Nokea
The nurse has been teaching a patient with type 2 diabetes about managing blood glucose
levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional
teaching?
- A. “If I overeat at a meal, I will still take the usual dose of medication.”
- B. “Other medications besides the Glucotrol may affect my blood sugar.”
- C. “When I am ill, I may have to take insulin to control my blood sugar.”
- D. “My diabetes won’t cause complications because I don’t need insulin.”
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a need for additional teaching because it shows a lack of understanding about diabetes complications. Here's the rationale:
1. Diabetes can lead to complications even if the patient doesn't need insulin.
2. Complications like heart disease, neuropathy, and kidney damage can still occur in type 2 diabetes.
3. Believing that not needing insulin means no complications is a misconception.
4. Patients with type 2 diabetes need to manage their condition carefully to prevent complications.
5. Therefore, educating the patient about potential complications is crucial for their overall health.
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An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations helps prevent misinterpretation and errors in documentation, ensuring legal credibility. Shortcuts in documentation (A) can lead to incomplete or inaccurate information. Subjective documentation (C) may lack objectivity and legal validity. Documenting after care is provided (D) may result in memory bias and inaccuracies. Therefore, emphasizing the use of approved abbreviations is crucial for ensuring accurate, clear, and legally credible nursing documentation.
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
- A. Hydrocolloid
- B. Transparent
- C. Gauze
- D. Alginate
Correct Answer: A
Rationale: The correct answer is A: Hydrocolloid dressing. For a stage 2 pressure injury, a hydrocolloid dressing is ideal as it maintains a moist environment to promote healing, absorbs excess exudate, and provides a barrier against bacteria. Transparent dressings (B) are more suitable for superficial wounds. Gauze dressings (C) may adhere to the wound bed and cause trauma upon removal. Alginate dressings (D) are better for wounds with heavy exudate, not typically seen in stage 2 pressure injuries.
Which of the following is an example of total time lost?
- A. Number of days off that an employee asks for
- B. Number of scheduled days missed
- C. Number of days missed
- D. Number of days perceived to be absent
Correct Answer: B
Rationale: The correct answer is B: Number of scheduled days missed. Total time lost refers to the actual working days that were missed as per the employee's schedule. Choice A considers only the days off requested, which may not align with the actual days missed. Choice C is incorrect because it does not specify if the days missed were part of the schedule. Choice D is incorrect as it refers to perception rather than actual days missed. Therefore, B is the most accurate measure of total time lost in terms of work productivity.
Which leadership style is most effective in a crisis situation?
- A. Democratic
- B. Autocratic
- C. Transformational
- D. Laissez-faire
Correct Answer: B
Rationale: The correct answer is B: Autocratic. In a crisis situation, quick and decisive actions are crucial. An autocratic leadership style allows for immediate decision-making and clear direction, which is essential in rapidly changing and high-stress environments. This style ensures swift responses and minimizes confusion or delays.
Incorrect choices:
A: Democratic leadership involves group decision-making, which may be time-consuming and not suitable for urgent crisis situations.
C: Transformational leadership focuses on inspiring and empowering others, which may not be as effective in a crisis when quick and direct actions are needed.
D: Laissez-faire leadership gives employees a high degree of freedom and independence, which can lead to chaos and lack of direction in a crisis scenario.
A client complains every morning that the night shift nursing staff does not answer his call light promptly to assist his elimination needs. His concerns are not shared with the Nurse Manager, and he falls while trying to walk to the bathroom. This fall could be attributed to which of the following?
- A. Breakdown in communication
- B. Lack of staff
- C. Lack of concern
- D. Breakdown in management
Correct Answer: A
Rationale: The correct answer is A: Breakdown in communication. The client's complaint about the night shift nursing staff not responding promptly to his call light indicates a lack of effective communication between the client and the staff. This breakdown in communication leads to the client attempting to walk to the bathroom alone, resulting in a fall. Lack of staff (B) or lack of concern (C) are not directly related to the client's fall, as the core issue lies in communication. Breakdown in management (D) could contribute to communication issues, but the immediate cause of the fall is the lack of communication between the client and the nursing staff.