Nokea
The nurse chose to respect Mr. Gary's refusal of care. This is an example of?
- A. Ethics
- B. Health promotion
- C. Care coordination
- D. Nursing informatics
Correct Answer: A
Rationale: Respecting care refusal is ethics (A) moral decision, per principles (autonomy). Promotion (B) prevents, coordination (C) organizes, informatics (D) tech not ethics-specific. A fits moral choice, making it correct.
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A client with a new diagnosis of hypothyroidism is being taught about medication management. Which of the following statements should the nurse include in the teaching?
- A. You should take your medication with a high-fiber meal.
- B. You should take your medication on an empty stomach.
- C. You should take your medication with a calcium supplement.
- D. You should take your medication before bedtime.
Correct Answer: B
Rationale: The correct answer is B: 'You should take your medication on an empty stomach.' When educating a client with hypothyroidism, it is essential to advise taking thyroid medication on an empty stomach to enhance absorption and effectiveness. Taking the medication with food, especially high-fiber or with supplements like calcium, can interfere with absorption and reduce its efficacy. Therefore, it is crucial for the client to follow the recommendation of taking the medication on an empty stomach. Choices A, C, and D are incorrect because taking the medication with a high-fiber meal (Choice A) or with a calcium supplement (Choice C) can hinder absorption, and taking it before bedtime (Choice D) does not optimize absorption compared to taking it on an empty stomach.
The nurse is caring for a client following a TURP. The client's catheter becomes obstructed. The nurse should:
- A. Notify the physician immediately
- B. Increase the flow rate of the irrigating solution
- C. Milk the catheter to remove the obstruction
- D. Remove the catheter and replace it with a new one
Correct Answer: A
Rationale: Notifying the physician immediately for an obstructed catheter post-TURP prevents bladder distention or bleeding increasing flow risks pressure, milking may dislodge clots unsafely, and removal isn't nurse-initiated. Nurses act fast, ensuring patency, critical in urologic surgery.
Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God's expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing? 1. Spiritual Pain 2. Spiritual Anxiety 3. Spiritual Guilt 4. Spiritual Despair
- A. 1,2
- B. 2,3
- C. 3,4
- D. 1,4
Correct Answer: B
Rationale: Kenneth faces spiritual anxiety (2) and guilt (3). Anxiety stems from fear of divine punishment, and guilt from feeling he failed God's expectations, per spiritual distress frameworks. Spiritual pain (1) involves loss or meaning, not fear-based here. Despair (4) is hopelessness, not evident as he fears, not resigns. HIV's stigma amplifies 2 and 3, making B (2,3) correct.
Which of the following statement best describe patient advocacy?
- A. Ignoring patient needs
- B. Supporting patient rights
- C. A routine task
- D. A medical treatment
Correct Answer: B
Rationale: Patient advocacy is supporting patient rights (B), per nursing e.g., voicing wishes. Not ignoring (A), not routine (C), not treatment (D) rights-focused. B best defines advocacy's protective role, making it correct.
What is the purpose of utilizing proper positioning techniques for patients?
- A. To maintain patient comfort
- B. To promote social interaction
- C. To facilitate ambulation
- D. To improve coordination
Correct Answer: A
Rationale: Proper positioning techniques aim to maintain patient comfort by reducing pressure points, aligning the body, and preventing pain or discomfort during rest or treatment. This focus enhances patient well-being, crucial for recovery and satisfaction in care settings. Encouraging social engagement, aiding walking, or enhancing coordination, while valuable, aren't the core objectives of positioning those require distinct interventions like group activities or physical therapy. Comfort underpins healing, as unrelieved pressure or misalignment can lead to complications like ulcers or muscle strain. Nurses prioritize this to support physiological stability, ensuring patients feel at ease, which indirectly supports broader therapeutic goals without being the primary intent.