Nokea
When caring for a client with acute renal failure, which laboratory value is most important to monitor?
- A. Serum sodium
- B. Serum potassium
- C. Serum calcium
- D. Serum chloride
Correct Answer: B
Rationale: The correct answer is B: Serum potassium. In acute renal failure, impaired kidney function can lead to electrolyte imbalances, especially hyperkalemia which can be life-threatening. Monitoring serum potassium levels is crucial to prevent cardiac complications. Serum sodium (A) may be altered, but potassium is more critical. Serum calcium (C) and chloride (D) levels are important but not as directly impacted in acute renal failure compared to potassium.
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A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
- A. Avoid embarrassing the individual by asking questions.
- B. Don't make assumptions about their health needs.
- C. Most LGBTQ individuals do not want to share information.
- D. No differences exist in communicating with this group.
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs.
Rationale:
1. LGBTQ individuals have diverse health needs.
2. Making assumptions can lead to inappropriate or inadequate care.
3. By not assuming, you show respect and promote open communication.
4. This approach fosters trust and ensures individualized care.
Other choices:
A: Avoiding questions can hinder understanding and communication.
C: Generalizing that most LGBTQ individuals do not share information is inaccurate.
D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
In developing a discharge plan for a patient requiring home-care services, what is important to assess?
- A. Patient’s nursing diagnosis
- B. Availability of needed community services
- C. Patient’s functional abilities
- D. Patient’s family dynamics
Correct Answer: B
Rationale: Ensuring access to necessary community services is vital for successful home care.
Which manipulative and body-based technique uses pressure applied to the feet and hands?
- A. Massage
- B. Reflexology
- C. Shiatsu
- D. Chiropractic technique
Correct Answer: B
Rationale: Reflexology applies pressure to specific points on the feet and hands, stimulating corresponding body areas.
When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?
- A. Providing detailed explanations
- B. Speaking in a loud and clear voice
- C. Using simple and direct statements
- D. Offering multiple choices to the client
Correct Answer: C
Rationale: The most appropriate communication technique for a client with Alzheimer's disease is using simple and direct statements (Choice C). This approach is effective because it helps reduce confusion and enhances understanding for individuals with cognitive impairment. Complex explanations (Choice A) may overwhelm the client. Speaking loudly (Choice B) can be perceived as aggressive or intimidating. Offering multiple choices (Choice D) may lead to decision-making difficulties. Therefore, Choice C is the best option for clear and effective communication with Alzheimer's clients.
Place the steps of the evidence-based practice (EBP) process in order (0 being the first step; 6 being the last step).
- A. Create a spirit of inquiry
- B. Ask a clinical question
- C. Critically analyze the evidence
- D. Make recommendations for practice or generate data
Correct Answer: B
Rationale: The EBP process begins with creating a spirit of inquiry, followed by asking a clinical question, finding and analyzing evidence, making recommendations, and evaluating outcomes.