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1. An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct answer: B
Rationale: The correct recommendation the RN should include in the reminders is to 'Only use approved abbreviations.' Using shortcuts in documentation (choice A) may lead to errors or omissions, affecting the credibility of documentation. Documentation should be objective (choice C) rather than subjective to ensure accuracy and legal credibility. It is essential to document care promptly after providing it (choice D) to maintain the accuracy and completeness of patient records, but using approved abbreviations is a more specific recommendation to enhance legal credibility.
2. A client has a new prescription for Enoxaparin. Which of the following instructions should the nurse include?
- A. Massage the injection site after administration.
- B. Aspirate before injecting the medication.
- C. Administer the medication into the abdomen.
- D. Administer the medication via intramuscular injection.
Correct answer: C
Rationale: The correct answer is to administer the medication into the abdomen. Enoxaparin is a medication that is administered subcutaneously, typically in the abdomen to ensure proper absorption. Massaging the injection site should be avoided as it can lead to bruising or bleeding under the skin. Aspirating before injecting the medication is not necessary for subcutaneous injections like Enoxaparin. Administering the medication via intramuscular injection is incorrect as Enoxaparin should be given subcutaneously.
3. A nurse is teaching about diet modification to a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should drink an 8 ounce glass of water each time my baby nurses.
- B. I should take a 1500 milligram iron supplement daily.
- C. I can eat a 2500 calorie daily diet lose 1 lb per week.
- D. I can eat ounces of swordfish daily.
Correct answer: A
Rationale: Drinking an 8 ounce glass of water each time the baby nurses helps maintain hydration and support milk production.
4. Each is a physiologic role of vitamin D, except one. Which is the exception?
- A. Hematopoiesis
- B. Cardiac and neuromuscular function
- C. Immune responses
- D. Serum calcium regulation
Correct answer: A
Rationale: The correct answer is A, Hematopoiesis. Vitamin D plays a crucial role in regulating serum calcium levels, which is essential for maintaining cardiac and neuromuscular function. Additionally, vitamin D is involved in modulating immune responses. However, hematopoiesis, the formation of red blood cells, is not a direct physiologic role of vitamin D. Therefore, hematopoiesis is the exception among the listed functions of vitamin D.
5. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?
- A. Authoritarian
- B. Permissive/indulgent
- C. Authoritative
- D. Neglectful/uninvolved
Correct answer: D
Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.
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