Nursing Elites

1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?

• A. Rub your hands together for at least 10 seconds when washing them.
• B. Keep your abdominal muscles tightened when lifting objects.
• C. Ensure that 20% or less of calories come from saturated fats.
• D. Engage in aerobic exercise 2 to 4 days per week for 20 minutes.

Correct answer: B

Rationale: The correct statement to include is to 'Keep your abdominal muscles tightened when lifting objects.' This practice helps protect the back from injury by providing core stability. Rubbing hands together for 10 seconds when washing them (Choice A) is a good hygiene practice, but not directly related to warehouse work safety. Ensuring 20% or less of calories come from saturated fats (Choice C) is important for overall health but not specific to workplace safety. Engaging in aerobic exercise 2 to 4 days per week for 20 minutes (Choice D) is beneficial for health but not as directly relevant to preventing injuries while working in a warehouse.

2. A healthcare professional is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the healthcare professional place at the client's bedside?

• A. Defibrillator machine
• B. Chest tube equipment
• C. Central venous catheter tray
• D. Bag-valve-mask device

Correct answer: D

Rationale: Corrected Rationale: A bag-valve-mask device is necessary in case of respiratory complications that may arise due to the effects of the neuromuscular blocking agent. The competitive nature of the agent can lead to muscle weakness, including respiratory muscles, necessitating immediate respiratory support. Placing a defibrillator machine, chest tube equipment, or central venous catheter tray at the client's bedside would not be the priority in this situation. While these items may be important in specific scenarios, ensuring the availability of a bag-valve-mask device is crucial to address potential airway and breathing issues promptly.

3. A healthcare provider prescribes a higher-than-usual dose of medication. What is the nurse's first action?

• A. Administer the medication and monitor closely.
• B. Hold the medication and consult the pharmacist.
• C. Ask another nurse to verify the dose.
• D. Call the provider for clarification.

Correct answer: D

Rationale: The correct answer is to call the provider for clarification. When faced with a higher-than-usual dose of medication, the nurse's first action should be to contact the prescribing healthcare provider to confirm the dosage. Administering the medication without clarifying the dose with the provider can pose serious risks to the patient's safety. Holding the medication and consulting the pharmacist may be appropriate after contacting the provider for clarification. Asking another nurse to verify the dose is not the most appropriate action when dealing with an unusual prescription; direct communication with the provider is essential in such situations.

4. Which action by the nurse demonstrates effective infection control measures?

• A. Perform hand hygiene before and after patient contact.
• B. Wear gloves when administering medications.
• C. Dispose of used equipment in designated containers.
• D. Wear a mask when interacting with the patient.

Correct answer: A

Rationale: The correct answer is A: Perform hand hygiene before and after patient contact. Effective hand hygiene is a fundamental infection control measure that helps prevent the spread of pathogens. Wearing gloves when administering medications (choice B) is important for protecting both the patient and the nurse but is not a direct demonstration of infection control. Disposing of used equipment in designated containers (choice C) is more related to proper waste management than infection control. Wearing a mask when interacting with the patient (choice D) is essential in certain situations, but hand hygiene is a more universal and critical practice for infection control.

5. What are the complications of diabetes mellitus that a nurse should monitor for?

• A. Peripheral neuropathy and retinopathy
• B. All of the above
• C. Diabetic ketoacidosis and hyperosmolar hyperglycemic state
• D. Nephropathy and cardiovascular disease

Correct answer: D

Rationale: The correct answer is D. Complications of diabetes mellitus that a nurse should monitor for include nephropathy and cardiovascular disease, in addition to diabetic ketoacidosis, hyperosmolar hyperglycemic state, neuropathy, and retinopathy. While choices A and C mention some complications of diabetes, they do not cover all the complications that a nurse should monitor for. Choice B is incorrect as it suggests selecting all options, which is not accurate.

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