Nursing Elites

1. A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

• A. "I can concentrate best in the morning."
• B. "It is difficult to read the instructions because my glasses are at home."
• C. "I'm wondering why I need to learn this."
• D. "You will have to talk to my partner about this."

Correct answer: D

Rationale: The correct answer is D, "You will have to talk to my partner about this." This response indicates that the client is willing to involve their partner in the learning process, showing readiness to take responsibility and engage in the education. Choices A, B, and C demonstrate potential barriers to learning: A indicates a preference for learning time but does not show active involvement, B focuses on external factors hindering learning, and C reflects a lack of understanding or motivation for the learning.

2. After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta), which patient statement indicates that the teaching has been effective?

• A. “I may feel hungrier than usual when I take this medicine.”
• B. “I will not need to worry about hypoglycemia with the Byetta.”
• C. “I should take my daily aspirin at least an hour before the Byetta.”
• D. “I will take the pill at the same time I eat breakfast in the morning.”

Correct answer: C

Rationale:

3. There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?

• A. Snapping a selfie with a patient
• B. Posting a positive review of the hospital where the student completed clinicals
• C. Creating a closed online forum where students can discuss clinical experiences without providing client information
• D. Complaining about her nurse preceptor on social media, discussing the preceptor’s unprofessional characteristics.

Correct answer: D

Rationale: Complaining about her nurse preceptor on social media, discussing the preceptor’s unprofessional characteristics, could be considered libel.

4. When facing problems that require immediate action, what organized method involving seven specific steps can nurses use for effective problem-solving?

• A. Nominal group technique
• B. Delphi method
• C. Problem-solving process
• D. Brainstorming

Correct answer: C

Rationale: The correct answer is C: Problem-solving process. The problem-solving process involving seven specific steps is a structured approach that nurses can utilize when immediate action is required. This method allows for a systematic and organized way of addressing urgent issues, ensuring a thorough and effective problem-solving approach. Choices A, B, and D are incorrect because they do not specifically refer to the structured method involving seven specific steps that nurses can follow for effective problem-solving.

5. A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?

• A. BUN 21 mg/dL (10 to 20 mg/dL)
• B. Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
• C. Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
• D. Sodium 132 mEq/L (136 to 145 mEq/L)

Correct answer: B

Rationale: In a client with hypovolemia, the nurse should prioritize reporting the elevated potassium level of 5.8 mEq/L to the provider. Hypovolemia can lead to electrolyte imbalances, and hyperkalemia (potassium level above 5.0 mEq/L) is a serious condition that can result in cardiac arrhythmias and requires immediate attention. The other laboratory results, BUN, creatinine, and sodium, are also important in assessing renal function and fluid balance, but the priority in this case is the elevated potassium level due to its potential life-threatening complications.

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