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When teaching a client with a new diagnosis of diabetes mellitus about foot care, which of the following instructions should the nurse include?
- A. Soak your feet in hot water every day.
- B. Apply lotion between your toes.
- C. Inspect your feet daily.
- D. Use over-the-counter products to remove corns.
Correct Answer: C
Rationale: Inspecting the feet daily is crucial for clients with diabetes mellitus to detect early signs of injury or infection promptly. This practice helps prevent serious complications such as diabetic foot ulcers. Soaking feet in hot water daily can lead to skin dryness and increase the risk of injury. Applying lotion between toes can cause moisture buildup, leading to fungal infections. Using over-the-counter products to remove corns can result in skin damage and should be done under healthcare provider supervision.
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The nurse is caring for a client with a history of congestive heart failure. The client's dyspnea has worsened over the past 2 hours. The nurse should:
- A. Increase the oxygen flow rate to 6L per minute
- B. Place the client in high Fowler's position
- C. Administer Lasix (furosemide) immediately
- D. Encourage the client to cough and deep breathe
Correct Answer: B
Rationale: Placing the client in high Fowler's position eases dyspnea in worsening congestive heart failure by reducing preload oxygen adjustment needs orders, Lasix requires confirmation, and coughing won't help acute fluid overload. Nurses prioritize positioning, monitoring respiratory status, aiding comfort in this cardiac emergency.
Which of the following statement is TRUE about responsibility?
- A. The nurse can delegate all her tasks
- B. Means the nurse is liable for her actions
- C. The nurse should not accept tasks she's not competent
- D. All of the above
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client receives discharge teaching on a new prescription for lisinopril. Which of the following instructions should be included?
- A. Avoid foods high in potassium.
- B. Take the medication with food.
- C. Increase your intake of salt.
- D. Take the medication at bedtime.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What are the primary purposes for conducting research in nursing?
- A. Decrease the number of illnesses in the population
- B. Improve NCLEX pass rates
- C. Provide a basis for best practice guidelines
- D. Develop new ways to improve assessment and diagnostic skills
Correct Answer: C
Rationale: Nursing research aims to enhance the profession's impact on patient care through targeted purposes. Providing a basis for best practice guidelines is central, as research synthesizes evidence like clinical reviews into actionable standards, ensuring care is effective and current. Developing new ways to improve assessment and diagnostic skills sharpens nurses' ability to identify and address client needs, driving innovative tools or techniques. It also supports evaluating care, offering resources to measure intervention success, and informs planning by setting evidence-based goals. Decreasing illnesses aligns more with medical research, while improving NCLEX pass rates pertains to education, not research's core. These purposes collectively advance nursing knowledge, refine practice, and elevate client outcomes, grounding the profession in science rather than tradition or assumption.
According to Maslow, which of the following is NOT TRUE about a self actualized person?
- A. Understands poetry, music, philosophy, science etc.
- B. Desires privacy, autonomous
- C. Follows the decision of the majority, uphold justice and truth
- D. Problem centered
Correct Answer: C
Rationale: Maslow's self-actualized person (1940s) is autonomous and problem-focused e.g., pursuing personal goals over majority views while valuing privacy and insight (poetry, science). Following the crowd contradicts this; justice is personal. Nurses support this e.g., unique patient goals per psychological growth.