Nokea
Which of the following statement is TRUE about patient's bill of rights?
- A. The client can leave anytime he wants even against medical advice
- B. The client has no right to refuse treatment
- C. The hospital can deny treatment in emergency cases
- D. The client has the right to considerate care only from nurses
Correct Answer: A
Rationale: The client can leave anytime, even against medical advice (A), per autonomy in the bill of rights AMA discharge is legal. No right to refuse (B) is false, hospitals can't deny emergencies (C) per EMTALA, considerate care isn't nurse-only (D). A upholds patient choice, making it true.
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A client with lactose intolerance is being taught about dietary management by a nurse. Which statement by the client shows an understanding of the teaching?
- A. I should avoid foods that contain lactose.
- B. I should increase my intake of dairy products.
- C. I should avoid foods that contain gluten.
- D. I should increase my intake of high-fiber foods.
Correct Answer: A
Rationale: The correct answer is A: 'I should avoid foods that contain lactose.' Lactose intolerance results from the inability to digest lactose, a sugar found in dairy products. Avoiding foods that contain lactose is essential in managing symptoms like bloating, diarrhea, and abdominal pain. Choice B is incorrect because increasing dairy intake would worsen symptoms. Choice C is incorrect because gluten is unrelated to lactose intolerance. Choice D is incorrect because high-fiber foods are beneficial for other conditions but do not specifically address lactose intolerance.
The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:
- A. Is asleep 30 minutes after the injection
- B. Asks for extra servings on his meal tray
- C. Has an increased urinary output
- D. States that he is feeling less nauseated
Correct Answer: A
Rationale: Being asleep 30 minutes post-Stadol indicates effective pain relief and sedation, its intended effect post-op extra food, urine output, or less nausea aren't primary goals. Nurses monitor response, ensuring rest and pain control, critical for recovery in surgical care.
Culture media is sterilized by which of the following method?
- A. Autoclaving
- B. Boiling
- C. Hot air oven
- D. Ionizing radiation
Correct Answer: A
Rationale: Sterilization of culture media is critical in microbiology to eliminate contaminants. Autoclaving (choice A) uses moist heat under pressure (typically 121°C at 15 psi for 15-20 minutes) to kill bacteria, spores, and viruses, making it the gold standard for sterilizing liquid media like agar or broth. Boiling (choice B) at 100°C can kill vegetative bacteria but not heat-resistant spores, rendering it inadequate for complete sterilization. Hot air oven (choice C) employs dry heat (160-170°C for 2 hours) and is suitable for glassware, not liquid media, as it may evaporate or degrade nutrients. Ionizing radiation (choice D) is effective for heat-sensitive materials (e.g., plastics), but it's less common for routine media preparation due to cost and equipment needs. Autoclaving is the correct answer (A) because it ensures thorough sterilization of culture media, a process nurses and lab personnel rely on to maintain aseptic conditions for accurate diagnostic cultures.
During postoperative teaching following a hip arthroplasty, which instruction should the nurse include?
- A. Avoid lying on your operative side.
- B. Cross your legs at the ankles only.
- C. Place a pillow between your legs when turning.
- D. Avoid bending your hip more than 120 degrees.
Correct Answer: C
Rationale: The correct instruction for the nurse to include during postoperative teaching following a hip arthroplasty is to 'Place a pillow between your legs when turning.' Placing a pillow between the legs when turning is crucial as it helps prevent dislocation of the hip prosthesis. This position aids in maintaining proper alignment and stability, thereby reducing the risk of complications after hip arthroplasty surgery. Choices A, B, and D are incorrect because they do not directly address the specific action needed to protect the hip prosthesis and prevent complications.
The nurse avoided a romantic tie with Mr. Gary. This is an example of?
- A. Professional boundaries
- B. Cultural sensitivity
- C. Justice
- D. Fidelity
Correct Answer: A
Rationale: Avoiding romance is professional boundaries (A) keeping limits, per ethics. Sensitivity (B) culture, justice (C) fairness, fidelity (D) promises not boundary-specific. A fits the nurse's ethical distance, ensuring professionalism, making it correct.