Nursing Elites

1. The nurse is caring for a client whose religious background is Seventh Day Adventist (Church of GOD). Which nursing action(s) are most appropriate in terms of providing for the dietary needs of this client? Select all that apply.

• A. Providing snacks between meals
• B. Removing coffee from the breakfast tray
• C. Ensuring that there is no pork on the dinner tray
• D. A, B

Correct answer: D

Rationale: Seventh Day Adventists typically avoid caffeine and pork, so providing snacks between meals and removing coffee from the breakfast tray are appropriate actions to meet the dietary needs of this client. Providing snacks helps ensure the client has options that align with their dietary restrictions, while removing coffee respects their avoidance of caffeine. Ensuring that there is no pork on the dinner tray is also crucial as pork is typically avoided in their diet, making choice C correct. Therefore, choices A and B are correct, making D the most appropriate selection.

2. What intervention would be most important for the nurse to implement for the client with a left nephrectomy?

• A. Assess the intravenous fluids for rate and volume
• B. Change the surgical dressing daily at the same time
• C. Monitor the client’s medication levels daily
• D. Monitor the percentage of each meal eaten

Correct answer: A

Rationale: The correct answer is A: Assess the intravenous fluids for rate and volume. After a nephrectomy, monitoring intravenous fluids is crucial to ensure proper hydration and kidney function. Choice B is incorrect because changing the surgical dressing daily is important but not the most critical intervention. Choice C is incorrect as monitoring medication levels daily may be necessary but is not the priority after a nephrectomy. Choice D is irrelevant to the immediate postoperative care needed after a nephrectomy.

3. Who typically collects blood specimens?

• A. The nurse
• B. Medical technologist
• C. Physician
• D. Phlebotomist

Correct answer: A

Rationale: Nurses typically collect blood specimens from patients as part of their everyday duties in medical settings. They are trained in venipuncture techniques and are responsible for ensuring that blood samples are properly obtained and labeled for diagnostic testing. Medical technologists process and analyze the blood specimens in the laboratory under the direction of a physician. Physicians are not commonly involved in the direct collection of blood specimens. While phlebotomists are specialized professionals trained to draw blood, in many medical settings, nurses perform this task as part of their responsibilities.

4. The medical C4I headquarters has automated data processing systems that aid in which of the following?

• A. Patient accountability
• B. Tracking the movement of patients
• C. Management of health service logistics systems
• D. Patient accountability, tracking the movement of patients, and management of health service logistics systems

Correct answer: D

Rationale: The correct answer is D because the automated data processing systems in the medical C4I headquarters play a role in patient accountability, tracking the movement of patients, and managing health service logistics systems. These systems help in efficiently managing patient information, monitoring and coordinating patient movements, and optimizing the logistics involved in health services. Choices A, B, and C are incorrect because they represent individual aspects that are all encompassed by the functions of the automated data processing systems in the C4I headquarters.

5. The nurse is preparing a teaching care plan for the client diagnosed with nephritic syndrome. Which intervention should the nurse include?

• A. Discontinue the use of steroid therapy immediately if symptoms develop.
• B. Take diuretics as needed to treat the dependent edema in ankles.
• C. Increase the intake of dietary sodium every day to decrease fluid retention.
• D. Report any decrease in daily weight during treatment to the healthcare provider.

Correct answer: D

Rationale: The correct intervention for the nurse to include in the care plan for a client diagnosed with nephritic syndrome is to instruct the client to report any decrease in daily weight during treatment to the healthcare provider. A decrease in weight could indicate worsening of the nephritic syndrome or dehydration, making it crucial information for the healthcare provider to assess the client's condition. Option A is incorrect because discontinuing steroid therapy should be done under medical guidance rather than immediately if symptoms develop. Option B is incorrect because diuretics should not be taken without healthcare provider's guidance due to the risk of electrolyte imbalances. Option C is incorrect as increasing dietary sodium would exacerbate fluid retention, which is undesirable in nephritic syndrome.

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