Nokea
What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
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What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?
- A. Arranging for her mother to be with her
- B. Telling the child the test will not hurt
- C. Assuring the child that the test will be done quickly
- D. Introducing the child to the lab technicians
Correct Answer: B
Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it does not honor the child's right to be educated honestly about his or her health care.
The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?
- A. A community-based nurse would provide care in a mobile unit in the neighborhood.
- B. A community-based nurse only provides education.
- C. A community health nurse performs cardiac assessments.
- D. A community health nurse only provides hands-on care.
Correct Answer: A
Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.
The nurse makes an error of omission. What is an example of an error of omission?
- A. placing the fetal monitor incorrectly
- B. not recording input/output amounts
- C. not covering the computer screen when documenting
- D. removing an IV
Correct Answer: B
Rationale: The correct answer is B because not recording input/output amounts can lead to missed vital information affecting patient care. Omission errors involve failing to perform a required action. Placing the fetal monitor incorrectly (A) is an error of commission, actively doing something incorrectly. Not covering the computer screen (C) is a breach of patient confidentiality, not an omission error. Removing an IV (D) is an active intervention, not an omission error.
What is an appropriate response to a client asking if fibrocystic breast disease means she has breast cancer?
- A. I am so sorry. I am sure that the doctor will do everything possible to cure you of the cancer.
- B. I am not the best person to ask about your diagnosis. I suggest that you ask the doctor.
- C. If your lumps are round and mobile they are not cancerous, but if they are hard to the touch you probably do have cancer.
- D. You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes.
Correct Answer: D
Rationale: Fibrocystic changes are benign but warrant monitoring.