A nurse overhears two assistive personnel (AP) discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

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Question 1 of 5

A nurse overhears two assistive personnel (AP) discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Correct Answer: A

Rationale: The correct answer is A. The priority nursing action is to address the situation immediately by quietly telling the APs that discussing a client's information in a public area is not appropriate due to maintaining patient confidentiality. This action directly addresses the issue at hand and educates the individuals involved on the importance of patient privacy. B is incorrect because it is not addressing the immediate situation and may not prevent further breaches of confidentiality. C is incorrect as completing an incident report is not necessary in this situation as it does not involve harm to the patient. D is incorrect as documenting in a personal log does not address the issue or prevent future occurrences.

Question 2 of 5

In a research study, a dependent variable is:

Correct Answer: B

Rationale: The correct answer is B because a dependent variable is the outcome that is being measured to determine the effect of the independent variable. It is not manipulated (choice A), controlled for (choice C), or randomly assigned (choice D) by the researcher. By measuring the dependent variable, researchers can assess how changes in the independent variable affect the outcome, making choice B the most appropriate selection.

Question 3 of 5

A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Checking the client's medical record is crucial to confirm the provider's prescription. 2. This action ensures patient safety and adherence to the provider's orders. 3. It is essential to verify the order before proceeding to avoid potential harm or legal issues. Incorrect Choices: B: This choice assumes the provider prescribed the procedure without confirmation, risking error. C: Assuring the client without verifying the order could lead to unnecessary intervention. D: Informing the charge nurse without verifying the order may result in miscommunication and potential errors.

Question 4 of 5

A two y/o with antibiotic ear drops

Correct Answer: B

Rationale: The correct answer is B, "Down and back." For a two-year-old with antibiotic ear drops, the ear should be gently pulled down and back to straighten the ear canal. This position helps ensure that the drops reach the eardrum effectively. Option A, "Up and back," is incorrect as it can cause the drops to run out of the ear. Options C and D are likely left blank as they are irrelevant to the proper administration of ear drops.

Question 5 of 5

True statement

Correct Answer: A

Rationale: The correct answer is A because sperm released on ejaculation typically numbers around 200-300 million, not 500 million. This high number is crucial for increasing the chances of fertilization. Option B is incorrect as eggs are not released during menstruation; rather, they are released during ovulation, with only one egg being released per cycle. Options C and D are not provided, but they are automatically incorrect as the correct answer is A.

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