Nursing Elites

1. The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?

• A. "Are you anorexic?"
• B. "Is your urine dark colored?"
• C. "Have you lost weight lately?"
• D. "Do you crave sugary drinks?"

Correct answer: C

Rationale: Weight loss is a common symptom in the onset of type 1 diabetes due to the body's inability to use glucose for energy. The lack of insulin leads the body to break down fat and muscle for fuel, causing unintentional weight loss. This is a more relevant question compared to the others, as it directly relates to the metabolic changes associated with type 1 diabetes.

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. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

• A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
• B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
• C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
• D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�

Correct answer: C

Rationale:

4. Which of the following is a key component of a successful quality improvement (QI) project?

• A. Standardized care protocols
• B. Employee satisfaction
• C. Ongoing training and education
• D. Financial incentives

Correct answer: C

Rationale: Ongoing training and education is the correct answer as it is an essential component of a successful quality improvement project. Continuous training and education help ensure that staff are knowledgeable about and up-to-date with the latest practices, technologies, and methodologies in healthcare. This ongoing learning process contributes to improving the quality of care provided.\nChoice A, standardized care protocols, though important, is more about ensuring consistency in care delivery rather than driving quality improvement initiatives. Choice B, employee satisfaction, while significant for staff morale, is not directly related to the core processes of quality improvement projects. Choice D, financial incentives, although motivating, are not the primary driver for successful quality improvement projects; it is the knowledge and skills gained through training and education that play a more critical role in enhancing quality.

5. What is the primary goal of infection control practices in healthcare settings?

• A. To reduce the length of hospital stays
• B. To ensure patient safety and prevent infections
• C. To control the spread of infections within the healthcare setting
• D. To comply with healthcare regulations

Correct answer: C

Rationale: The correct answer is C: 'To control the spread of infections within the healthcare setting.' The primary goal of infection control practices is to prevent the transmission and spread of infections among patients, healthcare workers, and visitors. Choice A is incorrect because while infection control practices may indirectly contribute to shorter hospital stays by preventing additional complications, reducing the length of hospital stays is not their primary goal. Choice B is incorrect as ensuring patient safety and preventing infections are important outcomes of infection control practices but not the primary goal. Choice D is incorrect because compliance with healthcare regulations is a requirement that supports the implementation of infection control practices but is not the primary goal of these practices.

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