Nokea
Which of the following lists the recommended sequence for removing soiled personal protective equipment when preparing to leave a patient's room?
- A. Gown, goggles, mask, gloves, and exit the room.
- B. Gloves, wash hands, remove gown, mask, and goggles.
- C. Gloves, goggles, gown, mask, and wash hands.
- D. Gloves, goggles, gown, mask, and wash hands.
Correct Answer: D
Rationale: The correct sequence for removing soiled personal protective equipment is crucial to prevent contamination. Gloves should always be removed first as they are most likely to be contaminated. Following the removal of gloves, goggles, gown, mask, and finally washing hands is recommended. Choice A is incorrect as gloves should be removed first. Choice B is incorrect as the sequence is not in the recommended order. Choice D is incorrect as gloves should be removed before goggles.
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The Sinoatrial Node (SA) is located within which of the following heart structures?
- A. Mitral Valve
- B. Right Ventricle
- C. Right Atrium
- D. Left Atrium
Correct Answer: C
Rationale: The Sinoatrial (SA) Node, often called the heart's natural pacemaker, is situated within the upper wall of the Right Atrium. It initiates the electrical impulses that regulate the heartbeat. Choices A, B, and D are incorrect because the SA node is not located in the Mitral Valve, Right Ventricle, or Left Atrium. It is specifically positioned in the Right Atrium to coordinate the heart's rhythm and timing.
During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. Which action would the nurse take?
- A. Ask the patient how he or she is feeling.
- B. Document the findings in the patient's record.
- C. Wait 10 minutes and auscultate the sound again.
- D. Ask another nurse to double-check the finding.
Correct Answer: D
Rationale: When encountering an unfamiliar sound during auscultation, it is crucial for the nurse to seek confirmation from another healthcare professional. Asking the patient about their feelings may not provide insight into the unfamiliar sound. Simply documenting the findings without verification may lead to errors in interpretation. Waiting and auscultating again after 10 minutes might delay necessary intervention. Consulting another nurse for a second opinion ensures accurate identification of the unfamiliar sound and appropriate follow-up actions.
The nursing diagnosis is Risk for impaired skin integrity related to immobility and pressure secondary to pain and presence of a cast. Which of the following desired outcomes should the nurse include in the care plan?
- A. Client will be able to turn self by day 3
- B. Skin will remain intact and without redness during hospital stay
- C. Client will state pain relieved within 30 minutes after medication
- D. Pressure will be prevented by repositioning client every 2 hours
Correct Answer: B
Rationale: The correct desired outcome for a nursing diagnosis of 'Risk for impaired skin integrity' is to ensure that the skin remains intact and without redness during the hospital stay. This outcome directly addresses the risk identified in the diagnosis. Option A focuses on addressing immobility, which is not the priority for this diagnosis. Option C deals with pain relief, which is a separate concern. Option D is an intervention involving pressure prevention through repositioning, rather than an outcome related to skin integrity.
A patient's urine specimen tested positive for bilirubin. Which of the following is most true?
- A. The patient should be evaluated for kidney disease
- B. The specimen was probably left at room temperature for more than two hours
- C. The specimen is positive for bacteria
- D. The specimen should be stored in an area protected from light
Correct Answer: D
Rationale: Bilirubin is easily broken down by light, so all samples testing positive for bilirubin should be protected from light exposure. Storing the specimen in an area protected from light helps maintain the integrity of the bilirubin levels for accurate testing. Choice A is incorrect because the presence of bilirubin in urine does not necessarily indicate kidney disease. Choice B is incorrect as the exposure to light, not room temperature, affects bilirubin levels. Choice C is incorrect as the presence of bilirubin does not indicate the presence of bacteria in the specimen.
The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following?
- A. Incomplete data
- B. Generalizing from experience
- C. Identifying with the client
- D. Lack of clinical experience
Correct Answer: A
Rationale: In this scenario, the nurse is cautious about potential diagnostic errors due to incomplete data. When a client withholds information, it can lead to incomplete data, which may result in inaccurate nursing diagnoses and care planning. Therefore, the nurse's primary concern is collecting accurate data to make informed clinical decisions. Choices B, C, and D are not relevant to the situation described. Generalizing from experience, identifying with the client, and lack of clinical experience do not directly address the issue of incomplete data impacting the diagnostic process.