Nokea
The nurse returned to check Mr. Gary as promised. This is an example of?
- A. Fidelity
- B. Veracity
- C. Justice
- D. Beneficence
Correct Answer: A
Rationale: Returning as promised is fidelity (A) keeping commitments, per ethics. Veracity (B) is truth, justice (C) fairness, beneficence (D) good not promise-specific. A reflects the nurse's reliability, fostering trust with Mr. Gary, aligning with fidelity's ethical role in nursing, making it correct.
You may also like to solve these questions
Which activity is an example of health promotion by the nurse
- A. Administering immunizations
- B. Giving a bedbath
- C. Preventing complications after an accident
- D. Performing diagnostic procedures
Correct Answer: A
Rationale: Health promotion enhances well-being and prevents disease proactively administering immunizations (e.g., measles vaccine) exemplifies this, boosting immunity before illness strikes. Giving a bedbath is hygiene, not promotion supportive, not preventive. Preventing complications post-accident is tertiary prevention, managing existing issues, not promoting health preemptively. Diagnostic procedures (e.g., blood tests) detect, not promote assessment, not prevention. Immunizations align with health promotion's focus on empowering clients against disease, a core nursing role in public health, making this the standout example.
The nurse enters the room to give a prescribed medication but the patient is inside the bathroom. What should the nurse do?
- A. Leave the medication at the bedside and leave the room.
- B. After a few minutes, return to that patient's room and do not leave until the patient takes the medication.
- C. Instruct the patient to take the medication and leave it at the bedside.
- D. Wait for the patient to return to bed and just leave the medication at the bedside.
Correct Answer: B
Rationale: Returning after a few minutes and staying until the patient takes the medication ensures safe administration, adhering to the 'Five Rights' right patient, drug, dose, route, and time. The nurse verifies ingestion, preventing errors like missed doses or misuse, and documents accurately. Leaving medication unattended risks it being lost, taken incorrectly, or accessed by others, violating safety protocols. Instructing without supervision assumes compliance but lacks confirmation, potentially falsifying records if the dose isn't taken. Waiting briefly then leaving it bedside still neglects oversight. Returning and remaining present balances respect for the patient's privacy with accountability, ensuring the medication reaches its intended recipient at the prescribed time, critical for treatment efficacy and legal standards in nursing practice.
The nurse checked if Mr. Gary's pain improved after medication. This is an example of?
- A. Evaluation
- B. Implementation
- C. Assessment
- D. Planning
Correct Answer: A
Rationale: Checking pain improvement is evaluation (A) assessing outcomes, per process. Implementation (B) delivers, assessment (C) gathers, planning (D) sets not outcome-specific. A fits goal review, making it correct.
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
- A. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time
- B. Reporting an APTT above 45 seconds to the physician
- C. Assessing the patient for signs and symptoms of frank and occult bleeding
- D. All of the above
Correct Answer: D
Rationale: All are critical to monitor bleeding risks and heparin efficacy.
The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
- A. Use the heel of her hand during percussion
- B. Change the child's position every 20 minutes
- C. Do percussion after the child eats and at bedtime
- D. Use cupped hands during percussion
Correct Answer: D
Rationale: Cupped hands during chest percussion loosen mucus in cystic fibrosis, creating vibrations without pain, a key physiotherapy technique to clear airways. Heel strikes are harsh, frequent repositioning isn't routine, and post-meal percussion risks reflux. Nurses teach this method for effective secretion management, improving breathing and reducing infection risk in this chronic condition.