Nokea
The nurse is responsible for his own actions while on duty caring for clients. What is the name of this ethical principle? Fill in the blank.
- A. Accountability
Correct Answer: A
Rationale: Accountability is the ethical principle where nurses are responsible for their own actions and decisions in client care.
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The nurse assists the client to the operating room table and supervises the operating room technician preparing the sterile field. Which action, completed by the surgical technician, indicates to the nurse that a sterile field has been contaminated? Select all that apply.
- A. A sterile object is held below the table surface and returned to the sterile field.
- B. The outer inch of the sterile towel hangs over the side of the table.
- C. A partially emptied container of sterile betadine is replaced within the sterile field.
- D. Sterile packages are opened with the first edge away from the technician.
Correct Answer: A,B,C
Rationale: Holding a sterile object below the table surface, allowing the towel to hang over the edge, and replacing a partially used container all compromise sterility. Opening packages with the first edge away from the technician is correct technique.
A charge nurse is preparing client care assignments for the upcoming shift. A client who underwent a laminectomy is scheduled to return from the recovery care unit. Which staff member should receive this client?
- A. graduate nurse with 3 months of experience
- B. RN with 1 year of experience
- C. certified nursing assistant with 5 years of experience
- D. charge nurse with 2 years of experience
Correct Answer: B
Rationale: An RN with 1 year of experience has sufficient skills for post-laminectomy care. A CNA lacks the scope, and a graduate nurse may need more experience.
The school nurse is monitoring the diet of a child with cystic fibrosis. Which type of diet would the family be advised to follow?
- A. low calorie, high fiber
- B. low fiber, low fat
- C. low sodium, gluten free
- D. high fat, high calorie
Correct Answer: D
Rationale: High-fat, high-calorie diets support nutritional needs in cystic fibrosis due to malabsorption.
An external weather disaster has flooded the emergency department with several new clients. Which client should the nurse see first?
- A. the client complaining of chest pain and nausea who is diaphoretic
- B. the client with a simple fracture of the radius from a fall on a staircase
- C. the client complaining of slight redness and itching at the IV site in his hand
- D. the client presenting with a sprained ankle from a tree branch falling on him
Correct Answer: A
Rationale: Chest pain, nausea, and diaphoresis suggest a potential myocardial infarction, a life-threatening condition requiring immediate attention. Options B, C, and D describe less urgent conditions.
A nurse manager is educating a group of nursing students about the Patient's Bill of Rights. The nurse knows that the student nurses have an understanding of the bill when one of the nurses makes which statement?
- A. Clients have the right to view their medical records but may not copy any of the information contained in the records.
- B. Clients wavenumber be declined care at an emergency department or need preauthorization for care if they do not have premium-level insurance.
- C. Clients have the right to a quick and objective review of any claim that they levy against a health care facility, physician, or health care plan.
- D. It is the admitting nurse's job to verify the client's past medical history, medications, and treatments, even if the client refuses to cooperate in giving the information.
Correct Answer: C
Rationale: Clients have the right to a fair review of complaints, as per the Patient's Bill of Rights. The other options contain inaccuracies.