Nokea
Which technique would be best in caring for a client following receiving a diagnosis of a stage IV tumor in the brain?
- A. Offering the client pamphlets on support groups for brain cancer
- B. Asking the client if there is anything he or his family needs
- C. Reminding the client that advances in technology are occurring everyday
- D. Providing accurate information about the disease and treatment options
Correct Answer: D
Rationale: Accurate information empowers the client and family to make informed decisions.
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Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
- A. Bend at the waist and place arms under the client's arms and lift
- B. Face the client, bend knees and place hands on client's forearm and lift
- C. Spread his or her feet apart
- D. Tighten his or her pelvic muscles
Correct Answer: B
Rationale: Facing the client, bending knees, and using forearms provides a wide base and proper body mechanics for safe lifting.
Considered as the most accessible and convenient method for temperature taking
- A. Oral
- B. Rectal
- C. Tympanic
- D. Axillary
Correct Answer: A
Rationale: Oral temp is most accessible e.g., quick tongue placement needing minimal prep, unlike rectal (invasive), tympanic (equipment), or axillary (longer). Convenient for alert patients, nurses favor it e.g., clinics for routine ease, per practice standards.
The nurse is providing dietary teaching for a client with a history of nephrotic syndrome. Which food should the client be instructed to avoid?
- A. Baked chicken breast
- B. Canned chicken noodle soup
- C. Fresh apple slices
- D. Steamed broccoli
Correct Answer: B
Rationale: Canned chicken noodle soup, high in sodium, worsens edema in nephrotic syndrome baked chicken, apples, and broccoli are low-sodium and protein-friendly. Nurses teach sodium restriction, reducing fluid retention, supporting kidney function in this protein-losing condition.
When an LVN/LPN is working for a health-care organization that has professional liability insurance, the nurse needs to base a decision on whether to buy individual professional liability insurance on which of the following things?
- A. the possibility that the organization could countersue the nurse in a lawsuit
- B. the cost of professional liability insurance to the nurse
- C. the amount and type of coverage the health-care organization carries
- D. the number of hours worked and the type of nursing work
Correct Answer: A
Rationale: Deciding whether to purchase individual professional liability insurance as an LVN/LPN involves weighing personal risk, and the possibility of the organization countersuing the nurse in a lawsuit is a critical factor. Organizational insurance typically covers nurses acting within their scope, but if a lawsuit arises and the organization's interests diverge such as alleging nurse negligence they might countersue to deflect liability. Individual insurance provides independent protection, ensuring legal defense and coverage tailored to the nurse's needs. Cost, organizational coverage, and work hours are relevant but secondary; cost affects feasibility, coverage might leave gaps, and hours or work type influence risk but don't address the specific threat of a countersuit. This choice emphasizes proactive self-protection in a litigious environment, safeguarding the nurse's career and finances.
Mr. Gary was referred to a cardiologist for his heart condition. This is an example of?
- A. Primary care
- B. Secondary care
- C. Tertiary care
- D. Health promotion
Correct Answer: B
Rationale: Referral to a cardiologist is secondary care (B) specialized, per system. Primary (A) is initial, tertiary (C) advanced/rehab, promotion (D) preventive not specialist-based. B fits referral level, making it correct.