Nokea
Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?
- A. Give written pre and post-tests.
- B. Ask questions during practice.
- C. Allow another diabetic to assist.
- D. Observe a return demonstration.
Correct Answer: D
Rationale: Return demonstration ensures the client can correctly perform the technique under supervision.
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Sue is diagnosed with congestive heart failure. What medication would you expect to administer to strengthen myocardial contractility?
- A. Nitroprusside.
- B. Digoxin.
- C. Nitroglycerine ointment.
- D. Furosemide.
Correct Answer: B
Rationale: Digoxin enhances myocardial contractility in CHF.
Which standardized nursing terminologies specifically relate to the steps of the nursing process (select all that apply)?
- A. Omaha System
- B. Nursing Outcomes Classification (NOC)
- C. Nursing Interventions Classification (NIC)
- D. NANDA International: Nursing Diagnoses
Correct Answer: B
Rationale: NOC, NIC, and NANDA International directly correspond to the steps of the nursing process: outcomes, interventions, and diagnoses.
List in order the nociceptive processes that occur to communicate tissue damage to the CNS. No. 1 is the first process and No. 4 is the last process.
- A. Perception
- B. Modulation
- C. Transmission
- D. Transduction
Correct Answer: D
Rationale: The correct order is D (transduction), C (transmission), B (modulation), A (perception).
A patient with chronic cancer-related pain has started using MS Contin for pain control and has developed common side effects of the drug. The nurse reassures the patient that tolerance will develop to most of these side effects but that continued treatment will most likely be required for what?
- A. Pruritus
- B. Constipation
- C. Dizziness
- D. Nausea and vomiting
Correct Answer: B
Rationale: The correct answer is B. Constipation is a persistent side effect of opioids.
Pain has been defined as “whatever the person experiencing the pain says it is, existing whenever the patient says it does.” This definition is problematic for the nurse when caring for which type of patient?
- A. A patient placed on a ventilator
- B. A patient with a history of opioid addiction
- C. A patient with decreased cognitive function
- D. A patient with pain resulting from severe trauma
Correct Answer: C
Rationale: The correct answer is C. Patients with decreased cognitive function may have difficulty communicating their pain, making this definition challenging.