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1. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?
- A. Select flat-soled leather shoes
- B. Apply heating pads on a low temperature.
- C. Avoid using callus remover for corns or calluses.
- D. Refrain from soaking feet in warm water for an hour each day.
Correct answer: A
Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.
2. Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct answer: A
Rationale: The correct answer is A: Statutory laws. Statutory laws are those created by various legislative bodies, such as state legislatures. In the context of nursing practice, laws that govern it are statutory laws specifically tailored to regulate the profession. Choice B, Common laws, are not specific to regulating nursing practice but rather are based on judicial decisions. Choice C, Administrative laws, deal with regulations set by administrative agencies and may not directly govern nursing practice. Choice D, Constitutional laws, pertain to the fundamental principles outlined in a country's constitution and are not the primary laws that regulate nursing practice.
3. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?
- A. The patient�s blood glucose level is 174 mg/dL.
- B. The patient has gained 2 lb (0.9 kg) since yesterday.
- C. The patient is scheduled for a chest x-ray in an hour
- D. The patient�s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct answer: D
Rationale:
4. Which information is most important for the nurse to report to the health care provider before a patient with type 2 diabetes is prepared for a coronary angiogram?
- A. The patient�s most recent HbA1C was 6.5%
- B. The patient�s admission blood glucose is 128 mg/dL.
- C. The patient took the prescribed metformin (Glucophage) today
- D. The patient took the prescribed captopril (Capoten) this morning.
Correct answer: C
Rationale:
5. Under which category does a violation of the nurse practice act fall?
- A. Juvenile
- B. Felony
- C. Misdemeanor
- D. Tort
Correct answer: B
Rationale: A violation of the nurse practice act falls under the category of a felony. Felony offenses are the most serious and can include acts like homicide and violations of professional practice regulations. Choices A, C, and D are incorrect because violations of the nurse practice act are considered more severe than misdemeanors, torts, or related to juvenile cases.
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