Nokea
The nurse planned Mr. Gary's care to save time. This is an example of?
- A. Time management
- B. Priority setting
- C. Health policy
- D. Patient advocacy
Correct Answer: A
Rationale: Planning care to save time is time management (A) efficient organization, per definition. Priority (B) orders, policy (C) rules, advocacy (D) rights not time-specific. A fits the nurse's scheduling for Mr. Gary, making it correct.
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A client has a new diagnosis of nephrotic syndrome, and the nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-sodium foods.
- B. You should decrease your intake of high-sodium foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: For a client with nephrotic syndrome, decreasing the intake of high-sodium foods is essential to manage fluid retention and symptoms of the condition. Excessive sodium can lead to fluid retention, swelling, and worsen the condition. Therefore, advising the client to decrease their high-sodium food intake aligns with the dietary management approach to help control nephrotic syndrome. Choices A, C, and D are incorrect. Increasing high-sodium foods would exacerbate fluid retention, avoiding lactose is not specifically required for nephrotic syndrome, and increasing dairy products may not be necessary unless individualized based on the client's needs and lab values.
A nurse is caring for a client receiving oxygen therapy via a mask. What is an important nursing intervention to prevent pressure ulcers on the client's face?
- A. Frequently adjusting the mask to relieve pressure
- B. Applying petroleum jelly to the areas of skin contact
- C. Placing padding between the mask and the client's skin
- D. Assessing the client's facial skin integrity regularly
Correct Answer: C
Rationale: Placing padding between the mask and skin (C) prevents pressure ulcers by cushioning contact points, reducing friction and pressure. Frequent adjustments (A) disrupt fit. Petroleum jelly (B) compromises seal. Regular assessment (D) detects, not prevents. Padding is proactive, per skin care standards, ensuring mask safety.
A client with a new diagnosis of hypertension is being taught about lifestyle changes. Which of the following statements should the nurse include in the teaching?
- A. You should limit your alcohol intake to no more than one drink per day.
- B. You should increase your sodium intake to at least 2,300 mg per day.
- C. You should limit your physical activity to avoid increasing your blood pressure.
- D. You should avoid eating dairy products to help lower your blood pressure.
Correct Answer: A
Rationale: The correct statement to include in teaching a client with hypertension is to limit alcohol intake to no more than one drink per day. Excessive alcohol consumption can raise blood pressure and lead to complications. Increasing sodium intake, limiting physical activity, and avoiding dairy products are not recommended for managing hypertension. Clients with hypertension should follow a heart-healthy diet low in sodium, engage in regular physical activity, and monitor their blood pressure regularly to control hypertension effectively.
In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
- A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
- B. The nurse discards the Friday 9:00 A M urine of the client
- C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
- D. The nurse added preservatives as per protocol and refrigerates the specimen
Correct Answer: A
Rationale: Including 9:00 AM Friday urine pre-start skews 24-hour totals (9 AM Fri-Sat); it's discarded. Discarding start, including end, preserving are correct. Nurses need debrief e.g., timing for accuracy, per standards.
The nurse is planning care for a client with a chronic illness. Which intervention reflects tertiary prevention?
- A. Screening the client for depression
- B. Teaching the client strategies for living with the illness
- C. Encouraging the client to receive an annual flu vaccine
- D. Educating the client about preventing transmission of illness
Correct Answer: B
Rationale: Tertiary prevention optimizes life with a chronic illness, reducing its impact post-diagnosis. Teaching strategies for living with it like pacing activities for arthritis helps the client adapt, minimizing disability and enhancing function, a nursing priority. Screening for depression is secondary, detecting new issues, not managing the existing one. An annual flu vaccine is primary, preventing unrelated illness, not addressing the chronic condition's effects. Educating about transmission fits infectious cases, not all chronic ones. This intervention tailored coping reflects nursing's role in rehabilitation, ensuring clients thrive despite limits. For instance, teaching a heart failure client fluid management cuts readmissions, aligning with tertiary care's focus on sustaining quality of life through practical, illness-specific support.