Nokea
The nurse adapted care to Mr. Gary's cultural diet. This is an example of?
- A. Cultural competence
- B. Trust
- C. Health promotion
- D. Nursing informatics
Correct Answer: A
Rationale: Adapting to cultural diet is cultural competence (A) diversity respect, per definition. Trust (B) bond, promotion (C) well-being, informatics (D) tech not culture-specific. A fits the nurse's sensitivity to Mr. Gary's needs, making it correct.
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An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
- A. Place the probe on the child's abdomen
- B. Recalibrate the oximeter at the beginning of each shift
- C. Apply the probe and wait 15 minutes before obtaining a reading
- D. Place the probe on the child's finger
Correct Answer: D
Rationale: Placing the pulse oximeter probe on the finger ensures an accurate oxygen saturation reading in an 8-year-old, as peripheral sites like fingers provide reliable arterial pulsation data. The abdomen isn't suitable, recalibration isn't routine, and waiting 15 minutes delays care unnecessarily. Nurses use this technique for quick, precise monitoring, critical in respiratory infections to guide oxygen therapy.
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.
What nursing action is appropriate when obtaining a sterile urine specimen from an indwelling catheter to prevent infection?
- A. Use sterile gloves when obtaining urine.
- B. Open the drainage bag and pour out the urine.
- C. Disconnect the catheter from the tubing and get urine.
- D. Aspirate urine from the tubing port using a sterile syringe.
Correct Answer: D
Rationale: Aspirating urine from the tubing port with a sterile syringe is the appropriate action for obtaining a sterile urine specimen from an indwelling catheter. This maintains the closed system's integrity, minimizing infection risk by avoiding exposure to external contaminants. The port is designed for sterile sampling, ensuring the specimen reflects bladder contents accurately for testing. Using sterile gloves aids asepsis but isn't the complete action; it supports the procedure, not defines it. Opening the drainage bag introduces bacteria, risking contamination and infection. Disconnecting the catheter breaks the sterile circuit, increasing urinary tract infection likelihood contrary to best practice. Aspiration via the port, paired with aseptic technique, upholds infection control standards, ensuring patient safety and reliable diagnostic results, making it the optimal nursing action.
The country where SHUSHURUTU originated
- A. China
- B. Egypt
- C. India
- D. Babylonia
Correct Answer: C
Rationale: Shushurutu, an ancient surgical text from India (circa 1000 BCE), details procedures like cataract surgery, rooted in Ayurveda. Unlike China, Egypt, or Babylonia, India's medical tradition birthed this, shaping early knowledge. Nursing traces such origins, as ancient practices inform modern care and historical context.
Myra, 21 year old nursing student has difficulty sleeping. She told Nurse Budek 'I really think a lot about my x boyfriend recently' Budek told Myra 'And that causes you difficulty sleeping?' Which therapeutic technique is used in this situation?
- A. Reflecting
- B. Restating
- C. Exploring
- D. Seeking clarification
Correct Answer: D
Rationale: Budek's 'And that causes you difficulty sleeping?' seeks clarification (D), asking Myra to confirm the link between her ex and insomnia. Reflecting (A) mirrors feelings (e.g., 'You're upset?'). Restating (B) repeats (e.g., 'You think about him a lot?'). Exploring (C) probes broadly. Clarification ensures understanding, per therapeutic models, fitting Budek's intent, making D correct.