Nokea
Two new admissions to the unit. One of the new admissions is diagnosed with pneumonia, and the other new patient is diagnosed with AIDS.
Which of the following assignments is MOST appropriate?
- A. Assign both patients to one room with one nurse caring for both patients.
- B. Place both patients in the same room and assign the care to different nurses.
- C. Assign each patient to a private rooms and assign both clients to one nurse.
- D. Place each client in a private room and assign each patient to a different nurse.
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) increases the potential for transmission of infection (2) keeps the clients in the same room; should not be done (3) puts them in separate rooms but same nurse is caring for them (4) correct-to prevent spread of infection, clients should have private rooms with different nurses
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A nurse was sued for malpractice but is proved innocent.
Which fact from the case was decisive in determining the outcome?
- A. Negligence was implied.
- B. The suit was filed under the law of negligent tort.
- C. No harm was actually suffered by the patient.
- D. The nurse failed to give competent care.
Correct Answer: C
Rationale: Strategy: Think about each answer. (1) negligence is the unintentional failure of an individual to perform an act that a reasonable person would or not would perform in similar circumstances; can be an act of omission or commission (2) tort is a legal term that means a wrongful act that results in injury, loss, or damage (3) correct-required elements of malpractice are duty, breach of duty, causation, and injury (4) would be considered negligence
Several days after a client had a myocardial infarction, the physician placed him on a 2-gm sodium diet.
Which of the following selections would indicate to the nurse an understanding of the diet?
- A. Scrambled egg, orange slices, and milk.
- B. Instant oatmeal, toast, and orange juice.
- C. Poached egg, bacon, and milk.
- D. Biscuit, fruit cup, and sausage.
Correct Answer: A
Rationale: Strategy: Determine the foods that are allowed on a 2-gm sodium diet. (1) correct-all items are low in sodium; milk is allowed on a salt-restricted diet (2) instant oatmeal has sodium added (3) bacon is high in sodium (4) all baked breads are high in sodium, as is sausage
Because a client has Guillain-Barré syndrome, the nurse would expect which of the following in the client's history?
- A. Recent upper respiratory infection
- B. A tick bite a few days ago
- C. A mosquito bite a week ago
- D. A strep throat infection two weeks ago
Correct Answer: A
Rationale: Guillain-Barré syndrome is often preceded by a viral upper respiratory infection, triggering an autoimmune response, unlike tick bites, mosquito bites, or strep throat.
The client is discharged from the unit with a prescription for Evista (raloxifene HCl). Which of the following is a side effect of this medication?
- A. Leg cramps
- B. Hot flashes
- C. Urinary frequency
- D. Cold extremities
Correct Answer: B
Rationale: Evista, used for osteoporosis, has an estrogen agonist effect, commonly causing hot flashes. It does not cause leg cramps , urinary frequency , or cold extremities .
A nurse is stuck in the hand by an exposed used hypodermic needle. What immediate action should the nurse take?
- A. Look up the policy on needle sticks
- B. Contact employee health services
- C. Immediately wash the hands with vigor
- D. Notify the supervisor and risk management
Correct Answer: C
Rationale: The immediate action of vigorously washing will help remove possible contamination. Then the sequence would be to notify the supervisor, look up the policy, and contact employee health services.