Nokea
What intervention would be most important for the nurse to implement for the client with a left nephrectomy?
- A. Assess the intravenous fluids for rate and volume
- B. Change the surgical dressing daily at the same time
- C. Monitor the client's medication levels daily
- D. Monitor the percentage of each meal eaten
Correct Answer: A
Rationale: The correct answer is A: Assess the intravenous fluids for rate and volume. After a nephrectomy, monitoring intravenous fluids is crucial to ensure proper hydration and kidney function. Choice B is incorrect because changing the surgical dressing daily is important but not the most critical intervention. Choice C is incorrect as monitoring medication levels daily may be necessary but is not the priority after a nephrectomy. Choice D is irrelevant to the immediate postoperative care needed after a nephrectomy.
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The nurse is caring for clients on a cardiac floor. Which client should the nurse assess first?
- A. The client with three (3) unifocal PVCs in a minute
- B. The client diagnosed with coronary artery disease who wants to ambulate
- C. The client diagnosed with mitral valve prolapse with an audible S3
- D. The client diagnosed with pericarditis who is in normal sinus rhythm
Correct Answer: C
Rationale: The correct answer is C because an audible S3 in a client with mitral valve prolapse could indicate heart failure, which requires immediate assessment. Choice A is less urgent as occasional unifocal PVCs are common. Choice B is important but can be addressed after the client with an audible S3. Choice D, a client with pericarditis in normal sinus rhythm, is stable compared to a client with potential heart failure symptoms.
A healthcare provider is caring for a client who takes an antidepressant and oral contraceptives. Which herbal supplement should the healthcare provider educate the client about due to a drug-herb interaction?
- A. Iron supplement
- B. Garlic
- C. Green tea
- D. St. John's Wort
Correct Answer: D
Rationale: The correct answer is D, St. John's Wort. St. John's Wort can interact with antidepressants and oral contraceptives, potentially reducing their efficacy. Iron supplement, garlic, and green tea are not typically known to have significant interactions with antidepressants or oral contraceptives, making them less likely to impact the client's treatment.
Which of the following is a process of heat loss that involves the transfer of heat from one surface to another?
- A. Radiation
- B. Conduction
- C. Convection
- D. Evaporation
Correct Answer: B
Rationale: Conduction is the process of heat transfer that occurs between objects or substances that are in direct contact with each other. In this process, heat is transferred from a hotter surface to a cooler surface through direct contact. This type of heat transfer does not involve the movement of the substances themselves, only the transfer of thermal energy. Radiation (Choice A) is the transfer of heat through electromagnetic waves, while convection (Choice C) is the transfer of heat through the movement of fluids. Evaporation (Choice D) is a cooling process that involves the phase change of a liquid into a gas.
The client diagnosed with diabetes mellitus type 2 is admitted to the hospital with cellulitis of the right foot secondary to an insect bite. Which intervention should the nurse implement first?
- A. Administer intravenous antibiotics
- B. Apply warm moist packs every two hours
- C. Elevate the right foot on two pillows
- D. Teach the client about skin and foot care
Correct Answer: A
Rationale: Administering intravenous antibiotics is the priority intervention in this scenario. Cellulitis is a bacterial skin infection that requires prompt treatment with antibiotics to prevent its spread and potential complications. While warm moist packs and elevation can be beneficial as adjunct measures, they are not the initial priority. Teaching about skin and foot care is important, but it can be addressed after stabilizing the acute condition with antibiotics.
Students in the resident M6 Practical Nurse Course are expected to achieve entry-level competencies for which of the following?
- A. Medical-surgical nursing
- B. Obstetrics and newborn nursing
- C. Pediatric nursing
- D. Trauma nursing
Correct Answer: A
Rationale: The correct answer is A: Medical-surgical nursing. In the resident M6 Practical Nurse Course, students are expected to achieve entry-level competencies in medical-surgical nursing, which includes caring for adult patients who are acutely ill or recovering from surgery. Obstetrics and newborn nursing (choice B), pediatric nursing (choice C), and trauma nursing (choice D) are specialized areas that may not be covered in the entry-level competencies of the practical nurse course.