Nokea
Which of the following statement best describe a health care proxy?
- A. A medical diagnosis
- B. A person chosen to decide
- C. A hospital policy
- D. A treatment plan
Correct Answer: B
Rationale: A health care proxy is a person chosen to decide (B), per definition e.g., surrogate for incapacity. Not diagnosis (A), policy (C), plan (D) decision-maker. B best defines proxy's role, like Mr. Gary appointing someone, making it correct.
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Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?
- A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
- B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
- C. Medicate client for pain
- D. Tell client that cooperation is vital to improve recovery
Correct Answer: C
Rationale: Medicating for pain (C) is needed before teaching post-splenectomy exercises; pain hinders participation, per nursing care. General benefits (A), specific risks (B), and cooperation (D) follow pain control. C ensures effective learning, making it correct.
A community health nurse is assessing client's urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?
- A. The nurse added the Urine as the 2/3 part of the solution
- B. The nurse heats the test tube after adding 1/3 part acetic acid
- C. The nurse heats the test tube after adding 2/3 part of Urine
- D. The nurse determines abnormal result if she noticed that the test tube becomes cloudy
Correct Answer: B
Rationale: Acetic acid tests protein cloudiness not glucose; heating only acid (no urine) is wrong. Urine (2/3), heating with urine, cloudiness (protein) are correct. Nurses need correction e.g., purpose for accuracy, per procedure.
The nurse recorded Mr. Gary's vitals in his chart. This is an example of?
- A. Documentation
- B. Standard precautions
- C. Health policy
- D. Patient education
Correct Answer: A
Rationale: Recording vitals is documentation (A) care record, per definition. Precautions (B) safety, policy (C) rules, education (D) teaching not record-specific. A fits the nurse's accurate logging for Mr. Gary, making it correct.
The best diet for the client with Meniere's syndrome is one that is:
- A. High in fiber
- B. Low in sodium
- C. High in iodine
- D. Low in fiber
Correct Answer: B
Rationale: A low-sodium diet is best for Meniere's syndrome, reducing fluid retention in the inner ear, which mitigates vertigo, tinnitus, and hearing loss flare-ups. High fiber aids digestion, not ear issues; high iodine or low fiber lacks relevance here. Nurses teach this dietary shift to control symptoms, emphasizing sodium's role in fluid balance, supporting long-term management of this chronic condition.
The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care?
- A. A student entering a local university
- B. A client who is a migrant and works on a farm
- C. An older adult client living independently
- D. A client who has been unemployed for 6 months
Correct Answer: B
Rationale: Barriers to healthcare access often hit vulnerable groups hardest, requiring nursing intervention. A migrant farm worker faces language, mobility, and economic hurdles, limiting care access e.g., no insurance or transport. An older adult living alone may struggle with mobility, health literacy, or isolation, delaying treatment. An unemployed client, lacking income or coverage, often skips care due to cost, risking worsening conditions. A student entering university or an employed pregnant client typically has fewer systemic barriers students may access campus health, employed clients insurance. Nursing must target the migrant, elderly, and jobless, addressing disparities poverty, age, ethnicity ensuring equitable care. This reflects nursing's equity mission, bridging gaps for those society sidelines, enhancing health outcomes through advocacy and resource linkage.