Nursing Elites

1. During a client's first hospitalization, which of the following actions ensures the safety of the client?

• A. Keep unnecessary furniture out of the way
• B. Keep the lights on at all times
• C. Keep side rails up at all times
• D. Keep all equipment out of view

Correct answer: A

Rationale: During a client's first hospitalization, it is essential to keep unnecessary furniture out of the way to prevent obstacles and ensure a safe environment. This action helps reduce the risk of accidents or falls, promoting the client's safety and well-being. Keeping the lights on at all times may not be necessary and can disrupt the client's rest. Keeping side rails up at all times can restrict the client's movement and independence unnecessarily. Keeping all equipment out of view may hinder the healthcare team's ability to monitor and access necessary tools for providing care.

2. What is the most important legal responsibility for the healthcare team after a patient's death in a hospital?

• A. Obtaining consent for an autopsy
• B. Notifying the coroner or medical examiner
• C. Labeling the body appropriately
• D. Ensuring the attending physician issues the death certificate

Correct answer: D

Rationale: After a patient's death in a hospital, the most crucial legal responsibility for the healthcare team is ensuring that the attending physician issues the death certificate. The death certificate is a vital legal document that confirms the cause of death and is required for legal and administrative purposes, including the completion of the patient's medical records and facilitating the family's ability to proceed with funeral arrangements and insurance claims. While other actions such as obtaining consent for an autopsy, notifying the coroner or medical examiner, and labeling the body appropriately are important, ensuring the timely and accurate issuance of the death certificate takes precedence in this scenario.

3. What is the meaning of PRN?

• A. When advice
• B. Immediately
• C. When necessary
• D. Now

Correct answer: C

Rationale: The correct meaning of PRN is 'when necessary.' The abbreviation 'PRN' comes from the Latin term 'pro re nata,' which is commonly used in medical contexts to indicate that a medication should be taken as needed, not at scheduled intervals. Choice A ('When advice') is incorrect as PRN does not refer to seeking advice. Choice B ('Immediately') is incorrect as PRN does not imply urgency. Choice D ('Now') is incorrect as PRN does not mean 'immediate' but rather 'as needed.' Therefore, the correct answer is C, 'When necessary.'

4. What do high-pitched gurgles heard over the right lower quadrant indicate?

• A. Increased bowel motility
• B. Decreased bowel motility
• C. Normal bowel sounds
• D. Abdominal cramping

Correct answer: C

Rationale: High-pitched gurgles heard over the right lower quadrant indicate normal bowel sounds. Bowel sounds can vary in pitch, and high-pitched gurgles are considered normal and indicate the presence of active peristalsis in the intestines.

5. A group of clients are being educated about influenza. Which of the following client statements indicates an understanding of the teaching?

• A. ''I should wash my hands after blowing my nose to prevent spreading the virus.''
• B. ''I need to avoid drinking fluids if I develop symptoms.''
• C. ''I need a flu shot every 2 years because of the different flu strains.''
• D. ''I should cover my mouth with my hand when I sneeze.''

Correct answer: A

Rationale: The correct answer is, 'I should wash my hands after blowing my nose to prevent spreading the virus.' This statement shows understanding of the importance of hand hygiene in preventing the spread of influenza. Washing hands after activities like blowing the nose can help reduce the risk of transmitting the virus to others. Choices B, C, and D are incorrect as they do not reflect accurate understanding of influenza prevention measures.

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