Nursing Elites

1. What observation by the nurse indicates the need for further teaching to unlicensed assistive personnel (UAP) on assisting with ambulation?

• A. The UAP puts shoes on the client
• B. The UAP removes floor rugs and loose objects from the path
• C. The UAP walks to the side and slightly in front of the client
• D. The UAP uses a transfer (gait) belt

Correct answer: C

Rationale: Choice C is the correct answer because the UAP should walk slightly behind or to the side of the client, not in front, to provide proper support during ambulation. Choices A, B, and D are not indicative of incorrect technique or the need for further teaching. Putting shoes on the client, removing floor rugs and loose objects, and using a transfer (gait) belt are all appropriate actions when assisting with ambulation.

2. What is not a nursing intervention for a client with osteoporosis?

• A. Nurse will encourage the intake of adequate amounts of calcium and vitamin D
• B. Nurse will encourage the client to complete weight-bearing exercises
• C. Nurse will encourage the client to avoid muscle strengthening exercises
• D. Nurse will encourage the client to avoid repetitive movements

Correct answer: C

Rationale: The correct answer is C. Avoiding muscle strengthening exercises is not recommended for clients with osteoporosis; on the contrary, weight-bearing exercises are beneficial. Choice A is correct as ensuring adequate calcium and vitamin D intake is essential for bone health. Choice B is also correct as weight-bearing exercises help improve bone density. Choice D is incorrect because avoiding repetitive movements is not a standard nursing intervention for osteoporosis.

3. Which organization publishes the National Patient Safety Goals?

• A. The Joint Commission
• B. Medicare
• C. The American Nurses Association
• D. The Institute of Medicine

Correct answer: A

Rationale:

4. What should the nurse do first if they are stuck by a needle?

• A. Seek medical attention
• B. Flush the exposed skin with water
• C. Complete an incident report
• D. Report the exposure

Correct answer: B

Rationale:

5. The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?

• A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs (NSAIDS)are liver failure and tinnitus
• B. The main side effect of acetaminophen is gastrointestinal GI bleeding
• C. You should not take more than 4000 mg of acetaminophen a day
• D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have no side effects

Correct answer: A

Rationale:

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