Nokea
A patient with rheumatoid arthritis.
Which of the following statements, if made by the nurse, is accurate about the exercise program required for a patient with rheumatoid arthritis?
- A. If you are having a 'bad' day, postpone your exercises until the next day.'
- B. Passive exercises are better for you than active exercises.'
- C. When inflammation is severe, decrease the number of repetitions of the exercise.'
- D. You can substitute your normal household tasks for your exercises to provide variety.'
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) consistency is important to maintain joint mobility (2) active exercises are better than passive or active-assistive exercises (3) correct-should reduce when patient experiences more pain (4) should do exercises that have been prescribed for patient
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Before administering calcium gluconate 10% 500 mg IV stat.
It is MOST important that the nurse assess the
- A. stability of the respiratory system.
- B. adequacy of urine output.
- C. patency of the vein.
- D. availability of magnesium sulfate injection.
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to calcium gluconate. (1) unnecessary in this situation (2) unnecessary in this situation (3) correct-if injected into the extravascular tissues, calcium gluconate can cause a severe chemical burn (4) irrelevant
The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime for completion. The nurse manager states that 'staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting.' The nurse manager's leadership style is best described as
- A. Laissez-faire
- B. Autocratic
- C. Participative
- D. Group
Correct Answer: C
Rationale: Participative. A participative style of management involves staff in decision-making processes. Staff/manager interactions are open and trusting. Most work efforts are joint endeavors.
Procrastination, noncompliance, and intentional inefficiency are characteristics of the client with:
- A. Avoidant personality disorder
- B. Antisocial personality disorder
- C. Compulsive personality disorder
- D. Passive aggressive personality disorder
Correct Answer: D
Rationale: Passive aggressive personality disorder is characterized by indirect resistance, such as procrastination and intentional inefficiency.
The nurse is caring for a client who is 2 days postoperative after a cholecystectomy. Which of the following findings would be of GREATest concern to the nurse?
- A. Temperature of 99.5°F (37.5°C).
- B. Pain at the incision site.
- C. Yellowish drainage from the incision.
- D. Urine output of 1500 mL in 24 hours.
Correct Answer: C
Rationale: Yellowish drainage from the incision suggests infection or bile leakage, a serious complication post-cholecystectomy requiring immediate evaluation. Options A, B, and D are expected or normal: slight fever is common, incision pain is typical, and urine output is adequate.
A 28-year-old client is admitted to the hospital unit with hepatitis A. The nurse knows that the client's overall care during hospitalization should include which of the following?
- A. Protective isolation.
- B. Airborne precautions.
- C. Standard precautions.
- D. Droplet precautions.
Correct Answer: C
Rationale: standard precautions should be used on everyone; sources for this virus are saliva, feces, and blood; use contact isolation if fecal incontinence