RN exams clinical judgment practice questions set 174

Correct answer:

The basis of the nurse's response is reduced saliva production, as some chronic pain meds (e.g., opioids, antidepressants) have anticholinergic effects, inhibiting salivary gland activity, causing dry moutha side effect tied to their pharmacology. This explains its occurrence. Choice B, increased thirst, is a result, not the causedryness drives thirst, not vice versa. Choice C, allergic reaction, is wrong; dry mouth is a common effect, not a rare hypersensitivity sign. Choice D, rapid absorption, affects onset, not salivadryness stems from receptor action. Choice A is correct, guiding nurses to explain this mechanism, offering hydration or sugar-free gum to ease discomfort, ensuring clients manage this tolerable side effect while continuing pain relief therapy.

Correct answer:

The basis of the nurse's response is reduced saliva production, as some chronic pain meds (e.g., opioids, antidepressants) have anticholinergic effects, inhibiting salivary gland activity, causing dry moutha side effect tied to their pharmacology. This explains its occurrence. Choice B, increased thirst, is a result, not the causedryness drives thirst, not vice versa. Choice C, allergic reaction, is wrong; dry mouth is a common effect, not a rare hypersensitivity sign. Choice D, rapid absorption, affects onset, not salivadryness stems from receptor action. Choice A is correct, guiding nurses to explain this mechanism, offering hydration or sugar-free gum to ease discomfort, ensuring clients manage this tolerable side effect while continuing pain relief therapy.

Correct answer:

The correct answer is A: The patient will reach a glycosylated hemoglobin level of less than 7%. This goal is most important because it directly addresses the patient's diabetes management by aiming to achieve good glycemic control. Lowering the HbA1c level to less than 7% is a key indicator of reduced risk for diabetes-related complications. Options B, C, and D are not as critical in addressing the specific nursing diagnosis of imbalanced nutrition. Option B focuses on weight loss, which may not necessarily address the underlying issue of imbalanced nutrition. Option C addresses meal distribution but does not directly target improved glycemic control. Option D emphasizes eliminating simple sugars but does not encompass the comprehensive management of diabetes.

Correct answer:

The correct answer is A: Create tension among nurses. Collective bargaining involves negotiation between labor unions and employers, which can lead to disagreements and conflicts among nurses over issues such as wages, working conditions, and benefits. This tension is a common concern as it can impact unity and collaboration within the nursing workforce. Summary: B: Reform health care - This is incorrect as collective bargaining focuses on labor relations, not healthcare reform. C: Secure economic security - This is incorrect as securing economic security is one of the goals of collective bargaining, not a concern. D: Unite the nurses - This is incorrect as collective bargaining can sometimes lead to division and tension among nurses rather than uniting them.

Correct answer:

Medications impact sleep via physiological or neurological effects. 'Ambien' , or zolpidem, is least likely to harm sleep quality; it's a sedative-hypnotic designed to induce and maintain sleepe.g., shortening sleep latency to 15 minuteswithout altering architecture long-term, per prescribing data. 'Diuretic' disrupts sleep via nocturiae.g., waking 3 times to void after furosemide. 'Steroid' , like prednisone, causes insomniae.g., 20% of users report wakefulness from CNS stimulation. 'Antidepressant' , like SSRIs, alters REMe.g., fluoxetine delays REM onset by 30 minutesdisrupting quality. Ambien's targeted action (GABA enhancement) contrasts with others' side effects, aligning with Taylor's pharmacology. Choice D is correct as it enhances, not impairs, sleep.

Correct answer:

Medications impact sleep via physiological or neurological effects. 'Ambien' , or zolpidem, is least likely to harm sleep quality; it's a sedative-hypnotic designed to induce and maintain sleepe.g., shortening sleep latency to 15 minuteswithout altering architecture long-term, per prescribing data. 'Diuretic' disrupts sleep via nocturiae.g., waking 3 times to void after furosemide. 'Steroid' , like prednisone, causes insomniae.g., 20% of users report wakefulness from CNS stimulation. 'Antidepressant' , like SSRIs, alters REMe.g., fluoxetine delays REM onset by 30 minutesdisrupting quality. Ambien's targeted action (GABA enhancement) contrasts with others' side effects, aligning with Taylor's pharmacology. Choice D is correct as it enhances, not impairs, sleep.

Correct answer:

Rationale for Correct Answer C: 1. In terminal cases, it's crucial for the healthcare provider to discuss DNR orders with the client and family to ensure understanding and consent. 2. The decision to implement a DNR order should always involve the client and their family to respect their wishes. 3. This statement emphasizes the importance of communication and shared decision-making in end-of-life care. Summary: A: Incorrect - This statement is about the clinical definition of death, not about DNR orders. B: Incorrect - While physicians can write DNR orders, the involvement of the client and family is essential. D: Incorrect - DNR orders do not require a court decision; they are typically based on the client's wishes and discussions with healthcare providers.

Correct answer:

Cultural competence in pain care respects diversity. 'Avoid stereotyping responses to pain by patients' is correcte.g., not assuming a stoic Asian patient feels less pain, per Taylor's cultural framework, ensures individualized assessment. Choice A, 'treat every patient the same,' ignores cultural normse.g., some groups (e.g., Hispanic) express pain vocally. Choice B, 'skilled in medication administration,' is technical, not culturale.g., giving morphine doesn't address beliefs. Choice C, 'know action and side effects,' is clinical knowledge, not competencee.g., unrelated to a patient's pain expression style. A nurse asking, 'How do you usually handle pain?'e.g., prayer for someavoids bias, aligning with holistic care. Choice D is the culturally adept answer.

Correct answer:

Cultural competence in pain care respects diversity. 'Avoid stereotyping responses to pain by patients' is correcte.g., not assuming a stoic Asian patient feels less pain, per Taylor's cultural framework, ensures individualized assessment. Choice A, 'treat every patient the same,' ignores cultural normse.g., some groups (e.g., Hispanic) express pain vocally. Choice B, 'skilled in medication administration,' is technical, not culturale.g., giving morphine doesn't address beliefs. Choice C, 'know action and side effects,' is clinical knowledge, not competencee.g., unrelated to a patient's pain expression style. A nurse asking, 'How do you usually handle pain?'e.g., prayer for someavoids bias, aligning with holistic care. Choice D is the culturally adept answer.

Correct answer:

The correct answer is D because an increase in cultural diversity in both the patient population and nursing staff can lead to challenges in communication, understanding beliefs and practices, and providing culturally competent care. This can impact patient outcomes and require nurse managers to address cultural competence training and policies. Choice A (nursing shortage) is incorrect as it does not directly relate to the challenge of cultural diversity. Choice B (lack of cultural sensitivity training) may contribute to the challenge but is not the primary reason. Choice C (80% of nursing staff from minority groups) is incorrect as it presents a specific statistic without addressing the broader implications of cultural diversity in both patients and staff.