Nokea
Which of the following describes task-oriented touch?
- A. It is used to demonstrate concern or affection.
- B. It involves the contact required for nursing procedures.
- C. The nurse uses task-oriented touch therapeutically when a client is lonesome.
- D. It involves the touch used for sensory-deprived clients.
Correct Answer: B
Rationale: Task-oriented touch is necessary for performing nursing procedures and ensuring client safety.
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A confirmatory laboratory test for HIV includes
- A. Western blot.
- B. Low WBC.
- C. Comprehensive metabolic panel.
- D. Enzyme-linked immunosorbent assay (ELISA).
Correct Answer: A
Rationale: Western blot is used to confirm HIV infection.
A patient who is being admitted to the surgical unit for a hysterectomy paces the floor, repeatedly saying, 'I just want this over.' What should the nurse do to promote a positive surgical outcome for the patient?
- A. Ask the patient what her specific concerns are about the surgery.
- B. Reassure the patient that the surgery will be over soon and she will be fine.
- C. Redirect the patient's attention to the necessary preoperative preparations.
- D. Tell the patient she should not be so anxious because she is having a common, safe surgery.
Correct Answer: A
Rationale: Understanding the patient's specific concerns allows the nurse to address fears directly, promoting a positive outcome.
Which type of shock has the highest mortality rate?
- A. Neurogenic shock
- B. Anaphylactic shock
- C. Hypovolemic shock
- D. Septic shock
Correct Answer: D
Rationale: Septic shock has a high mortality rate due to systemic inflammation and multiorgan dysfunction.
The patient asks you what the clip on his finger is for. The best response is
- A. This is a cardiac monitor that alerts us to any arrhythmia that you might experience during the night.
- B. This measures your temperature.
- C. This is pulse oximetry and is used to give us an idea of how much oxygen is in your blood.
- D. This tells us the number of red blood cells you have. These cells provide oxygen throughout your body.
Correct Answer: C
Rationale: Pulse oximetry measures oxygen saturation in the blood.
List in order the nociceptive processes that occur to communicate tissue damage to the CNS. No. 1 is the first process and No. 4 is the last process.
- A. Perception
- B. Modulation
- C. Transmission
- D. Transduction
Correct Answer: D
Rationale: The correct order is D (transduction), C (transmission), B (modulation), A (perception).