Nokea
When preparing to insert an NG tube for a client who requires gastric decompression, which of the following actions should the nurse take?
- A. Position the client with the head of the bed elevated to 30° prior to insertion
- B. Measure the tube from the client's nose to the earlobe to the xiphoid process
- C. Lubricate the entire length of the tube with water-soluble lubricant
- D. Instruct the client to cough during insertion
Correct Answer: B
Rationale: Measuring the tube from the client's nose to the earlobe to the xiphoid process ensures the tube is inserted to the correct depth. This measurement helps prevent complications such as tube misplacement or lung insertion. Positioning the client with the head of the bed elevated to 30° is important to facilitate easier insertion but is not the most crucial step. Lubricating the entire length of the tube with water-soluble lubricant is essential for smooth insertion but is not the most critical action. Instructing the client to cough during insertion is not necessary and may lead to unnecessary discomfort.
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A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented?
- A. The NSNA contributes to the improvement of public health
- B. The organization provides programs of current professional interest
- C. It is run by a group of registered nurses
- D. It is funded by the national government
Correct Answer: B
Rationale: The National Student Nurses' Association (NSNA) is a student-led organization designed to support nursing students' professional development, and understanding its purpose is key for students. The correct statement, that it provides programs of current professional interest, reflects its role in offering educational events, leadership opportunities, and resources tailored to students' needs, preparing them for their future careers. The NSNA does not primarily focus on improving public health, which is more aligned with bodies like the Commission on Collegiate Nursing Education. It is not run by registered nurses but by students themselves, emphasizing peer leadership and engagement. Additionally, it is student-funded through membership dues, not supported by the national government. This distinction highlights the NSNA's unique position as a grassroots organization fostering professional growth, networking, and advocacy among nursing students, ensuring they are well-equipped to enter the profession with relevant skills and knowledge.
When reading an autopsy report, the nurse encounters the term 'midsagittal plane.' This nurse understands that this means the body was viewed using a plane that matched which of the following descriptions?
- A. This plane cuts the body horizontally.
- B. This plane divides the body into front and back portions.
- C. The body is separated into left and right equal portions.
- D. The body is divided using an X across the chest.
Correct Answer: C
Rationale: Midsagittal plane splits the body into equal left-right halves, unlike horizontal, front-back, or X divisions. Nurses use this in anatomical understanding.
A healthcare provider is providing teaching to a client regarding protein intake. Which of the following foods should the healthcare provider include as an example of an incomplete protein?
- A. Eggs
- B. Soybeans
- C. Lentils
- D. Yogurt
Correct Answer: C
Rationale: The correct answer is C: Lentils. Incomplete proteins lack one or more essential amino acids required for protein synthesis in the body. Examples of incomplete proteins include lentils, vegetables, grains, nuts, and seeds. Lentils, a plant-based protein source, are considered incomplete as they do not contain all essential amino acids in sufficient amounts. Choices A, B, and D are incorrect as eggs, soybeans, and yogurt are examples of complete proteins, containing all essential amino acids in the right proportions for the body's needs.
An autoclave is used to sterilize hospital supplies because:
- A. More articles can be sterilized at a time
- B. Steam causes less damage to the materials
- C. A lower temperature can be obtained
- D. Pressurized steam penetrates the supplies better
Correct Answer: D
Rationale: Pressurized steam enhances penetration, ensuring thorough sterilization.
Miss Imelda asked you, What is WET TO DRY Dressing method? Your best response is
- A. It is a type of mechanical debridement using Wet dressing that is applied and left to dry to remove dead tissues
- B. It is a type of surgical debridement with the use of Wet dressing to remove the necrotic tissues
- C. It is a type of dressing where in, The wound is covered with Wet or Dry dressing to prevent contamination
- D. It is a type of dressing where in, A cellophane or plastic is placed on the wound over a wet dressing to stimulate healing of the wound in a wet medium
Correct Answer: A
Rationale: The wet-to-dry dressing method (A) is a mechanical debridement technique where a wet gauze is applied to a wound, then dries, adhering to and removing necrotic tissue when peeled off. Surgical debridement (B) involves cutting, not dressings. Option C misrepresents it as a protective dressing, ignoring debridement. Option D describes wet-to-moist dressings, not wet-to-dry. Wet-to-dry targets dead tissue removal, aiding healing in wounds like Imelda's, making A accurate and the best response.