A nurse is caring for a male Muslim client. The nurse and the provider discuss the importance of having a male provider care for the client. This discussion represents which of the following foundational critical care competencies?

The ability to insert an endotracheal tube

The ability to precept another nurse

The ability to collaborate as a team member

The ability to act as charge nurse

Answer and Explanation

The Correct Answer is C

A. "The ability to insert an endotracheal tube": This competency refers to technical skills in airway management, not to addressing cultural concerns or preferences in care. The ability to insert an endotracheal tube is a skill that does not directly relate to the scenario of cultural sensitivity.
B. "The ability to precept another nurse": While precepting may involve teaching or guiding others, the discussion of gender preferences for care is related to cultural competency and collaboration in a healthcare setting, rather than mentoring another nurse.
C. "The ability to collaborate as a team member.": The scenario described highlights the need for the nurse to work with the provider and the client to address cultural concerns and ensure that the client feels comfortable with their care. Collaboration with the healthcare team is a key competency in providing culturally sensitive care.
D. "The ability to act as charge nurse" Being a charge nurse involves managing a team, but it is not specifically relevant to addressing the client's preferences regarding the gender of the provider. This issue is more about cultural competence and collaboration than charge nurse responsibilities.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Acetone breath: Acetone (fruity-smelling) breath is a hallmark of diabetic ketoacidosis (DKA), not HHS. It results from ketone production due to fat breakdown, which is typically absent in HHS.
B. Fever: Fever may indicate underlying infection, which is a common trigger for HHS in older adults. Infections raise stress hormone levels, worsening insulin resistance and contributing to severe hyperglycemia.
C. 68 years of age: HHS most commonly affects older adults, typically those with type 2 diabetes. Advanced age is a significant risk factor due to impaired thirst mechanisms and decreased kidney function.
D. Serum glucose 800 mg/dL (74 to 105 mg/dL): HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL. A level of 800 mg/dL is consistent with the severe hyperglycemia seen in HHS.
E. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L) Insidious onset: While bicarbonate levels in HHS may be mildly decreased, they are usually higher than in DKA. An insidious (gradual) onset with progressive symptoms over days is typical of HHS and differentiates it from the rapid onset of DKA.

A. Fatigue B. Pain C. Confusion D. Slurred speech

Correct Answer is A

Explanation

A. Fatigue: Fatigue is a hallmark symptom of iron deficiency anemia due to decreased oxygen delivery to tissues. With insufficient iron, the production of hemoglobin is impaired, leading to a reduced oxygen-carrying capacity of red blood cells, which results in fatigue and weakness.
B. Pain: While pain is not directly associated with iron deficiency anemia, individuals with severe anemia may experience discomfort or cramping due to poor oxygenation of tissues, but this is not a primary or expected symptom of the condition.
C. Confusion: Confusion can occur in severe cases of anemia due to insufficient oxygen supply to the brain, but it is not a common or early finding in iron deficiency anemia. It is more likely to appear if anemia becomes more severe or chronic.
D. Slurred speech: Slurred speech is not a typical symptom of iron deficiency anemia. If present, slurred speech could indicate other neurological issues or a more severe condition, such as a stroke or a neurological disorder.

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A nurse is caring for a male Muslim client. The nurse and the provider discuss the importance of having a male provider care for the client. This discussion represents which of the following foundational critical care competencies?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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