Nokea
Which of the following is a nonmedical member of a unit who receives additional training in providing care beyond basic first aid procedures?
- A. Area support squad leader
- B. ATLS specialist
- C. Tactical lifesaver
- D. Combat lifesaver
Correct Answer: D
Rationale: The correct answer is D, Combat lifesaver. A Combat Lifesaver is a nonmedical member of a unit who receives specialized training in advanced first aid procedures, beyond basic first aid care. This training equips them to provide crucial medical assistance in emergency situations where immediate medical personnel may not be available. Choices A, B, and C are incorrect as they do not specifically refer to nonmedical members trained in advanced first aid care beyond basic procedures.
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The nurse has been assigned to train the unlicensed nursing assistant about prioritizing care. Which client should the nurse instruct the unlicensed nursing assistant to see first?
- A. The client who needs both sequential compression devices removed
- B. The elderly woman who needs assistance ambulating to the bathroom
- C. The surgical client who needs help changing the gown after bathing
- D. The male client who needs the intravenous fluid discontinued
Correct Answer: A
Rationale: The correct answer is A. Removing sequential compression devices could increase the risk of thromboembolism, which is a serious complication. Therefore, this client should be seen first to prevent any potential harm. Choice B may be important, but it does not pose an immediate risk compared to thromboembolism. Choice C is a routine care task that can be delayed, and Choice D, discontinuing intravenous fluid, is important but not as urgent as preventing thromboembolism.
The use of the antibiotic neomycin may decrease the absorption of:
- A. Iron, copper, and zinc
- B. Protein and amino acids
- C. Fat-soluble vitamins
- D. Water-soluble vitamins
Correct Answer: C
Rationale: The correct answer is C. Neomycin can interfere with the absorption of fat-soluble vitamins such as vitamins A, D, E, and K. Choice A is incorrect because neomycin does not affect the absorption of iron, copper, and zinc. Choice B is incorrect as neomycin does not impact the absorption of protein and amino acids. Choice D is also incorrect as neomycin does not decrease the absorption of water-soluble vitamins like vitamin C and the B vitamins.
Interacting with the patient and their family to obtain subjective information is part of which of the following steps in determining and fulfilling the nursing care needs of the patient?
- A. Evaluation
- B. Planning
- C. Implementation
- D. Assessment
Correct Answer: D
Rationale: The correct answer is D, Assessment. In the nursing process, assessment is the first step where nurses gather subjective and objective data to understand the patient's needs. Interacting with the patient and their family to obtain subjective information is crucial in this phase. Choice A, Evaluation, comes later in the process and involves judging the effectiveness of the care provided. Choice B, Planning, is where the nurse develops a plan of care based on the assessment findings. Choice C, Implementation, is the phase where the nursing care plan is put into action.
The nurse is caring for a client diagnosed with rule-out nephritic syndrome. Which intervention should be included in the plan of care?
- A. Monitor the urine for bright-red bleeding
- B. Evaluate the calorie count of the 500-mg protein diet
- C. Assess the client's sacrum for dependent edema
- D. Monitor for a high serum albumin level
Correct Answer: C
Rationale: Assessing the client's sacrum for dependent edema is crucial in the care plan for nephritic syndrome as it is common due to protein loss. Dependent edema occurs as a result of decreased oncotic pressure from protein loss in the urine. Monitoring urine for bright-red bleeding (choice A) is more relevant to conditions like glomerulonephritis. Evaluating calorie count or protein intake (choice B) is important for other conditions but not specifically for nephritic syndrome. Monitoring for a high serum albumin level (choice D) is not typically part of the immediate care plan for nephritic syndrome.
The client diagnosed with Type 2 diabetes mellitus is being taught about diet by the nurse. Which diet selection indicates the client understands the teaching?
- A. A submarine sandwich, potato chips, and diet cola
- B. Four (4) slices of a supreme thin-crust pizza and milk
- C. Smoked turkey sandwich, celery sticks, and unsweetened tea
- D. A roast beef sandwich, fried onion rings, and a cola
Correct Answer: C
Rationale: The correct answer is C because a smoked turkey sandwich with celery sticks and unsweetened tea reflects a balanced and healthy choice suitable for a client with Type 2 diabetes mellitus. Turkey is a lean protein choice, celery sticks offer fiber and low calories, and unsweetened tea is a sugar-free beverage. Choices A, B, and D are incorrect as they include high-carb, high-fat, and sugary options that are not recommended for individuals with diabetes as they can spike blood sugar levels.