Nursing Elites

1. A community health nurse is developing a program to address the opioid crisis in the community. Which intervention should the nurse prioritize?

• A. Providing education on the dangers of opioid use
• B. Distributing naloxone kits to first responders
• C. Offering support groups for individuals struggling with addiction
• D. Partnering with local pharmacies to monitor prescriptions

Correct answer: B

Rationale: The correct answer is B: Distributing naloxone kits to first responders. Naloxone is a medication that can rapidly reverse opioid overdose, potentially saving lives. In an opioid crisis scenario, providing naloxone kits to first responders equips them to act swiftly in emergencies. Choice A, providing education on the dangers of opioid use, is important but may not be as immediately life-saving as naloxone distribution. Choice C, offering support groups, is valuable for long-term recovery but may not address the acute crisis of overdoses. Choice D, partnering with local pharmacies to monitor prescriptions, focuses on prevention rather than immediate response to overdoses.

2. What information should the nurse provide a client who has undergone cryosurgery for stage 1A cervical cancer?

• A. Expect heavy, watery vaginal discharge for 3 to 6 weeks.
• B. Use a tampon instead of a sanitary napkin.
• C. Report any severe cramping immediately.
• D. Avoid sexual intercourse for 3 to 6 weeks.

Correct answer: D

Rationale: After cryosurgery for stage 1A cervical cancer, clients should avoid sexual intercourse for 3 to 6 weeks to reduce the risk of infection. Heavy, watery vaginal discharge is expected but not the focus of post-procedure instructions. Using tampons is contraindicated as they can introduce bacteria into the healing cervix. While reporting severe cramping is important, avoiding sexual intercourse is the priority to prevent complications.

3. A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?

• A. To protect myself from your germs.
• B. To protect you because you can get an infection very easily.
• C. Until your white blood cell count increases.
• D. To keep others from getting your infection.

Correct answer: B

Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.

4. A female client reports to the nurse that her sleep was interrupted by 'thoughts of anger towards my husband.' What type of thoughts is the client having?

• A. Obsessive.
• B. Phobic.
• C. Delusional.
• D. Paranoid.

Correct answer: A

Rationale: The correct answer is A: Obsessive. Obsessive thoughts are recurring, unwanted, and intrusive thoughts that cause distress or anxiety. In this scenario, the client is experiencing repetitive thoughts of anger towards her husband, indicating an inability to control these thoughts. Choice B, Phobic, is incorrect as phobic thoughts are related to irrational fears. Choice C, Delusional, is incorrect as delusional thoughts involve fixed false beliefs. Choice D, Paranoid, is incorrect as paranoid thoughts involve irrational suspicions and mistrust.

5. A nurse starts classes for clients with type 2 diabetes. Which information would the nurse use as an outcome evaluation for the class?

• A. Parking convenience for attendees continues to be a major concern.
• B. Fasting blood glucose average readings were 20% lower by the end of classes.
• C. Discussion of food exchanges and calories was a well-attended class.
• D. Demonstrating the use of a blood glucose meter was an effective teaching strategy.

Correct answer: B

Rationale: A reduction in fasting blood glucose levels indicates the effectiveness of the diabetes management education provided. Monitoring blood glucose levels is a crucial aspect of diabetes management, and a decrease in average readings signifies improvement in managing blood sugar levels. Choices A, C, and D are not direct outcome evaluations related to the effectiveness of the education provided in managing diabetes. Parking convenience, attendance, and teaching strategies are not direct indicators of the impact on the clients' health outcomes.

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