Nokea
You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration?
- A. You must insure that the client has a patent intravenous catheter that is at least 20 gauge.
- B. You will need the help of another nurse prior to the administration of these packed red blood cells.
- C. The unit of packed red blood cells should start no more than 1 hour after it is picked up.
- D. You must remain with the client and monitor the client for at least 30 minutes after the transfusion begins.
Correct Answer: C
Rationale: Blood must be started within 1 hour (C) to prevent spoilage.
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A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.
During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:
- A. 1 on the scale of 1 to 3
- B. 2 on the scale of 1 to 5
- C. 3 on the scale of 0 to 5
- D. 4 on the scale of 0 to 5
Correct Answer: C
Rationale: Strength against gravity only is 3 (C) on the 0-5 scale.
How should health professionals respond to the widened definitions of prediabetes and diabetes by the World Health Organization, the American Diabetes Association, and other organizations?
- A. Assist patients in identifying evidence-based health care resources
- B. Recommend that patients do their own diabetes research online
- C. Expect to diagnose fewer patients with prediabetes
- D. Make no major changes in clinical practice
Correct Answer: A
Rationale: Providing evidence-based resources ensures patients understand updated definitions and their implications.
Leadership is the process of influencing and supporting others to work enthusiastically towards achieving objectives:
- A. Stogdill
- B. Tannenbaum
- C. Terry
- D. Key and Case
Correct Answer: A
Rationale: Stogdill defined leadership as influencing and supporting goal-oriented group efforts in 1974.
Rates of illiteracy can often be determined based on which of the following criteria?
- A. U.S. citizenship
- B. Age
- C. Socioeconomic status
- D. None of the above
Correct Answer: C
Rationale: Socioeconomic status strongly correlates with literacy levels.