Nokea
Too narrow cuff will cause what change in the Client's BP?
- A. True high reading
- B. True low reading
- C. False high reading
- D. False low reading
Correct Answer: C
Rationale: A narrow cuff e.g., under-sized overcompresses, yielding a false high BP e.g., 140/90 vs. true 120/80. True readings need proper fit; wide cuffs may lower falsely. Nurses select cuffs e.g., per arm size for accuracy, per measurement standards.
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Which of the following statement is NOT true about cultural competence?
- A. Respects client's beliefs
- B. Improves quality of care
- C. Requires the nurse to impose her beliefs
- D. Enhances communication
Correct Answer: C
Rationale: Cultural competence respects beliefs (A), improves care (B), enhances communication (D) 'impose her beliefs' (C) isn't true, as it contradicts respecting client culture, per standards. C's imposition opposes competence's goal of sensitivity, making it the untrue statement.
The nurse double-checked Mr. Gary's meds to avoid mistakes. This is an example of?
- A. Safety
- B. Quality improvement
- C. Patient-centered care
- D. Telemedicine
Correct Answer: A
Rationale: Double-checking meds is safety (A) preventing harm, per care standards. QI (B) enhances, patient-centered (C) tailors, telemedicine (D) remote not error-specific. A fits safety's focus, making it correct.
Which of the following patients is at greatest risk for developing pressure ulcers?
- A. An alert, chronic arthritic patient treated with steroids and aspirin
- B. An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
- C. An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
- D. A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed
Correct Answer: B
Rationale: Age, immobility, incontinence, and malnutrition heighten pressure ulcer risk.
The nurse administers cleansing enema. The common position for this procedure is...
- A. Sims left lateral
- B. Dorsal Recumbent
- C. Supine
- D. Prone
Correct Answer: A
Rationale: Sims left lateral allows easy access to the rectum and comfort during an enema.
The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:
- A. That the infant will need daily calcium supplements
- B. To lift the infant by the buttocks when diapering
- C. That the condition is a temporary one
- D. That only the bones are affected by the disease
Correct Answer: B
Rationale: Lifting by the buttocks prevents fractures in osteogenesis imperfecta, a brittle bone disorder calcium doesn't strengthen defective collagen, it's lifelong, and other systems (e.g., hearing) may be affected. Nurses teach gentle handling, ensuring safety in this genetic condition.