Nokea
Which of the following statement is NOT true about ethical decision-making?
- A. Uses a framework
- B. Considers patient values
- C. Always quick and easy
- D. Involves reasoning
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following is an expected reaction from a client who has just been told by the physician that his tumor is malignant and has metastasis in to several organs?
- A. Crying uncontrollably
- B. Criticizing medical care
- C. Refusing to visit visitors
- D. Asking for additional medical consultations
Correct Answer: A
Rationale: A malignant, metastatic diagnosis often triggers grief's depression stage (Kübler-Ross), with crying as a natural emotional release. Criticism, withdrawal, or seeking consultations may reflect denial or bargaining, less immediate than sorrow. Nurses expect and support this reaction, offering empathy and presence, facilitating coping as patients process a life-altering prognosis, critical for emotional care.
The nurse wants to check the popliteal pulse. This pulse can be better palpated if the nurse does which of the following things?
- A. Ask the client to extend the knee.
- B. Have the client flex the knee.
- C. Press lightly on the right side of the front of the knee.
- D. Palpate more deeply than for other pulses.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assigning tasks to the unlicensed assistive personnel (UAP). Which task should not be delegated to the UAP?
- A. Obtaining the client's weight
- B. Collecting a stool specimen
- C. Recording the client's intake and output
- D. Evaluating the client's pain level
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving continuous enteral feedings. Which of the following interventions should the nurse implement?
- A. Monitor intake and output every 8 hours.
- B. Flush the feeding tube every 4 hours.
- C. Measure the client's temperature every 24 hours.
- D. Change the feeding bag and tubing every 72 hours.
Correct Answer: B
Rationale: Flushing the feeding tube every 4 hours is essential to maintain patency and prevent clogging, ensuring the client receives the prescribed enteral nutrition without interruption. Monitoring intake and output, measuring temperature, and changing the feeding bag and tubing are also important aspects of care but not directly related to maintaining the patency of the feeding tube in a client receiving continuous enteral feedings.
A healthcare professional is preparing to administer an intramuscular injection to a client. Which of the following actions should the healthcare professional take?
- A. Use a 1/2-inch needle.
- B. Pinch the skin at the injection site.
- C. Insert the needle at a 45-degree angle.
- D. Aspirate for blood return before injecting.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.