Nokea
which is the primary aim of this law?
- A. To enhance the competence of professional nurses
- B. To regulate practice of professional nursing in the country
- C. To facilitate mobility of nurses to other countries
- D. To promote well-being of health workers
Correct Answer: B
Rationale: The primary aim of this law is to regulate the practice of professional nursing within the country. By establishing regulations, standards, and guidelines for nursing practice, the law ensures that nurses provide safe and competent care to patients. It also sets forth licensing requirements, scope of practice, and ethical standards to maintain quality and consistency in nursing care delivery. While enhancing the competence of professional nurses, facilitating mobility of nurses, and promoting the well-being of health workers may be important secondary goals, the main focus of the law is to regulate and govern the practice of nursing within the country.
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A postpartum client who delivered a preterm infant expresses concerns about milk supply and worries about meeting the baby's nutritional needs. What nursing intervention should be prioritized to address the client's concerns?
- A. Providing education on techniques to enhance milk production and supply
- B. Recommending supplemental formula feedings to ensure adequate nutrition
- C. Encouraging the client to avoid breastfeeding until the infant reaches full term
- D. Referring the client to a dietitian for specialized nutritional support
Correct Answer: A
Rationale: Providing education on techniques to enhance milk production and supply should be prioritized to address the client's concerns about milk supply and meeting the baby's nutritional needs. By educating the client on proper breastfeeding techniques, frequent nursing sessions, skin-to-skin contact, and the importance of staying hydrated, the nurse can help promote successful breastfeeding and potentially increase milk production. Supplemental formula feedings are not the first line of intervention, as breastfeeding should be encouraged, especially for a preterm infant who may benefit significantly from breast milk. Encouraging the client to avoid breastfeeding until the infant reaches full term is not appropriate, as breastfeeding can still be beneficial for a preterm infant. Referring the client to a dietitian for specialized nutritional support may be beneficial, but addressing milk supply concerns through education should be prioritized initially to support breastfeeding success.
A patient is prescribed an angiotensin-converting enzyme (ACE) inhibitor for heart failure. Which laboratory parameter should the nurse monitor closely during ACE inhibitor therapy?
- A. Serum potassium levels
- B. Serum sodium levels
- C. Blood glucose levels
- D. Serum creatinine levels
Correct Answer: A
Rationale: The nurse should monitor serum potassium levels closely during ACE inhibitor therapy because ACE inhibitors can lead to an increase in serum potassium levels, known as hyperkalemia. ACE inhibitors block the conversion of angiotensin I to angiotensin II, which in turn decreases aldosterone secretion. Aldosterone normally acts in the kidneys to reabsorb sodium and water and excrete potassium. Therefore, when aldosterone secretion is decreased due to ACE inhibitor therapy, there can be an increase in potassium retention, potentially leading to hyperkalemia. Monitoring serum potassium levels is essential to prevent complications associated with hyperkalemia, such as cardiac arrhythmias.
A patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed a metered-dose inhaler (MDI) with a spacer. Which instruction should the nurse include in the demonstration of MDI use?
- A. Inhale slowly and deeply while pressing the canister.
- B. Exhale completely before inhaling the medication.
- C. Shake the inhaler vigorously before each puff.
- D. Hold the breath for 10 seconds after inhaling the medication.
Correct Answer: A
Rationale: The correct instruction for using a metered-dose inhaler (MDI) with a spacer for a patient with COPD is to inhale slowly and deeply while pressing the canister. This technique helps ensure that the medication reaches the lungs effectively. Inhaling slowly and deeply allows the medication to be properly delivered to the airways, maximizing its effectiveness in treating the symptoms of COPD. This instruction helps the patient coordinate pressing the canister with their inhalation, which is crucial for proper medication delivery in COPD management.
Which IMPORTANT Information the nurse should inform the public about rabies?
- A. It could be prevented
- B. It is an ordinary disease
- C. Rabies is not deadly
- D. It kills
Correct Answer: A
Rationale: The nurse should inform the public that rabies can be prevented. This is an extremely important piece of information to help raise awareness about the disease and promote preventive measures such as timely vaccination of both animals and humans. Rabies is a deadly viral infection that affects the central nervous system, and prevention through vaccination is highly effective in controlling its spread. By emphasizing the preventability of rabies, the nurse can educate the public on the importance of taking proactive steps to avoid contracting the disease.
Nurse Selma conducts her INITIAL assessment on Catherine. patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?
- A. Request parent to carry the child
- B. Take Catherine's vital signs.
- C. Refer to the attending physician.
- D. Assess the description and frequency of pain.
Correct Answer: D
Rationale: When a patient is crying and continuously pulling at a specific body part, such as Catherine pulling her right ear, it indicates discomfort or pain in that area. Nurse Selma's most appropriate action would be to further assess the description and frequency of the pain. This will help her identify the possible cause of the pain, whether it is due to an ear infection, injury, or any other underlying issue. Understanding the nature and intensity of the pain will guide Nurse Selma in providing appropriate care and intervention for Catherine. It is crucial to address the patient's pain promptly to ensure their comfort and well-being. Referring to the attending physician may be necessary after this initial assessment but assessing the pain should be the immediate priority.