#1
What is the primary goal of nursing care for a patient with diabetes mellitus type 2?
Maintain normal blood glucose levels
ExplanationStable blood glucose levels help prevent complications associated with diabetes mellitus type 2.
#2
What is the primary responsibility of the nurse in preventing healthcare-associated infections?
Promoting hand hygiene and infection control practices
ExplanationHand hygiene and infection control practices reduce the transmission of pathogens in healthcare settings.
#3
What is the primary purpose of therapeutic communication in nursing care?
Establishing rapport and trust
ExplanationTherapeutic communication fosters trust and rapport between the nurse and patient, enhancing the effectiveness of care.
#4
What is the primary purpose of the Braden Scale in nursing care?
Evaluating the risk for pressure ulcers
ExplanationThe Braden Scale assesses a patient's risk for developing pressure ulcers, guiding preventive measures.
#5
Which of the following is a priority nursing intervention for a patient experiencing anaphylaxis?
Administering epinephrine
ExplanationEpinephrine counteracts severe allergic reactions by constricting blood vessels and opening airways.
#6
In a patient with congestive heart failure, which nursing intervention is crucial for managing fluid retention?
Administer diuretics as prescribed
ExplanationDiuretics help reduce fluid volume overload in patients with congestive heart failure.
#7
During postoperative care, what action should the nurse prioritize to prevent deep vein thrombosis (DVT) in a surgical patient?
Encouraging ambulation and leg exercises
ExplanationAmbulation and leg exercises promote blood circulation, reducing the risk of DVT.
#8
What is a common complication associated with immobility in hospitalized patients?
Deep vein thrombosis (DVT)
ExplanationImmobility increases the risk of DVT formation due to stagnant blood flow.
#9
In a patient with chronic obstructive pulmonary disease (COPD), which intervention is essential for improving oxygenation?
Administering bronchodilators as prescribed
ExplanationBronchodilators help dilate airways, improving airflow and oxygenation in COPD patients.
#10
What is the primary nursing intervention for a patient experiencing a seizure?
Place the patient in a supine position and ensure safety
ExplanationPositioning the patient safely in a supine position helps prevent injury during a seizure.
#11
What is the primary focus of nursing care for a patient with chronic renal failure?
Maintaining fluid and electrolyte balance
ExplanationBalancing fluid and electrolytes helps manage symptoms and complications in chronic renal failure.
#12
What is the primary purpose of the Glasgow Coma Scale (GCS) in neurological assessment?
Evaluating consciousness and neurological status
ExplanationGCS assesses a patient's level of consciousness, helping to evaluate neurological function.
#13
In the context of wound healing, which nursing intervention promotes the inflammatory phase?
Application of warm compresses
ExplanationWarm compresses enhance blood flow to the wound, aiding in the inflammatory phase of healing.
#14
What is a key principle in medication administration to pediatric patients?
Use visual and auditory cues for dosage determination
ExplanationVisual and auditory cues aid accurate dosage determination in pediatric medication administration.
#15
In caring for a patient with a chest tube, what action should the nurse take to prevent complications?
Elevate the drainage system above the chest level
ExplanationElevating the drainage system prevents backflow of fluids, reducing the risk of complications in chest tube care.
#16
What is a common side effect of opioid analgesics, and what nursing intervention is appropriate to manage it?
Constipation; administer a laxative as prescribed
ExplanationOpioid analgesics frequently cause constipation, necessitating the use of laxatives to alleviate this side effect.
#17
Which assessment finding in a patient with a head injury indicates a potential increase in intracranial pressure?
Decreased level of consciousness
ExplanationA decreased level of consciousness may indicate rising intracranial pressure following a head injury.
#18
What is the primary nursing goal for a patient with acute respiratory distress syndrome (ARDS)?
Improve gas exchange and oxygenation
ExplanationThe primary goal in ARDS is to optimize gas exchange and oxygenation to support vital organ function.