurse should act promptly to provide life-saving measures. Option D is incorrect because the nurse's primary duty is to provide care in the absence of a directive preventing intervention.
When caring for a patient with a colostomy, which nursing action is most important?
- A. Monitor the colostomy for signs of infection.
- B. Empty the colostomy bag when it is half full.
- C. Encourage the patient to eat smaller, more frequent meals.
- D. Apply a skin barrier to prevent irritation.
Correct Answer: B
Rationale: Emptying the colostomy bag when it is half full is the most important nursing action when caring for a patient with a colostomy. This practice helps prevent leakage, reduces the risk of skin irritation, and promotes patient comfort. Monitoring for signs of infection (Choice A) is essential but not as crucial as maintaining proper colostomy care. Encouraging the patient to eat smaller, more frequent meals (Choice C) can be beneficial for colostomy patients but is not as critical as ensuring timely emptying of the colostomy bag. Applying a skin barrier to prevent irritation (Choice D) is important, but ensuring timely emptying of the colostomy bag takes precedence in preventing complications associated with a colostomy.
What is the nurse's priority intervention for a patient who has developed a pressure ulcer?
- A. Apply a dressing to the ulcer.
- B. Reposition the patient every 2 hours.
- C. Provide the patient with pain medication.
- D. Clean the ulcer with normal saline.
Correct Answer: B
Rationale: The correct answer is to reposition the patient every 2 hours. Repositioning helps prevent the worsening of pressure ulcers by relieving pressure on affected areas and promoting blood circulation, which aids in healing. Applying a dressing (choice A) is important but not the priority compared to repositioning. Providing pain medication (choice C) is essential for comfort but does not address the root cause of the pressure ulcer. Cleaning the ulcer with normal saline (choice D) is part of wound care but does not take precedence over repositioning to prevent further tissue damage.
A patient has difficulty ambulating after surgery. Which action should the nurse take first?
- A. Encourage deep breathing exercises.
- B. Assist the patient in ambulating a short distance.
- C. Call for assistance with ambulation.
- D. Assess the patient's pain level before ambulation.
Correct Answer: C
Rationale: The correct first action for the nurse to take when a patient has difficulty ambulating after surgery is to call for assistance with ambulation. This is essential to ensure the safety of the patient and prevent any potential falls or injuries. Encouraging deep breathing exercises (Choice A) may be beneficial but should not be the first priority when the patient is having difficulty walking. Assisting the patient in ambulating a short distance (Choice B) may put both the patient and the nurse at risk if the patient is struggling. Assessing the patient's pain level before ambulation (Choice D) is important but should come after ensuring that the patient can safely ambulate with assistance.
A healthcare provider gives a verbal order for a medication. The nurse is uncomfortable with the order and questions its appropriateness. What should the nurse do?
- A. Refuse to administer the medication and document the refusal.
- B. Clarify the order with the provider before proceeding.
- C. Administer the medication and monitor the patient.
- D. Call a pharmacy consult to discuss the medication.
Correct Answer: B
Rationale: The correct action for the nurse to take when uncomfortable with a verbal order for medication is to clarify the order with the provider before proceeding. This ensures patient safety by confirming the appropriateness of the order and prevents any potential harm. Choice A is incorrect because refusing to administer the medication without clarification may delay necessary treatment for the patient. Choice C is incorrect as administering the medication without clarification could pose risks if the order is indeed inappropriate. Choice D is also incorrect as the first step should be direct clarification with the provider before involving others.