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To ensure client safety, the practicing nurse must have knowledge of The Joint Commission's current 'Do Not Use' list of abbreviations. Which term is acceptable for use regarding medication administration?
- A. q.o.or Q.O.D.
- B. MSO4 or MgSO4
- C. International Unit
- D. Lack of a leading zero
Correct Answer: C
Rationale: I.U.' and i.u.' are no longer acceptable because they could be misreaThe leading zero should be used before a decimal point.
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Which statement regarding human trafficking is correct?
- A. Human trafficking is a multibillion-dollar business that primarily exists in the United States.
- B. Victims often experience the Stockholm syndrome.
- C. Vast majority of the victims are young boys and girls.
- D. Human trafficking primarily refers to commercial sex work.
Correct Answer: B
Rationale: The Stockholm syndrome is a common response where the victim develops feelings for their captor. Victims of trafficking can be forced into sex work, labor, or organ donation.
A woman has chosen the calendar method of conception control. Which is the most important action the nurse should perform during the assessment process?
- A. Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months.
- B. Determine the client's weight gain and loss pattern for the previous year.
- C. Examine skin pigmentation and hair texture for hormonal changes.
- D. Explore the client's previous experiences with conception control.
Correct Answer: A
Rationale: The calendar method of conception control is based on the number of days in each cycle, counting from the first day of menses. The fertile period is determined after the lengths of menstrual cycles have been accurately recorded for 6 months.
What fatty acids (classified as hormones) are found in many body tissues with complex roles in many reproductive functions?
- A. GnRH
- B. Prostaglandins (PGs)
- C. FSH
- D. Luteinizing hormone (LH)
Correct Answer: B
Rationale: Prostaglandins (PGs) affect smooth muscle contraction and changes in the cervix.
A maternal-newborn nurse is caring for a mother who just delivered a baby born with Down syndrome. Which nursing diagnosis would be the most essential in caring for the mother of this infant?
- A. Disturbed body image
- B. Interrupted family processes
- C. Anxiety
- D. Risk for injury
Correct Answer: B
Rationale: This mother will likely experience a disruption in the family process related to the birth of a baby with an inherited disorder. Therefore, the probable nursing diagnosis for this family is 'Interrupted family processes.' Women commonly experience 'body image disturbances in the postpartum period'; however, this nursing diagnosis is unrelated to giving birth to a child with Down syndrome. The mother will likely have a mix of emotions that may include anxiety, guilt, and denial, but this nursing diagnosis is not the most essential for this family. 'Risk for injury' is not an applicable nursing diagnosis.
Which statement is true regarding the shortage of nurses in the United States?
- A. There are a larger proportion of younger nurses in the workforce as compared with older nurses.
- B. As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
- C. Nursing programs are turning away qualified applicants.
- D. There are adequate classroom and clinical facilities for training RNs.
Correct Answer: C
Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.