Nokea
To prevent injury and strain on the muscles, the nurse should observe proper body mechanics. Among the following, which is a principle of proper body mechanics?
- A. Broaden the space between the feet
- B. Push instead of pull
- C. Move the object away from the body when lifting
- D. Bend at the waist, not on the knees
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which client is most likely to need regular injections of vitamin B12?
- A. The client with malabsorption syndrome.
- B. The client following a vegan eating pattern.
- C. The client whose stomach does not produce intrinsic factors.
- D. The client with alcoholism.
Correct Answer: C
Rationale: The correct answer is C. The client whose stomach does not produce intrinsic factors is most likely to need regular injections of vitamin B12. Intrinsic factor is essential for the absorption of vitamin B12. Without intrinsic factor, the client cannot absorb vitamin B12 from food, necessitating the need for regular injections. Choices A, B, and D do not directly impact the production of intrinsic factors in the stomach, so they are less likely to result in the need for vitamin B12 injections.
Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain:
- A. to rule out pneumothorax
- B. to rule out any possible perforation
- C. to decongest
- D. to rule out any foreign body
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. What will you do first?
- A. Write an incident report and refer the matter to the nursing director
- B. Keep your findings to yourself
- C. Report the matter to your supervisor
- D. Find out from the endorsement any patient who might have been given narcotics
Correct Answer: C
Rationale: In this situation, the first step should be to report the matter to your supervisor. It is essential to notify the appropriate authority immediately to address the discrepancy in the narcotics cabinet. Choice A is not the first step as reporting to the nursing director should follow after informing the supervisor. Keeping the findings to yourself (Choice B) is not appropriate as it may jeopardize patient safety and is against ethical standards. While finding out which patient received narcotics (Choice D) is important, it is not the immediate action to take in this scenario.
In the hospital, when you need the medical record of a discharged patient for research you will request permission through:
- A. Doctor in charge
- B. The hospital director
- C. The nursing service
- D. Medical records section
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The use of the Standards of Nursing Practice is important in the hospital. Which of the following statements best describes what it is?
- A. These are statements that describe the maximum or highest level of acceptable performance in nursing practice
- B. It refers to the scope of nursing practice as defined in Republic Act 9173
- C. It is a license issued by the Professional Regulation Commission to protect the public from substandard nursing
- D. The Standards of Care includes the various steps of the nursing process and the standards of professional
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.