Nokea
The nurse treated Mr. Gary's pain before other tasks. This is an example of?
- A. Priority setting
- B. Decision-making
- C. Health literacy
- D. Care coordination
Correct Answer: A
Rationale: Treating pain first is priority setting (A) need-based order, per definition. Decision-making (B) chooses, literacy (C) understanding, coordination (D) organization not priority-specific. A fits the nurse's focus on Mr. Gary's urgency, making it correct.
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On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
- A. Use a damp cloth to remove the dust.
- B. Use a feather duster to remove dust.
- C. Vacuum up the dust.
- D. Use a broom covered with a cloth.
Correct Answer: A
Rationale: Teaching the family to use a damp cloth removes dust effectively, trapping particles rather than dispersing them, unlike feather dusters or brooms. Vacuuming works but isn't always practical for small areas. This method reduces allergens and infection risks in the home, a simple, accessible nursing intervention for environmental hygiene.
A client has a new prescription for furosemide. Which of the following instructions should the nurse include during discharge teaching?
- A. Avoid foods high in potassium.
- B. Monitor weight daily.
- C. Take the medication with food.
- D. Increase salt intake.
Correct Answer: B
Rationale: Monitoring weight daily is crucial when taking furosemide to detect fluid retention or loss. Furosemide is a diuretic that helps the body get rid of excess water and salt through urine. Changes in weight can indicate fluid shifts, which could be a sign of inadequate response to the medication or worsening condition. Therefore, monitoring weight daily is essential to assess the effectiveness of furosemide therapy and detect any potential issues early on. Choices A, C, and D are incorrect. Avoiding foods high in potassium is more relevant for clients taking potassium-sparing diuretics, not furosemide. Taking furosemide with food is not necessary, as it can be taken with or without food. Increasing salt intake is contradictory to the purpose of furosemide, which aims to eliminate excess salt from the body.
Culture media is sterilized by which of the following method?
- A. Autoclaving
- B. Boiling
- C. Hot air oven
- D. Ionizing radiation
Correct Answer: A
Rationale: Sterilization of culture media is critical in microbiology to eliminate contaminants. Autoclaving (choice A) uses moist heat under pressure (typically 121°C at 15 psi for 15-20 minutes) to kill bacteria, spores, and viruses, making it the gold standard for sterilizing liquid media like agar or broth. Boiling (choice B) at 100°C can kill vegetative bacteria but not heat-resistant spores, rendering it inadequate for complete sterilization. Hot air oven (choice C) employs dry heat (160-170°C for 2 hours) and is suitable for glassware, not liquid media, as it may evaporate or degrade nutrients. Ionizing radiation (choice D) is effective for heat-sensitive materials (e.g., plastics), but it's less common for routine media preparation due to cost and equipment needs. Autoclaving is the correct answer (A) because it ensures thorough sterilization of culture media, a process nurses and lab personnel rely on to maintain aseptic conditions for accurate diagnostic cultures.
He proposed the theory of morality that is based on MUTUAL TRUST
- A. Freud
- B. Erikson
- C. Kohlberg
- D. Peters
Correct Answer: C
Rationale: Lawrence Kohlberg's moral development theory, from the 1950s, hinges on mutual trust e.g., a child learns fairness through reciprocal relationships. Freud's psychoanalysis, Erikson's psychosocial stages, and Peters' principle-based morality differ. Kohlberg's stages premoral (reward/punishment), conventional (social norms), post-conventional (personal ethics) explain moral growth, influencing nursing ethics education on trust-based patient interactions.
The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:
- A. Is asleep 30 minutes after the injection
- B. Asks for extra servings on his meal tray
- C. Has an increased urinary output
- D. States that he is feeling less nauseated
Correct Answer: A
Rationale: Being asleep 30 minutes post-Stadol indicates effective pain relief and sedation, its intended effect post-op extra food, urine output, or less nausea aren't primary goals. Nurses monitor response, ensuring rest and pain control, critical for recovery in surgical care.