Nokea
The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
- A. Troponin I
- B. Creatine kinase (CK)
- C. Myoglobin
- D. Lactic dehydrogenase (LDH)
Correct Answer: A
Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.
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These are data that are monitored by using graphic charts or graphs that indicated the progression or fluctuation of client's Temperature and Blood pressure.
- A. Progress notes
- B. Kardex
- C. Flow chart
- D. Flow sheet
Correct Answer: D
Rationale: Flow sheets (D) use graphs to track temperature and BP fluctuations, per charting norms. Progress notes (A) narrate, Kardex (B) summarizes, flow charts (C) diagram processes. D matches graphical monitoring, making it correct.
A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?
- A. Good teamwork and team-building skills
- B. A master's degree
- C. The ability to delegate responsibilities
- D. Advocating for the client at all times
Correct Answer: D
Rationale: Beyond critical thinking, advocating for the client at all times is a cornerstone of nursing success, reflecting the profession's core commitment to patient welfare. This involves ensuring clients' needs, rights, and preferences are prioritized in all care decisions, fostering trust and empowerment. Good teamwork and team-building skills are valuable for collaboration but are learned and applied contextually, not as intrinsic as advocacy. A master's degree enhances expertise but isn't required for foundational success, as many nurses excel with lesser credentials. Delegation is a skill that supports efficiency, yet it's secondary to the nurse's role as a client advocate. Advocacy drives nursing's caring ethos, addressing health needs across diverse settings and populations, making it a vital characteristic that complements critical thinking in achieving optimal outcomes and upholding professional integrity.
Marianne is now at the Defervescence stage of the fever, which of the following is expected?
- A. Delirium
- B. Goose flesh
- C. Cyanotic nail beds
- D. Sweating
Correct Answer: D
Rationale: Defervescence, fever's decline, involves vasodilation and sweating e.g., cooling as heat dissipates. Delirium (high fever), goose flesh (chills), or cyanosis (hypoxia) don't fit. Nurses anticipate sweating e.g., damp sheets in Marianne, adjusting care for comfort, per fever resolution stages.
The nurse allowed Mr. Gary to pray before his procedure as per his cultural practice. This is an example of?
- A. Cultural imposition
- B. Cultural competence
- C. Cultural ignorance
- D. Cultural bias
Correct Answer: B
Rationale: Allowing prayer per Mr. Gary's practice is cultural competence (B) respecting beliefs, per care standards. Imposition (A) forces norms, ignorance (C) neglects, bias (D) prejudges. B reflects adaptive, respectful care, ensuring his spiritual needs are met, making it correct.
Which of the following statement best describe health care financing?
- A. Patient-only payment
- B. Funding care services
- C. A one-time fee
- D. A nursing skill
Correct Answer: B
Rationale: Health care financing is funding care services (B), per definition e.g., insurance for Mr. Gary. Not patient-only (A), not one-time (C), not skill (D) system-based. B best defines its role, supporting care access, making it correct.