Nokea
Which nursing intervention is written correctly?
- A. Force fluids as necessary.
- B. Observe interaction with the infant.
- C. Encourage turning, coughing, and deep breathing. N R I G B.C M U S N T O
- D. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
Correct Answer: D
Rationale: The correct nursing intervention that is written correctly is option D. The intervention "Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM" is clear, specific, and provides a specific time frame for the activity. It is important in nursing documentation to be precise and clearly state the details of the intervention to ensure effective communication among healthcare team members. This intervention also specifies the frequency and duration of the ambulation activity, which helps in ensuring continuity of care and proper execution of the intervention for the patient.
You may also like to solve these questions
The nurse is providing education to the patient that is receiving a bisphosphate medication for osteoporosis. Which instructions should the nurse include in the teaching plan to reduce side effects and enhance absorption while taking bisphosphates? Select all that apply.
- A. Take the medication with a small meal at the same time
- B. Take the medication with at least 8 oz. of water.
- C. Remain upright for at least 30 minutes after taking a dos
- D. Take the medication on an empty stomach
Correct Answer: A
Rationale: A. Take the medication with a small meal at the same time: Bisphosphonate medications should be taken with a small meal rather than on an empty stomach to enhance absorption and reduce the risk of gastrointestinal side effects.
While teaching an Asian patient regarding prenatal care, the nurse notes that the patient refuses to make eye contact. Which is the most likely cause for this behavior?
- A. A submissive attitude
- B. Lack of understanding
- C. Embarrassment about the subject
- D. Cultural beliefs about eye contact
Correct Answer: D
Rationale: In many Asian cultures, avoiding eye contact can be a sign of respect, modesty, or a way to show deference to authority figures. Making direct eye contact during a conversation, especially with someone in a position of authority like a healthcare provider, can be seen as disrespectful or confrontational. Understanding and respecting these cultural beliefs is crucial when providing care to patients from diverse backgrounds. It is important for healthcare providers to be aware of these cultural differences and adjust their communication styles accordingly to ensure effective and culturally sensitive care.
The nurse is caring for a patient receiving chemotherapy. What nursing intervention would they provide?
- A. Administer antibiotics.
- B. Administer antiemetics.
- C. Encourage physical activity after infusion.
- D. Encourage eating a large meal.
Correct Answer: B
Rationale: Patients receiving chemotherapy often experience nausea and vomiting as common side effects. Antiemetics are medications specifically designed to help manage and prevent these symptoms. By administering antiemetics, the nurse can help the patient feel more comfortable and reduce the risk of dehydration and other complications associated with nausea and vomiting. This intervention is crucial in supporting the patient's overall well-being and enhancing their quality of life during chemotherapy treatment.
A nurse who works in the emergency department (ED) is assigned to a patient who is experiencing heavy vaginal bleeding at 12 weeks’ gestation. An ultrasound has confirmed the absence of a fetal heart rate, and the patient is scheduled for a dilation and evacuation of the pregnancy. The nurse refuses to provide any further care for this patient based on moral principles. What is the nurse manager’s initial response to the nurse?
- A. “I recall you sharing that information in your interview. I will arrange for another nurse to take report on this patient.”
- B. “Because we are shorthanded today, you have to continue to provide care. There is no one else available to provide care for this patient.”
- C. “I understand your point of view. You were hired to work here in the ED so you had to know this situation was possible.”
- D. “Abandonment is a serious issue. I have to advise you to continue to provide care for this patient.”
Correct Answer: D
Rationale: The nurse manager's initial response should prioritize patient care and safety. In this situation, the patient requires urgent medical attention due to heavy vaginal bleeding and the need for a dilation and evacuation procedure. The nurse's refusal to provide care based on personal moral principles can be considered as patient abandonment, which is a serious ethical and legal issue in healthcare. The nurse manager must advise the nurse to continue providing care for the patient to ensure that the patient's needs are met and to prevent harm resulting from abandonment. The nurse manager should also address the nurse's concerns separately through appropriate channels, such as discussing ethical considerations, providing support, and exploring options for accommodation or transfer if necessary.
Regarding advanced roles of nursing, which statement related to clinical practice is the most accurate?
- A. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting.
- B. Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
- C. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants.
- D. A certified nurse midwife (CNM) is not considered to be an advanced practice nurse.
Correct Answer: C
Rationale: The most accurate statement related to clinical practice among the choices presented is that neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. Neonatal nurse practitioners specialize in the care of newborns, particularly those who are premature or have health complications. They work in settings such as neonatal intensive care units (NICUs) and provide specialized care to meet the needs of high-risk infants. Neonatal nurse practitioners collaborate with neonatologists and other healthcare professionals to ensure that these fragile patients receive the necessary care and attention. This role involves advanced clinical skills and knowledge in the care of neonates, making it a crucial part of the healthcare team for newborns in need of specialized care.