Nokea
Whose theoretical model describes how clinical judgment evolves with experience?
- A. Benner
- B. Tanner
- C. Lasater
- D. Nightingale
Correct Answer: A
Rationale: Patricia Benner developed the theoretical model known as the Novice to Expert Theory, which describes how clinical judgment evolves with experience. According to this theory, individuals progress through five levels of proficiency in a skill: novice, advanced beginner, competent, proficient, and expert. Benner's model emphasizes the importance of experiential learning and highlights how nurses develop expertise over time through practical experience and reflection.
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The nurse is assessing a client in the third trimester who reports headaches and blurred vision. What is the priority nursing action?
- A. Check the client's blood pressure.
- B. Assess fetal heart rate.
- C. Administer acetaminophen as prescribed.
- D. Encourage the client to lie down and rest.
Correct Answer: A
Rationale: Headaches and blurred vision can be symptoms of preeclampsia, making blood pressure assessment a priority.
Which intervention is most critical for a mother with a uterine atony postpartum?
- A. Perform uterine massage
- B. Administer oxytocin infusion
- C. Monitor blood pressure and pulse frequently
- D. Encourage breastfeeding to stimulate uterine contractions
Correct Answer: A
Rationale: Performing uterine massage helps contract the uterus and reduce bleeding in uterine atony.
A nurse is doing genetic counseling with a couple. give to a client undergoing a mastectomy? The mother has Down syndrome and the father
- A. Tylenol should be avoided after surgery. has no chromosomal abnormalities. What is the
- B. The affected arm should remain in a sling for chance of their offspring being affected by this 4 weeks. disorder?
- C. The client should expect the affected arm to be
- D. 25%
Correct Answer: D
Rationale: When a woman with Down syndrome (trisomy 21) has a child with a man who does not have any chromosomal abnormalities, the chance of their offspring having Down syndrome is 25%. This is because the mother can only pass on one copy of the extra chromosome 21 to her child, resulting in a 50% chance of passing it on. However, since the father does not have an extra chromosome 21 to contribute, the overall chance of the child having Down syndrome is reduced to 25%.
Which postpartum client requires further assessment?
- A. G1P1 with class II heart disease and complains of frequent coughing and has crackles
- B. G3P2 post c/s client who has active herpes on the labia
- C. G4P4 who had 4 saturated pads during the last 12 hours
- D. G2P2 diabetic whose fasting blood sugar is 100
Correct Answer: C
Rationale: The postpartum client who requires further assessment is the G4P4 who had 4 saturated pads during the last 12 hours. This indicates excessive postpartum bleeding, which is abnormal and could potentially be a sign of postpartum hemorrhage. It is crucial to closely monitor and assess the client's vital signs, uterine tone, and overall well-being to prevent any complications related to excessive bleeding. Prompt intervention and medical attention may be necessary to address the postpartum hemorrhage and ensure the client's safety and well-being.
Magnesium sulfate is given to a pregnant client for which of the following reasons? (Select all that apply) Provide fetal neuroprotection Improve patellar reflexes and increase respiratory efficiency Induction of labor Prevent seizures Stop/decrease uterine contractions The clinical nurse talks with a client about her possible pregnancy. The client has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. What are these symptoms best described as? Possible signs of pregnancy Positive signs pregnancy Presumptive signs of pregnancy Probable signs of pregnancy The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?
- A. Agree that these signs usually signal pregnancy so no test is needed.
- B. Delete the order for the pregnancy test and inform the provider.
- C. Explain that these symptoms can be caused by other conditions.
- D. Inform the woman that this is standard procedure and must be done.
Correct Answer: C
Rationale: The best action for the nurse to take in this situation is to explain to the patient that these symptoms can be caused by other conditions besides pregnancy. It is important for the nurse to educate the patient that while these symptoms are commonly associated with pregnancy, they are not definitive signs and can also be attributed to other factors or medical conditions. Encouraging the patient to undergo a pregnancy test can help confirm or rule out pregnancy and provide appropriate care and guidance moving forward.