Extract:

Question 1 of 5

The nurse instructs the unlicensed assistive personnel on how to collect a 24-hour urine specimen. Which of the following instructions is correct for a collection that is scheduled to start at 7 a.m. Monday and end at 7 a.m. Tuesday?

Correct Answer: C

Rationale: The 24-hour collection includes all urine from after the 7 a.m. Monday void (discarded) to the 7 a.m. Tuesday void (included).

Question 2 of 5

Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?

A. Both can lead to infection. B. Both are invasive procedures. C. Both are considered sentinel. D. Both are the last resort.

Correct Answer: A

Rationale: Both restraints and urinary catheters can lead to infections restraints through skin breakdown and catheters through urinary tract infections if not managed properly.

Question 3 of 5

The nurse is caring for a client who has just undergone a cesarean section. Which of the following interventions is most important in the immediate postoperative period?

A. Encouraging early ambulation. B. Administering oral fluids immediately. C. Monitoring for signs of infection. D. Applying heat to the incision site.

Correct Answer: A

Rationale: Encouraging early ambulation post-cesarean section prevents complications like deep vein thrombosis and promotes recovery.

Question 4 of 5

A usually reliable interpreter called by the nurse to help communicate with a mother of a child who does not speak English and has brought her child in for a routine visit has yet to arrive in the clinic. The nurse has paged the interpreter several times. Which of the following should the nurse do next?

A. Continue with the examination. B. Reschedule the infant's appointment for later in the week. C. Ask the mother to stay longer in the hope that the interpreter arrives. D. Page the interpreter one more time.

Correct Answer: B

Rationale: Rescheduling ensures effective communication with the interpreter, avoiding potential misunderstandings during the visit.

Question 5 of 5

Based on the fact that you family unit client is experiencing a situational crisis that has led to dysfunctional communication within the family unit, you have recommended that the entire nuclear family and members of the extended family who live in the family's home begin family therapy. The grandparents tell you that it is their grandson, rather than their son, who is addicted to prescription painkillers, is the cause of the problem; therefore, they do not have to participate in this group therapy. How should you respond to these grandparents?

A. You should try to come to a few sessions at least because they may be very informative to you'. B. You are probably correct. This really is not your problem'. C. Despite the fact that it is your grandson's drug addiction, situations such as this affect all members of the family including grandparents who live in the home.' D. You should attend because the doctor has ordered family therapy for you as extended family members'.

Correct Answer: C

Rationale: Addiction affects the entire family system, including extended family members living in the home. Their participation in therapy can help address dysfunctional communication and support the family unit as a whole.