Nokea
Why have recent polls placed nursing as one of the most trusted professions?
- A. Nurses engage in lifelong learning.
- B. Nurses abide by a dress code.
- C. Nurses have the skills needed to care for diverse populations.
- D. Nurses must pass the NCLEX in order to obtain a license to practice.
Correct Answer: C
Rationale: Recent polls have identified nursing as one of the most trusted professions primarily because nurses possess the essential skills required to provide care to diverse populations. This includes cultural competence, empathy, effective communication, and clinical expertise. Choice A, engaging in lifelong learning, is indeed an important aspect of nursing practice; however, it is not the primary reason for the high level of trust placed in nurses. Choice B, abiding by a dress code, is a professional conduct issue and not directly linked to the trustworthiness of nurses. Choice D, passing the NCLEX exam for licensure, is a regulatory requirement and does not directly contribute to the trust placed in nurses by the public.
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A client with type 1 DM is experiencing signs of hypoglycemia. The nurse should expect which of the following symptoms?
- A. Tachycardia
- B. Polyuria
- C. Flushed skin
- D. Dry mouth
Correct Answer: A
Rationale: In a client experiencing hypoglycemia, tachycardia is a common symptom. This occurs due to the release of adrenaline in response to low blood glucose levels, which stimulates the heart to beat faster. Polyuria, the increased production of urine, flushed skin, and dry mouth are not typical symptoms of hypoglycemia. Polyuria is more commonly associated with conditions like diabetes insipidus or uncontrolled diabetes mellitus. Flushed skin and dry mouth are not direct physiological responses to low blood sugar levels.
A new nurse is working on becoming a better follower. Which of the following recommendations should she implement?
- A. When you disagree with the manager, seek to determine the manager's rationale.
- B. Share what you have learned only with newer nurses.
- C. Listen and reflect on your manager's feedback.
- D. Seek to find a balance and manage your time and energy as you seek to learn about your specialty.
Correct Answer: C
Rationale: Listening and reflecting on the manager's feedback is crucial for a new nurse aiming to become a better follower. It allows the nurse to understand expectations, identify areas for improvement, and show respect for the manager's guidance. Choice A is incorrect as it focuses on resolving disagreements rather than improving followership skills. Choice B is incorrect as knowledge sharing should not be limited to specific groups. Choice D is incorrect as it addresses time management and learning about the specialty, which are important but not directly related to followership development.
A client at risk for hypokalemia is being instructed by a nurse about foods high in potassium that should be included in the daily diet. The nurse determines that the client understands the food sources of potassium if the client states that the food item lowest in potassium is:
- A. Apples
- B. Carrots
- C. Spinach
- D. Avocado
Correct Answer: A
Rationale: The correct answer is 'Apples.' Apples are the lowest in potassium among the given options. Carrots, spinach, and avocados are all higher in potassium content compared to apples. Carrots and spinach are vegetables known to have a moderate amount of potassium. Avocados, on the other hand, are a high-potassium fruit and would not be the lowest in potassium among the choices provided.
Nurse Noemi administers glucagon to her diabetic client and then monitors the client for adverse drug reactions and interactions. Which type of drug interacts adversely with glucagon?
- A. Oral anticoagulants
- B. Anabolic steroids
- C. Beta-adrenergic blockers
- D. Thiazide diuretics
Correct Answer: A
Rationale: The correct answer is A: Oral anticoagulants. Glucagon may enhance the anticoagulant effect of oral anticoagulants, increasing the risk of bleeding. This interaction can be dangerous for the patient, leading to serious complications. Choices B, C, and D are incorrect because anabolic steroids, beta-adrenergic blockers, and thiazide diuretics do not typically interact adversely with glucagon. It is crucial for healthcare providers to be aware of potential drug interactions to ensure patient safety and optimal outcomes.
A client with Graves' disease is prescribed propranolol. The nurse understands that the purpose of this medication is to:
- A. Treat the underlying cause of the disease
- B. Reduce thyroid hormone production
- C. Alleviate symptoms such as tachycardia and tremors
- D. Increase energy levels
Correct Answer: C
Rationale: The correct answer is C: Alleviate symptoms such as tachycardia and tremors. Propranolol is a beta-blocker that helps manage symptoms like tachycardia (fast heart rate) and tremors in patients with Graves' disease. Choice A is incorrect because propranolol does not address the underlying cause of Graves' disease, which is autoimmune in nature. Choice B is incorrect because propranolol does not directly reduce thyroid hormone production; it mainly targets the symptoms. Choice D is incorrect because while propranolol may help with symptoms like tachycardia, it is not intended to increase energy levels.