Nursing Elites

1. In a long term rehabilitation care unit a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television in the assigned room. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should do which action next?

• A. Take the client's respirations, blood pressure (BP), temperature and then pupillary responses
• B. Place the client into the bed and administer the ordered PRN analgesic
• C. Check the client for bladder distention and the client's urinary catheter for kinks
• D. Turn the television off and then assist client to use relaxation techniques

Correct answer: C

Rationale: These symptoms suggest autonomic dysreflexia, often triggered by bladder distention.

2. What does the concept of 'health equity' refer to?

• A. Equal access to healthcare for all individuals
• B. Providing the same treatments to everyone
• C. Eliminating health disparities among different population groups
• D. Focusing on the healthcare needs of the wealthy

Correct answer: C

Rationale: The concept of health equity refers to eliminating health disparities among different population groups. This means ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of social determinants such as race, ethnicity, income, or geographic location. Choice A is incorrect because health equity goes beyond just access to healthcare and focuses on achieving health equality. Choice B is incorrect as health equity considers individual needs rather than providing the same treatments to everyone. Choice D is incorrect as health equity aims to address disparities and inequalities, not just focus on the healthcare needs of the wealthy.

3. The nurse is planning care for a client with increased intracranial pressure. The best position for this client is

• A. Trendelenburg
• B. Prone
• C. Semi-Fowler's
• D. Side-lying with head flat

Correct answer: C

Rationale: The correct answer is C, Semi-Fowler's. This position helps to reduce intracranial pressure by promoting venous drainage from the head while maintaining adequate oxygenation. Option A, Trendelenburg position, is incorrect as it involves placing the patient with the head lower than the body, which can increase intracranial pressure. Option B, Prone position, is also incorrect as it involves lying on the stomach, which can further elevate intracranial pressure. Option D, Side-lying with head flat, does not provide the same benefits as the Semi-Fowler's position in terms of promoting venous drainage and maintaining oxygenation in a client with increased intracranial pressure.

4. Which statement specifically describes occupational health nursing?

• A. Involves prevention, recognition, and treatment of injury and illness
• B. All of these
• C. The application of nursing principles in conserving the health of workers in all occupations
• D. Requires special skills in the field of health, education, and counseling

Correct answer: B

Rationale: The correct answer is B. Occupational health nursing involves all aspects mentioned in the statements: prevention, recognition, treatment of injury and illness, application of nursing principles in conserving workers' health, and the requirement of special skills in health, education, and counseling. Choice A focuses on prevention, recognition, and treatment but does not encompass all aspects of occupational health nursing. Choice C only mentions the application of nursing principles without including prevention and treatment. Choice D specifically highlights the need for special skills but does not cover all the aspects of occupational health nursing.

5. The emphasis of community health nursing is on:

• A. treatment of health problems
• B. preventing problems and promoting optimum health
• C. identification and assessment of health problems
• D. illness end of the wellness-illness continuum

Correct answer: B

Rationale: Community health nursing primarily focuses on preventive measures and promoting overall health within a community. Choice A is incorrect as treatment is not the main emphasis. Choice C is incorrect as identification and assessment are steps that may be involved but not the main focus. Choice D is incorrect as it refers to the illness end rather than the preventive end of the wellness-illness continuum.

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