A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?
- A. You should not get a tattoo.
- B. It is okay to get a tattoo if you go to a licensed artist.
- C. Tattoos are popular; however, they can lead to infection and/or bleeding.
- D. A body piercing would be safer and less permanent.
Correct Answer: C
Rationale: The nurse should inform the teenager of the potential risks, such as infection and bleeding, when considering a tattoo.
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A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content?
- A. Have a better understanding of genetics and genomics
- B. Can meet the requirements of Healthy People 2010
- C. Can provide more effective health education
- D. Can deliver anticipatory guidance to families
Correct Answer: C
Rationale: Understanding growth and development helps nurses provide more effective health education and deliver anticipatory guidance to families.
Reducing Constipation in Older Adults
- A. Offering pureed foods that are easy to digest
- B. Encouraging fluids between meals
- C. Administering laxatives daily
- D. Assisting with ambulation
Correct Answer: B
Rationale: Encouraging fluids and assisting with ambulation are key strategies for preventing constipation in older adults.
Which person exceeds the recommended activity guidelines?
- A. "A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity."
- B. "A 45-year-old woman who swims and has a pulse rate of 145 during activity."
- C. "A 50-year-old man who jogs and has a pulse rate of 120 during activity."
- D. "A 60-year-old woman who walks briskly and has a pulse rate of 125 during activity."
Correct Answer: D
Rationale: The optimal pulse rate for a 60-year-old woman during activity should not exceed 120.
A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?
- A. Work with stakeholders to conduct a community assessment.
- B. Purchase state-of-the-art sphygmomanometers to measure blood pressures.
- C. Use the program developed at a previous place of employment.
- D. Contact a local church to see if the program can be implemented there.
Correct Answer: A
Rationale: A community assessment helps identify high-risk groups and health needs, guiding the design of effective programs.
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.