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The nurse listened to Mr. Gary to build trust. This is an example of?
- A. Therapeutic communication
- B. Reflective practice
- C. Health promotion
- D. Care transition
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is assisting in planning care for a client scheduled for insertion of a tracheostomy. Which equipment should the nurse plan to have at the bedside when the client returns from surgery?
- A. Obturator
- B. Oral airway
- C. Epinephrine
- D. Tracheostomy tube with the next larger size
Correct Answer: A
Rationale: Post-tracheostomy, the obturator (A) is essential at the bedside to reinsert the tube if dislodged, ensuring airway patency. An oral airway (B) is irrelevant for tracheostomy patients. Epinephrine (C) treats allergic reactions, not routine needs. A larger tracheostomy tube (D) isn't standard emergency equipment. A is correct. Rationale: The obturator facilitates immediate tube replacement, critical in the first 72 hours before a tract forms, preventing airway loss, a priority per surgical nursing standards over other less relevant items.
The nurse is caring for a client with a history of congestive heart failure. The client's dyspnea has worsened over the past 2 hours. The nurse should:
- A. Increase the oxygen flow rate to 6L per minute
- B. Place the client in high Fowler's position
- C. Administer Lasix (furosemide) immediately
- D. Encourage the client to cough and deep breathe
Correct Answer: B
Rationale: Placing the client in high Fowler's position eases dyspnea in worsening congestive heart failure by reducing preload oxygen adjustment needs orders, Lasix requires confirmation, and coughing won't help acute fluid overload. Nurses prioritize positioning, monitoring respiratory status, aiding comfort in this cardiac emergency.
What are the primary purposes for conducting research in nursing?
- A. Decrease the number of illnesses in the population
- B. Improve NCLEX pass rates
- C. Provide a basis for best practice guidelines
- D. Develop new ways to improve assessment and diagnostic skills
Correct Answer: C
Rationale: Nursing research aims to enhance the profession's impact on patient care through targeted purposes. Providing a basis for best practice guidelines is central, as research synthesizes evidence like clinical reviews into actionable standards, ensuring care is effective and current. Developing new ways to improve assessment and diagnostic skills sharpens nurses' ability to identify and address client needs, driving innovative tools or techniques. It also supports evaluating care, offering resources to measure intervention success, and informs planning by setting evidence-based goals. Decreasing illnesses aligns more with medical research, while improving NCLEX pass rates pertains to education, not research's core. These purposes collectively advance nursing knowledge, refine practice, and elevate client outcomes, grounding the profession in science rather than tradition or assumption.
Postulated the INTERPERSONAL ASPECT OF NURSING
- A. Travelbee
- B. Swanson
- C. Zderad
- D. Peplau
Correct Answer: A
Rationale: Joyce Travelbee's Interpersonal Theory, from the 1960s, views nursing as a human-to-human relationship during illness e.g., helping a patient find meaning in cancer. Swanson's caring processes, Zderad's humanism, and Peplau's therapeutic focus differ. Travelbee's emphasis on interpersonal coping and meaning-making, distinct from Parse's human becoming, guides nurses in emotional support, especially in terminal care.
Before entering the room of a patient receiving treatment for Varicella, you must don personal protective equipment. Organize the correct sequence in how you will don personal protective equipment: Drag and Drop
- A. Don Gloves
- B. Don Gown
- C. Perform hand hygiene
- D. Don N95 Mask (respirator)
Correct Answer: C
Rationale: When donning personal protective equipment (PPE) for a patient with Varicella, which requires airborne precautions, the correct sequence ensures maximal protection and compliance with infection control standards. The proper order is: (1) Perform hand hygiene (C), (2) Don gown (B), (3) Don N95 mask (D), and (4) Don gloves (A). Hand hygiene comes first to remove contaminants from the hands, reducing the risk of transferring pathogens during PPE application. The gown is donned next to cover the body, followed by the N95 mask to protect against airborne particles, ensuring a tight seal. Gloves are applied last, extending over the gown cuffs to prevent exposure. Varicella, being highly contagious via airborne droplets, necessitates this meticulous sequence to safeguard the nurse. Incorrect ordering, like donning gloves before the gown, could leave gaps in protection or contaminate the gloves. The CSV format requires one correct answer, so C (perform hand hygiene) is selected as the critical first step, foundational to the entire process, aligning with CDC and WHO PPE protocols.