Nursing Elites

1. How should a healthcare professional respond to a patient with hypokalemia?

• A. Administer potassium supplements and monitor ECG
• B. Restrict fluid intake and provide a high-sodium diet
• C. Monitor sodium levels and provide insulin therapy
• D. Provide calcium supplements and monitor for hyperkalemia

Correct answer: A

Rationale: Hypokalemia is managed by administering potassium supplements to correct the low potassium levels in the body. Monitoring the ECG is essential because low potassium levels can lead to cardiac arrhythmias. Choice B is incorrect as restricting fluid intake and providing a high-sodium diet are not appropriate for managing hypokalemia. Choice C is incorrect because hypokalemia involves low potassium levels, not sodium levels, and insulin therapy does not directly address this issue. Choice D is incorrect as calcium supplements are not indicated for hypokalemia, and monitoring for hyperkalemia is not relevant in this case.

2. What are the signs of opioid withdrawal, and how should it be managed?

• A. Sweating, nausea; administer methadone
• B. Muscle cramps, vomiting; administer naloxone
• C. Tremors, sweating; administer buprenorphine
• D. Fever, agitation; provide sedatives

Correct answer: A

Rationale: The signs of opioid withdrawal typically include sweating and nausea. The correct management approach involves administering methadone to alleviate the symptoms. Choice B is incorrect because naloxone is used to reverse opioid overdose, not for managing withdrawal symptoms. Choice C is incorrect as buprenorphine is typically used to treat opioid addiction, not just withdrawal symptoms. Choice D is incorrect as sedatives are not the primary treatment for opioid withdrawal.

3. How should a healthcare professional manage a patient with a suspected deep vein thrombosis (DVT)?

• A. Administer anticoagulants and monitor for bleeding
• B. Elevate the limb and administer pain relief
• C. Restrict mobility and apply warm compress
• D. Administer IV fluids and provide bed rest

Correct answer: A

Rationale: Corrected DVT management involves administering anticoagulants to prevent clot growth and monitoring for signs of bleeding. Elevating the limb and administering pain relief (Choice B) may help alleviate symptoms but do not address the underlying issue of preventing clot progression. Restricting mobility and applying warm compress (Choice C) could potentially dislodge the clot and worsen the condition. Administering IV fluids and providing bed rest (Choice D) are not primary interventions for managing DVT.

4. A nurse is preparing a change-of-shift report for an adult female client who is postoperative. Which of the following client information should the nurse include in the report?

• A. Hgb 12.8 g/dl.
• B. Potassium 4.2 mEq/L.
• C. RBC 4.4 million/mm3.
• D. Platelets 100,000/mm3.

Correct answer: D

Rationale: The correct answer is D: "Platelets 100,000/mm3." A platelet count of 100,000/mm3 is low and increases the client's risk for bleeding, which is crucial information to communicate during the change-of-shift report. Choices A, B, and C provide values within normal ranges and are not directly related to the client's postoperative status or risk for complications. Therefore, they are not the priority information to include in the report.

5. What term refers to the agreement to keep promises?

• A. Fidelity
• B. Non-maleficence
• C. Autonomy
• D. Justice

Correct answer: A

Rationale: The term 'fidelity' specifically refers to the agreement to keep promises. Fidelity in healthcare ethics emphasizes the importance of healthcare professionals keeping their commitments to patients. Choice B, 'Non-maleficence,' relates to the ethical principle of doing no harm. Choice C, 'Autonomy,' refers to respecting a patient's right to make decisions about their own healthcare. Choice D, 'Justice,' pertains to fairness and equality in the distribution of healthcare resources.

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