Extract:

Client requests information about Tay-Sachs disease

Question 1 of 5

A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?

A. A collaborative, user-edited websiteB. An evidence-based nursing journalC. The facility's case managerD. The client's health care provider

Correct Answer: B

Rationale: Evidence-based journals provide reliable, peer-reviewed data on disease prevalence, ideal for accurate information.

Extract:

Client at 39 weeks gestation with negative contraction stress test; client at 35 weeks with biophysical profile of 6; client at 37 weeks with US ratio of 2:1; client at 28 weeks with negative Coombs' titer

Question 2 of 5

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?

A. A client who is at 39 weeks of gestation and has a negative contraction stress testB. A client who is at 35 weeks of gestation and has a biophysical profile of 6C. A client who is at 37 weeks of gestation and has an US ratio of 2:1D. A client who is at 28 weeks of gestation and has a negative Coombs' titer

Correct Answer: B

Rationale: A biophysical profile of 6 indicates potential fetal compromise, warranting an interdisciplinary conference for further evaluation.

Extract:

Client reports acute pain and refuses IM medication

Question 3 of 5

A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

A. BatteryB. False imprisonmentC. AssaultD. Libel

Correct Answer: A

Rationale: Administering the injection without consent constitutes battery, as it involves unauthorized physical contact.

Extract:

Client has cancer

Question 4 of 5

A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?

A. I will ask your mother's primary care provider to speak with you.B. You will have to speak directly to your mother about her treatment.C. What would you like to know about your mother's treatment?D. I cannot provide this information to you without your mother's consent.

Correct Answer: D

Rationale: HIPAA requires client consent before sharing treatment information, ensuring confidentiality.

Extract:

Client scheduled for endoscopy; client with sickle cell anemia; client post-myocardial infarction; client with diabetes mellitus

Question 5 of 5

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?

A. A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulinB. A client who is scheduled for an endoscopy later today and requires an enemaC. A newly admitted client who has sickle cell anemia and requires the development of an initial plan of careD. A client who had a myocardial infarction and will be transferring to the unit from the CCU.

Correct Answer: B

Rationale: Administering an enema is within the LPN's scope, involving basic nursing care suitable for delegation.

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