The occupational health nurse is conducting an in-service on reducing back injuries. Which of the following statements, if made by a participant, would indicate a correct understanding of the conference?
- A. I should keep my legs straight while lifting.
- B. Heavy objects should be held away from my body.
- C. I shouldn't twist while lifting an object.
- D. I should keep a narrow base of support.
Correct Answer: C
Rationale: Avoiding twisting while lifting reduces back strain. Other options are incorrect ergonomic practices.
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The nurse recognizes which of the following may be used as an approved client identifier? Select all that apply.
- A. first and last name
- B. date of birth
- C. telephone number
- D. admission date
- E. medical record number
- F. age
Correct Answer: A,B,E
Rationale: First and last name, date of birth, and medical record number are approved identifiers per Joint Commission standards. Telephone number, admission date, and age are not.
The nurse is caring for a child immediately post-operative following a tonsillectomy. Which assessment finding requires immediate follow-up?
- A. Discomfort while speaking
- B. Frequent swallowing
- C. Drowsiness
- D. Pain with occasional coughing
Correct Answer: B
Rationale: Frequent swallowing in a post-tonsillectomy child may indicate bleeding in the throat, as the child swallows blood, requiring immediate follow-up to prevent hemorrhage. Discomfort, drowsiness, and pain with coughing are expected findings and less urgent.
The nurse is supervising a graduate nurse completing an incident report regarding a client who fell. Which of the following actions by the graduate nurse requires follow-up?
- A. Documents an objective description of what happened
- B. Indicates that a 2-inch laceration was present on the client's scalp
- C. Documents in the nursing note that an incident report was completed
- D. Indicates the follow-up actions taken
Correct Answer: C
Rationale: Documenting the incident report in the nursing note violates confidentiality; incident reports are separate from patient records.
The nurse is discussing mass casualties with a group of nursing students. Which statement by the student would indicate effective understanding? Select all that apply.
- A. Mass casualties are events that overwhelm local medical capabilities.
- B. When a mass casualty occurs, there is a need to increase the staff at the hospital.
- C. Many local agencies will collaborate to handle a mass casualty situation.
- D. An example of a mass casualty event is a fight between visitors in the intensive care unit.
- E. Staff preferences for client assignments should prioritize over client needs.
Correct Answer: A,B,C
Rationale: Mass casualties overwhelm resources, require more staff, and involve multi-agency collaboration. A visitor fight is not a mass casualty, and client needs take priority.
The nurse is preparing to obtain capillary blood glucose (CBG) for a client with diabetes mellitus. The nurse should take which action? Select all that apply.
- A. Apply gloves for this procedure
- B. Have the client wash their hands with soap and water prior to blood collection
- C. Collect the second blood drop on the test strip
- D. Prick the central part of the finger for the sample
- E. Clean and disinfect the glucometer in between uses
Correct Answer: A,B,C,E
Rationale: Gloves protect against blood exposure, hand washing ensures a clean sample, the second drop avoids contamination, and disinfecting the glucometer prevents infection. Pricking the central finger part is less preferred than the side.
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