Nokea
Which of the following needs to be reported to the nurse?
- A. Burning or pressure when urinating
- B. Urinary output of 1200 to 1500 mL per day
- C. Pale yellow urine
- D. Clear urine
Correct Answer: A
Rationale: The correct answer is A: Burning or pressure when urinating. This symptom could indicate a urinary tract infection or other health issue that requires immediate attention. Reporting this to the nurse will prompt further assessment and appropriate treatment. Choices B, C, and D are related to normal urinary output and characteristics, which do not necessarily require immediate reporting unless there are significant deviations or accompanying symptoms.
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If a resident feels faint, a nursing assistant should
- A. Try to have the resident stand up before fainting occurs
- B. Have the resident lean forward and place her head between her knees
- C. Tighten the resident's clothing
- D. Leave the resident alone as soon as symptoms disappear
Correct Answer: B
Rationale: The correct answer is B because having the resident lean forward and place her head between her knees can help increase blood flow to the brain, potentially preventing fainting. This position helps improve circulation and oxygenation to the brain, reducing the risk of fainting.
A: Trying to have the resident stand up before fainting occurs may lead to a fall and injury.
C: Tightening the resident's clothing restricts blood flow and does not address the underlying cause of fainting.
D: Leaving the resident alone as soon as symptoms disappear is unsafe as the cause of fainting should be addressed and monitored.
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
- A. Suturing the surgical incision in the OR suite
- B. Managing patient care activities in the OR suite
- C. Assisting with applying sterile drapes in the OR suite
- D. Handing sterile instruments and supplies to the surgeon in the OR suite
Correct Answer: B
Rationale: The correct answer is B: Managing patient care activities in the OR suite. The circulating nurse is responsible for coordinating and managing patient care activities during surgery, ensuring patient safety, maintaining aseptic technique, communicating with the surgical team, and documenting the surgical procedure. Suturing the surgical incision (A) is the responsibility of the surgeon. Assisting with applying sterile drapes (C) is typically the responsibility of the scrub nurse. Handing sterile instruments and supplies (D) is the responsibility of the scrub nurse as well. B is the correct answer because it aligns with the primary role of the circulating nurse in ensuring overall patient care and safety during surgery.
Which of the following is the best way for a nursing assistant to care for a resident with a functional barrier?
- A. The NA should prevent the resident from resting to help keep his body active.
- B. The NA should remove oxygen only long enough to clean the resident's face and ears.
- C. The NA should encourage the resident to speak quickly during conversations to keep the vocal cords strong.
- D. The NA should use a communication board to help the resident ask questions.
Correct Answer: D
Rationale: The correct answer is D because using a communication board helps the resident with a functional barrier to communicate effectively. By using the board, the resident can ask questions and express their needs despite any limitations they may have. This approach promotes autonomy and maintains the resident's dignity.
Choice A is incorrect as preventing the resident from resting goes against their well-being and comfort. Choice B is incorrect because removing oxygen can endanger the resident's health. Choice C is incorrect as encouraging the resident to speak quickly could lead to frustration and may not be suitable for someone with a functional barrier affecting their speech.
The most specific test to evaluate for injuries of solid abdominal organs is:
- A. Abdominal x-ray
- B. Abdominal ultrasound
- C. DPL
- D. Frequent abdominal examination
Correct Answer: C
Rationale: The correct answer is C: DPL (Diagnostic Peritoneal Lavage). DPL is the most specific test for evaluating injuries of solid abdominal organs due to its ability to detect even small amounts of intra-abdominal bleeding. It involves inserting a catheter into the peritoneal cavity to obtain fluid for analysis, providing direct evidence of internal bleeding. Abdominal x-ray and ultrasound are not as specific for detecting solid organ injuries. Frequent abdominal examination may help monitor the patient's condition but does not provide definitive diagnostic information like DPL.
Which of the following needs to be reported to the nurse?
- A. Burning or pressure when urinating
- B. Urinary output of 1200 to 1500 mL per day
- C. Pale yellow urine
- D. Clear urine
Correct Answer: A
Rationale: The correct answer is A because burning or pressure when urinating can indicate a urinary tract infection or other issue that requires medical attention. This symptom may suggest an underlying infection or inflammation in the urinary system. Reporting this to the nurse promptly can lead to early diagnosis and treatment. Choices B, C, and D are incorrect as they do not indicate any immediate health concern. Urinary output within the range of 1200 to 1500 mL per day is considered normal. The color of urine can vary based on hydration levels and dietary intake, so pale yellow or clear urine is not necessarily alarming.