Nokea
Which of the following statement best describe battery in nursing?
- A. A verbal threat
- B. Unconsented physical contact
- C. A legal fine
- D. A care plan
Correct Answer: B
Rationale: Battery is unconsented physical contact (B), per law e.g., touching without permission. Not threat (A, assault), not fine (C), not plan (D) contact-based. B best defines battery's violation, like touching Mr. Gary against will, making it correct.
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The nurse is caring for an infant with developmental dysplasia of the hip. The nurse should expect to:
- A. Prepare the infant for application of a body cast
- B. Teach the mother to keep the infant in the prone position
- C. Explain that surgery will be necessary within the first 3 months
- D. Tell the mother that the condition will correct itself without treatment
Correct Answer: A
Rationale: For developmental dysplasia of the hip (DDH), a body cast (spica) is often applied to maintain hip alignment, a common intervention post-reduction in infants, guided by orthopedics. Prone positioning, early surgery, or spontaneous correction aren't standard treatment stabilizes the joint. Nurses prepare families for this, explaining its role in preventing long-term disability, ensuring compliance and comfort.
The nurse is reviewing the arterial blood gas results of an assigned client. Which arterial blood gases indicate metabolic alkalosis?
- A. pH of 7.35, Pco2 of $50 \mathrm{~mm} \mathrm{Hg}, \mathrm{HCO} 3- of $32 \mathrm{mEq} / \mathrm{L}$
- B. pH of 7.45, Pco2 of $35 \mathrm{~mm} \mathrm{Hg}, \mathrm{HCO} 3- of $22 \mathrm{mEq} / \mathrm{L}$
- C. pH of 7.38, Pco2 of $45 \mathrm{~mm} \mathrm{Hg}, \mathrm{HCO} 3- of $32 \mathrm{mEq} / \mathrm{L}$
- D. pH of 7.48, Pco2 of $40 \mathrm{~mm} \mathrm{Hg}, \mathrm{HCO} 3- of $36 \mathrm{mEq} / \mathrm{L}$
Correct Answer: D
Rationale: Metabolic alkalosis features high pH (>7.45) and elevated HCO3- (>26 mEq/L) with normal Pco2 (35-45 mm Hg). Option D (pH 7.48, Pco2 40, HCO3- 36) fits this, indicating excess base. A is respiratory acidosis. B is normal. C is compensated. D is correct. Rationale: High HCO3- from vomiting or diuretics causes alkalosis, uncompensated here, per ABG interpretation principles.
Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
- A. Females, after the age 65 tends to have lower BP than males
- B. Disease process like Diabetes increase BP
- C. BP is highest in the morning, and lowest during the night
- D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause than males, not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), and African risk (genetics) align. Nurses note this e.g., in elderly diabetics for accurate hypertension management.
Which of the following provides that nurses must be a member of a national nurse organization?
- A. R.A 877
- B. 1981 Code of ethics approved by the house of delegates
- C. R.A 7164
- D. PNA memorandum no. 22 series of 1922
Correct Answer: B
Rationale: The 1981 Philippine Nursing Code of Ethics mandates national organization membership (PNA) e.g., ensuring accountability. R.A. 877 (old law), R.A. 7164 (1991 law), and PNA memos differ. This reflects nursing's collective duty, reinforcing unity and ethical standards in practice.
A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the client's medical record, what significant finding should the nurse report to the primary healthcare provider before the diagnostic procedure?
- A. The client takes metformin daily.
- B. The client has not been nothing by mouth (NPO).
- C. The client reports an allergy to gadolinium.
- D. The client was not prescribed a bowel prep.
Correct Answer: A
Rationale: Metformin (A) is significant before a CT with contrast due to lactic acidosis risk if renal function declines from contrast dye. NPO status (B) isn't critical for brain CT. Gadolinium (C) is MRI-related, not CT. Bowel prep (D) is irrelevant. A is correct. Rationale: Contrast can impair kidneys, exacerbating metformin toxicity, requiring provider adjustment, per radiology safety protocols.