Nursing Elites

1. What does the term 'residual' refer to in the following sentence? The nurse was asked to record the residual urine in the patient's bladder.

• A. Measurement
• B. What is left
• C. Total volume
• D. Color and clarity

Correct answer: B

Rationale: The term 'residual' refers to what is left after the main part has been taken or used. In this context, 'residual urine' specifically means the urine that remains in the bladder after urination. Choices A, C, and D do not accurately capture the meaning of 'residual' in this sentence. 'Measurement' (A) is too general, 'Total volume' (C) does not specifically pertain to what remains, and 'Color and clarity' (D) is unrelated to the concept of what is left.

2. A note in the patients' medical record states anticipatory grieving, which patient situations below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

3. Choose the meaning of the word 'intramuscularly' in the following sentence: 'This vaccine must only be used intramuscularly and as a single-dose vial.'

• A. Between muscles
• B. Into muscles
• C. Without muscles
• D. On top of muscles

Correct answer: B

Rationale: The word 'intramuscularly' in the sentence indicates that the vaccine should be used by injection directly into the muscles. This means the correct meaning is 'into muscles,' making option B the most suitable choice. Choices A, C, and D are incorrect because 'intramuscularly' specifically refers to administering something inside the muscle, not between muscles, without muscles, or on top of muscles.

4. To implement something is to:

• A. prevent it from occurring
• B. emphasize the importance of
• C. cause it to happen
• D. follow from beginning to end

Correct answer: C

Rationale: The correct answer is C: 'cause it to happen.' 'Implement' means to put something into action or cause it to happen. Choices A, B, and D are incorrect because they do not reflect the meaning of 'implement.' Preventing something from occurring (Choice A), emphasizing the importance of something (Choice B), and following something from beginning to end (Choice D) are all different actions or concepts that do not align with the definition of 'implement.'

5. What is the meaning of perused?

• A. Passed judgment on
• B. Engaged in
• C. Read thoroughly
• D. Took notes about

Correct answer: C

Rationale: The correct answer is C: 'Read thoroughly.' The word 'perused' means to read or examine carefully or in detail. It does not imply passing judgment, engaging in, or taking notes. Choices A, B, and D are incorrect because 'perused' specifically refers to reading thoroughly, not making judgments, participating in, or taking notes.

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