Nokea
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
- A. Use the defrost setting on microwave ovens to warm bottles.
- B. When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
- C. When using formula concentrate, mix two parts water and one part concentrate.
- D. If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
Correct Answer: A
Rationale: Parents must be careful when warming bottles in a microwave oven because the milk can become superheated. When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula should be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded after 4 hours because the baby might have introduced some pathogens into the formula. Returning the bottle to the refrigerator does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one part concentrate and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should not have fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to the new formula.
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An LPN is having conflict with another nurse during her shift. She has tried to discuss the issues with the nurse with no resolution. What is the most appropriate way for the nurse to proceed?
- A. Report the conflict to the director of nursing over the unit.
- B. Report the conflict to the assigned charge nurse of the unit.
- C. Report the conflict to the nurse manager of the unit.
- D. Discuss the conflict with the other nurse to attempt resolution of issue.
Correct Answer: B
Rationale: It is important to follow the appropriate chain of command in a professional setting and to not overstep any levels when moving the issue up the ladder. It would not be appropriate to discuss the conflict with a nurse on your own level of authority.
An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate?
- A. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy).
- B. The client will maintain a blood glucose level within normal range limits today.
- C. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.
- D. The client will maintain a blood glucose level within normal limits throughout my shift.
Correct Answer: C
Rationale: Outcomes in nursing care plans should be objective, obtainable, observable, and measurable.
This is an example of:
- A. professional nurturing.
- B. networking.
- C. mentoring.
- D. collegiality.
Correct Answer: B
Rationale: Networking involves the process of developing and using contacts throughout one's professional career for information, advice, and support. Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building. Collegiality is the professional camaraderie or rapport established among persons through shared experiences.
The nurse in the emergency room is admitting a client who has sustained a gunshot wound and will require immediate surgery. The client is unconscious and by themselves. Which of the following actions is most appropriate?
- A. Call the charge nurse and request that the facility's legal counsel provide a waiver for informed consent.
- B. Attempt to stabilize the client in the emergency room until they are conscious enough to provide informed consent.
- C. Try to locate the client's family to obtain informed consent before transporting the client to the operating room.
- D. Proceed with transporting the client to the operating room without obtaining informed consent.
Correct Answer: D
Rationale: In an emergency situation, the client can receive treatment without informed consent if delaying care would potentially cause injury or death. In this scenario, the nurse can proceed with transporting to the operating room without informed consent.
When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
- A. some members of the Hispanic and Native-American cultures are very open when discussing sexuality
- B. some cultures view the postpartum period as a state of impurity
- C. some women in the African-American culture view childbearing as a validation of their femaleness
- D. some Native-American women believe monthly menstruation maintains physical well-being and harmony
Correct Answer: A
Rationale: Hispanic and Native-American cultures are often reserved about discussing sexuality, unlike the other culturally accurate statements, which inform care planning.