What is one way a nursing assistant can help a family respond to the death of a loved one?

Correct Answer: B

Rationale: The correct answer is B because promptly reporting a request for a clergy visit can provide spiritual support and guidance to the family during a difficult time. This option respects the family's beliefs and preferences, offering them a source of comfort and solace. By involving a clergy member, the family can receive emotional support and guidance in coping with the loss. Choices A, C, and D are incorrect: A: Influencing the family with the NA's religion is inappropriate as it may not align with the family's beliefs, potentially causing discomfort. C: Isolating the family and friends is detrimental as social support is crucial in the grieving process. D: Judging past behavior to make the family feel better is judgmental and may lead to added emotional distress.

Correct Answer: D

Rationale: The correct answer is D) Yes, these can obstruct lower extremity circulation. In diabetic patients, vascular issues are common due to impaired blood flow and nerve damage. Tight knee-high hose can exacerbate these problems by restricting circulation even further. This can lead to decreased oxygen and nutrient delivery to the tissues, delayed wound healing, and an increased risk of developing ulcers or infections. Therefore, it is crucial for healthcare providers to be aware of the potential harm caused by constrictive clothing in diabetic patients and to advise against wearing such garments. Option A) No, the indentations will go away, is incorrect because the issue is not just temporary cosmetic indentations but rather a serious concern related to vascular compromise. Option B) No, knee-high hose are more comfortable, is incorrect as comfort should not outweigh the health risks associated with impaired circulation in diabetic patients. Option C) Yes, these are a safety hazard and should not be worn, is not as precise as Option D in explaining the specific danger of obstructing circulation in diabetic individuals. In an educational context, it is essential for healthcare professionals to understand the specific needs and risks faced by diabetic patients. By recognizing how certain practices or clothing choices can impact circulation and tissue health, providers can deliver more effective care and help prevent complications in this vulnerable population. Educating patients about the importance of proper footwear and clothing choices is an integral part of diabetes management and can contribute to maintaining optimal health and well-being.

Correct Answer: A

Rationale: In the context of patient care, understanding the effects of immobility on the cardiovascular system is crucial for providing effective care. The correct answer is A) increased cardiac workload. When a person is immobile, their heart has to work harder to pump blood throughout the body due to decreased venous return. This increased workload can lead to complications such as decreased cardiac efficiency, increased risk of blood clots, and potential heart strain. Option B) decreased cardiac workload is incorrect because immobility actually places a greater demand on the heart, rather than reducing its workload. Option C) increased venous return is incorrect as immobility typically results in decreased venous return, requiring the heart to pump harder to maintain circulation. Option D) increased peripheral resistance is incorrect as immobility can lead to decreased muscle activity, which in turn can decrease peripheral resistance. Educationally, understanding the effects of immobility on the cardiovascular system is essential for healthcare providers to anticipate and prevent complications in immobilized patients. By grasping the impact of immobility on cardiac workload, caregivers can implement appropriate interventions such as early mobilization, range of motion exercises, and positioning strategies to mitigate cardiovascular risks and promote overall patient well-being.

Correct Answer: A

Rationale: In this scenario, option A, "Void and discard the urine," is the correct answer for initiating a 24-hour urine collection. The rationale behind this is that discarding the first voided urine ensures that the collection period starts accurately, capturing only the subsequent urine produced over the next 24 hours. Option B, "Begin the collection at a specific time," is incorrect because the collection should start with the discarding of the first void, not at a specific time. Option C, "Add the first voiding to the specimen," is incorrect as adding the initial void would skew the results by including urine that is not part of the 24-hour collection period. Option D, "Keep the urine warm during collection," is also incorrect as temperature control is not typically a requirement for a 24-hour urine collection. From an educational perspective, understanding the proper protocol for initiating a 24-hour urine collection is crucial for healthcare professionals to ensure accurate test results. By discarding the first void, the collection period is standardized, leading to more reliable data for diagnostic and monitoring purposes. This knowledge is essential for nurses and other healthcare providers involved in patient care to perform procedures correctly and contribute to accurate clinical assessments.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) bowel sounds. Assessing bowel sounds is crucial in determining the return of peristalsis, which may be delayed postoperatively due to the effects of anesthesia and surgical manipulation of the bowel. Monitoring bowel sounds helps the nurse evaluate the function of the gastrointestinal system and identify any potential complications, such as paralytic ileus. Option B) skin turgor is not directly related to the effects of anesthesia or bowel surgery; it is more indicative of hydration status. Option C) pulse character is important for assessing cardiovascular function but is not specifically related to the effects of anesthesia on bowel function. Option D) urinary output is essential for monitoring renal function, but it is not directly affected by anesthesia or bowel surgery. In an educational context, understanding the rationale behind assessing bowel sounds postoperatively is vital for nurses caring for patients undergoing colon surgery. By knowing the impact of anesthesia on bowel function and the significance of monitoring bowel sounds, nurses can provide comprehensive care and detect any complications early, ultimately improving patient outcomes.