Nokea
Which of the following findings is associated with right-sided heart failure?
- A. Shortness of breath
- B. Nocturnal polyuria
- C. Daytime oliguria
- D. Crackles in the lungs
Correct Answer: B
Rationale: Nocturnal polyuria is linked to right-sided heart failure, where fluid shifts from edematous tissues to the bloodstream at night, increasing urine output as the heart struggles to pump against venous congestion. Shortness of breath and crackles typify left-sided failure, while daytime oliguria isn't specific. Nurses monitor this to assess heart function, guiding fluid management and diuretic use effectively.
You may also like to solve these questions
The nurse checked Mr. Gary's dose to prevent an overdose. This is an example of?
- A. Nonmaleficence
- B. Beneficence
- C. Fidelity
- D. Veracity
Correct Answer: A
Rationale: Checking dose to prevent overdose is nonmaleficence (A) avoiding harm, per ethics. Beneficence (B) does good, fidelity (C) keeps promises, veracity (D) tells truth not harm-specific. A fits the nurse's focus on safety, ensuring no adverse effects occur, aligning with nonmaleficence's protective principle, making it correct.
Which of the following statement best describe beneficence?
- A. Doing good for the client
- B. Fairness and equality
- C. Respecting client's decision
- D. Keeping promises
Correct Answer: A
Rationale: Beneficence is doing good for the client (A), per ethics acting in their best interest (e.g., pain relief). Fairness (B) is justice, decision respect (C) autonomy, promises (D) fidelity. A best captures beneficence's intent, making it correct.
The nurse does not take shortcuts for example failing to identify a client when administering medications. This is an example of critical thinking attitude:
- A. Responsibility and accountability
- B. Thinking independently
- C. Fairness
- D. Discipline
Correct Answer: A
Rationale: Responsibility and accountability as a critical thinking attitude mean adhering to standards and owning outcomes, like verifying a client's identity before medication to ensure safety. This reflects duty to the patient and profession, avoiding errors (e.g., wrong patient dosing). Thinking independently involves personal judgment, not just following protocol, which this nurse does by sticking to rules. Fairness ensures impartiality, not directly tied to identification steps. Discipline implies consistency, overlapping with responsibility, but lacks accountability's emphasis on answerability. By not cutting corners, the nurse upholds ethical and safety standards, embodying responsibility and accountability, critical for trust and precision in medication administration, a high-stakes nursing task.
An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
- A. Place the probe on the child's abdomen
- B. Recalibrate the oximeter at the beginning of each shift
- C. Apply the probe and wait 15 minutes before obtaining a reading
- D. Place the probe on the child's finger
Correct Answer: D
Rationale: Placing the pulse oximeter probe on the finger ensures an accurate oxygen saturation reading in an 8-year-old, as peripheral sites like fingers provide reliable arterial pulsation data. The abdomen isn't suitable, recalibration isn't routine, and waiting 15 minutes delays care unnecessarily. Nurses use this technique for quick, precise monitoring, critical in respiratory infections to guide oxygen therapy.
The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client with pancreatitis. Which role best fit that statement?
- A. Change agent
- B. Client advocate
- C. Case manager
- D. Collaborator
Correct Answer: B
Rationale: Questioning an inappropriate order like morphine for pancreatitis, which worsens sphincter of Oddi spasm reflects the client advocate role. Nurses protect patient rights and safety by challenging harmful directives, ensuring optimal care (e.g., suggesting alternatives like meperidine). This differs from change agent (lifestyle shifts), case manager (coordination), or collaborator (teamwork), emphasizing advocacy's focus on patient well-being, a core ethical duty in nursing.