Nokea
Which of the following is NOT true about the patient's bill of rights?
- A. The client has the right to considerate and respectful care
- B. The client has the right to be informed
- C. The client has the right to be informed about hospital charges and services
- D. The client has no right to choose his doctor
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client has a prescription for a clear liquid diet. Which of the following foods should the nurse offer?
- A. Milk
- B. Vegetable juice
- C. Chicken broth
- D. Orange juice with pulp
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Contraindications to Lumbar puncture include all except:
- A. Raised ICP
- B. Neoplasm
- C. Hematoma
- D. Headache
Correct Answer: D
Rationale: Lumbar puncture (LP) risks complications if contraindicated. Raised intracranial pressure (ICP) (choice A) can cause herniation post-LP, a fatal risk. Neoplasm (choice B) or hematoma (choice C) may increase ICP or bleeding risk, making LP dangerous. Headache (choice D) is a symptom, not a contraindication, and may even prompt LP (e.g., meningitis diagnosis). D is correct, as headache doesn't preclude LP. Nurses assess for ICP signs (e.g., papilledema), ensure safety, and manage post-LP headaches, supporting diagnostic accuracy.
The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
- A. Codeine
- B. Aspirin
- C. Penicillin
- D. Sulfa drugs
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.
A client has a new prescription for a metered-dose inhaler (MDI). Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will breathe out forcefully after inhaling the medication.
- C. I will take the medication with food.
- D. I will use a spacer with the inhaler.
Correct Answer: A
Rationale: Shaking the inhaler before use is crucial to ensure proper mixing of the medication inside the inhaler. This action helps to disperse the medication evenly, allowing for consistent dosing during inhalation. Breathing out forcefully, taking the medication with food, and using a spacer are not related to the correct use of a metered-dose inhaler and may not lead to optimal medication delivery.
The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
- A. Screening for early detection
- B. Teaching about adhering to a low-sodium diet
- C. Promoting health before diagnosis
- D. Detecting disease early
Correct Answer: B
Rationale: Tertiary prevention occurs post-diagnosis, aiming to reduce disability and optimize function, as with this heart failure client. Teaching about a low-sodium diet helps manage symptoms reducing fluid retention, easing heart strain preventing readmissions by enhancing self-care after treatment. Screening or early detection aligns with secondary prevention, identifying issues before symptoms escalate. Promoting health pre-diagnosis is primary prevention, averting illness onset. Here, the nurse targets rehabilitation, addressing an established condition to minimize complications like edema, common in heart failure's chronic cycle. This education empowers the client, aligning with tertiary care's focus on restoring maximal health, critical in nursing to break readmission patterns and support long-term stability.