Which practice by the nurse indicates that the nurse is a professional?

Doing things the way they have always been done

Using intuition to make decisions about client care

Using evidence-based practice interventions

Submitting an article to a local newspaper

Answer and Explanation

The Correct Answer is C

A. Doing things the way they have always been done: Following traditional methods without considering new evidence or research may lead to outdated practices. Professionalism involves adapting to new knowledge and improving care, rather than relying solely on past.

B. Using intuition to make decisions about client care: Professional nursing practice emphasizes evidence-based interventions. Relying solely on intuition without supporting research or clinical guidelines may not ensure the best patient outcomes.

C. Using evidence-based practice interventions: Evidence-based practice involves using the best available research and clinical expertise to guide decision-making in patient care. This is a hallmark of professional nursing practice, ensuring that care is based on the latest, most effective methods.

D. Submitting an article to a local newspaper: While sharing knowledge and educating the public can be valuable, it is not specifically an indicator of professional nursing practice which is demonstrated through use of knowledge, skills, and research to improve patient care.

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Correct Answer is D

Explanation

A. Administration of hypotonic fluids: Hypotonic fluids would worsen hyponatremia by further diluting the sodium concentration in the blood. This intervention is contraindicated in patients with both low sodium levels and fluid overload.

B. Placement of an indwelling catheter: While a catheter may be used for monitoring output, it does not address fluid volume excess or hyponatremia. Invasive devices should only be used when clinically necessary and not as a primary treatment.

C. Administration of calcium gluconate: Calcium gluconate is used to manage hyperkalemia or hypocalcemia, not hyponatremia. It has no therapeutic effect in correcting sodium imbalance or fluid volume excess.

D. Fluid restriction: Restricting fluids is the appropriate treatment for a patient with hyponatremia and fluid overload. It helps prevent further dilution of sodium and reduces excess fluid in the body, aiding in restoring balance.

A. Foot drop B. Orthostatic Hypotension C. Constipation D. Decreased cardiac workload E. Increased ventilation

Correct Answer is ["A","B","C"]

Explanation

A. Foot drop: Foot drop occurs when a person is unable to lift the front part of the foot due to weakness or paralysis of the muscles in the lower leg. Prolonged immobility can lead to contractures and muscle atrophy, increasing the risk of foot drop as the muscles weaken over time.

B. Orthostatic Hypotension: Orthostatic hypotension is a common complication of prolonged bedrest. The lack of movement and the reduced ability to adjust blood pressure upon standing can lead to dizziness, fainting, or falls in immobile patients.

C. Constipation: Constipation a common issue for patients on prolonged bedrest. The lack of movement reduces intestinal motility, leading to difficulty passing stools, which can become a serious concern if not managed properly.

D. Decreased cardiac workload: Immobility generally increases cardiac workload due to the body's need to compensate for the lack of activity. Prolonged bedrest leads to decreased circulation and muscle tone, placing additional strain on the heart.

E. Increased ventilation: Immobility leads to decreased ventilation, not increased. Prolonged bedrest can reduce lung expansion and the ability to clear secretions from the lungs, increasing the risk for respiratory complications such as atelectasis and pneumonia.

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Which practice by the nurse indicates that the nurse is a professional?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing care for a patient with hyponatremia and fluid volume excess includes:

Correct Answer is D

Explanation

A nurse is providing education to a post-operative patient on the complications associated with immobility or prolonged bedrest. Which of the following would be included in the education? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Medications that are taken by mouth (swallowed)

An older adult client with hypokalemia is being discharged to the home of a caregiver. Which information should the nurse include in the family teaching?

When working in a community health clinic, a nurse is focusing her teaching on health promotion. Which of the following topics would support this topic?

A nurse assesses a client's blood pressure manually. Which technique would be used for this assessment?

The nurse takes a client's vital signs and finds the pulse rate to be 120 bpm. What would the nurse do next to interpret and analyze this pulse rate?

The nurse is giving sub-Q insulin. A major nursing responsibility prior to administration of this category of drugs is to:

A nurse is assessing an older adult client who is experiencing age-related changes. Which of the following should the nurse expect?

During an assessment, the nurse notices clouding of the lens of the left eye, and the client reports blurred and hazy vision in the eye. These findings suggest which of the following?