Nokea
Which of the following statement best describe infection control?
- A. Ignoring hygiene
- B. Preventing disease spread
- C. A patient task
- D. A one-time action
Correct Answer: B
Rationale: Infection control is preventing disease spread (B), per nursing e.g., handwashing. Not ignoring (A), not task (C), not one-time (D) ongoing prevention. B best defines its protective role, like for Mr. Gary, making it correct.
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Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?
- A. If the BP is elevated, the RR increases
- B. If the BP is elevated, the RR decreases
- C. Elevated BP leads to Metabolic alkalosis
- D. Low BP leads to Metabolic acidosis
Correct Answer: B
Rationale: Aortic and carotid bodies, chemoreceptors, slow respiration when BP rises e.g., baroreceptors signal reduced need for O2 delivery. Increased RR (hypoxia), alkalosis (pH), or acidosis (metabolic) misalign. Nurses note this e.g., in hypertension for respiratory adjustments, per cardiovascular interplay.
Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well the elements of effecting charting?
- A. She signs her charting as follows: J.R
- B. She writes in the chart using a no. 2 pencils.
- C. She noted: appetite is good this afternoon.
- D. She signs on the medication sheet after administering the medication.
Correct Answer: D
Rationale: Effective charting requires accuracy, clarity, and accountability, adhering to legal and professional standards. Signing the medication sheet after administering medication, as Nurse Jane does, exemplifies this by confirming the intervention occurred, ensuring patient safety, and providing a verifiable record. This practice aligns with the 'Five Rights' of medication administration and reduces error risks, such as double-dosing. Conversely, signing as 'J.R.' lacks full identification (name and title), compromising accountability. Using a pencil risks erasure or alteration, undermining record integrity, as permanent ink is standard. Noting 'appetite is good' is subjective and lacks detail (e.g., meal percentage consumed), reducing its clinical value. Nurse Jane's action of signing post-medication administration reflects a strong grasp of charting's role in care continuity and safety, making it the best demonstration of effective documentation principles.
When should the client test his blood sugar levels for greater accuracy?
- A. During meals
- B. In between meals
- C. Before meals
- D. 2 Hours after meals
Correct Answer: C
Rationale: Before meals e.g., fasting glucose offers accurate baseline sugar levels, unlike during (eating), between (variable), or post-meal (spike). Nurses advise this e.g., AM checks for diabetes monitoring, per endocrinology standards.
A client has a new diagnosis of hyperthyroidism and is being taught about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of iodine-rich foods.
- B. You should avoid foods that contain iodine.
- C. You should increase your intake of dairy products.
- D. You should avoid foods that contain gluten.
Correct Answer: B
Rationale: The correct answer is B. In hyperthyroidism, it is advisable to avoid foods that contain iodine to help manage the condition and prevent complications. Excessive iodine intake can exacerbate hyperthyroidism symptoms by stimulating the thyroid gland. Therefore, the nurse should include information about avoiding iodine-rich foods in the client's dietary management teaching. Choices A, C, and D are incorrect because increasing intake of iodine-rich foods can worsen hyperthyroidism symptoms, increasing dairy products is not specific to managing hyperthyroidism, and avoiding gluten is more relevant for conditions like celiac disease, not hyperthyroidism.
Mr. Gary's wife wanted to see the body before it is removed from the room. Which of the following is the most appropriate response by the nurse?
- A. I'm sorry but you can't see him now'
- B. Let me prepare the body first then you can see him'
- C. It's better if you don't see him'
- D. You can see him but only for a minute'
Correct Answer: B
Rationale: Let me prepare the body first (B) is most appropriate respects Mrs. Gary's wish while ensuring dignity, per care standards. Denying (A) or discouraging (C) dismisses, time-limiting (D) restricts. B balances support and preparation, making it correct.