nursing stress

Davis Edge Question of the Week #30

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Question:
The nurse is reviewing the urinalysis reports of a client. What does the nurse conclude from these findings?

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Question Options:
1.) The client has malaria.
2.) The client has proteinuria.
3.) The client has dehydration.
4.) The client has nephrolithiasis.

Correct Option/Answers: 1

Rationale:
Option 1: Urobilinogen levels greater than 1 mg/dL indicate malaria. Therefore, a urobilinogen value of 1.5 mg/dL indicates malaria in the client.
Option 2: Protein levels less than 20 mg/dL indicate normal findings; also, protein levels increase during proteinuria. Therefore, the client does not have proteinuria.
Option 3: The normal specific gravity of urine is in the range of 1.001–1.035. Increased urinary specific gravity indicates dehydration. As the client does not have increased urinary specific gravity, he or she does not have dehydration.
Option 4: Nephrolithiasis is characterized by hematuria. The normal red blood cell count in urine is less than 5/HPF. Therefore, a red blood cell count of 2/HPF does not indicate nephrolithiasis in the client.

Davis Edge Question of the Week #29

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Question:
The nurse is caring for clients with diabetes. After evaluating the nutritional status of the clients, which client does the nurse expect to be at risk of malnutrition?

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Question Options:
1.) Client 1
2.) Client 2
3.) Client 3
4.) Client 4

Correct Option/Answers: 2

Rationale:
Option 1: The BMI of client 1 is 24.6, which indicates that the client 1 is of normal weight.
Option 2: The body mass index (BMI) is calculated by the formula, BMI = Weight in kilograms/(Height in meters) The BMI of the client 2 is 17.75, which is less than the normal and indicates underweight. Low BMI indicates malnutrition.
Option 3: By considering the weight and height, the BMI of client 3 is 21.32. This indicates that client 3 is of normal weight.
Option 4: The BMI of client 4 is 24.74, which indicates that client 4 is of normal weight.

Davis Edge Question of the Week #28

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Question:
The nurse is reviewing the red blood cells lab reports of several children who completed their treatment regimens to improve their anemia. Which child‘s condition is most improved due to the treatment?

28-q-of-the-week

Question Options:
1.) Child 1
2.) Child 2
3.) Child 3
4.) Child 4

Correct Option/Answers: 2

Rationale:
Option 1: Child 1 shows decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 2: The normal red cell lab values in children are:
Mean corpuscular volume: 79-95 µm3
Mean corpuscular hemoglobin: 25-3 pg/cell
Mean cell hemoglobin concentration: 31%-37% Hgb [g]/dl RBC
Reticulocyte count: 0.5%-1.5%
The red cell lab values of Child 2 are normal and indicate that the child has received effective treatment.
Option 3: The laboratory reports of Child 3 show decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 4: Child 4 has decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.

Davis Edge Question of the Week #27

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Question:
A nurse is assessing four student nurses while adding sterile solution to the sterile field. Which student nurse’s action is correct?

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Question Options:
1.) Student A
2.) Student B
3.) Student C
4.) Student D

Correct Option/Answers: 3

Rationale:
Option 1: The student nurse should hold the sterile solution 4 to 6 inches above the sterile field. Pouring the sterile solution from 9 inches would lead to splashing, which in turn contaminates the sterile field.
Option 2: Student B should not store the sterile solution for further use. Reusing the opened container will lead to contamination.
Option 3: Student C’s action is correct. The sterile bowl should be placed at the corner of the sterile field, which would prevent the nurse from reaching over and contaminating the field.
Option 4: Student D should wear the gloves after adding the supplies to the sterile field. Adding supplies after donning the sterile gloves would contaminate them.

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Health Care Link Roundup: Nursing workload stress, fadavis.com promotions, and more!

I’ll be honest; if I read everything that interested me, I’d never get off the Internet. To help us all avoid eyes blinded by monitor screens and atrophied muscles, here’s a roundup of the best health care links I found this week. Let me know if I missed anything in the comments!

HuffPost’s Health News posted some great articles on job satisfaction and productivity for nurses, and even more importantly, tips for nurses to handle their professional stress. I like the focus in both of these articles on health care systems allowing nurses the time and opportunity to administer compassionate care.

Prolific YouTube channel Crash Course is currently doing an excellent series on the fundamentals of Anatomy & Physiology – this is a must-watch for any student beginning this course, thinking about a career in health sciences, or if you just need a refresher!

Struggling to stick to your New Year’s resolutions? In this recent article on The New York Times’ Well Blog, scientists try to find the connection between mindfulness and satisfaction with exercise.

And last but not least, this is the last week to use the promo code LOVE2REVIEW on FADavis.com for 20% off and free shipping on your entire order! We’re betting some of you have midterms on the horizon, and even more of you have started wondering how you’ll do on the NCLEX exam. Review early and often, and let us know if you’re looking for any specific tools! We’re here to help.

 

Alisa Hathaway, Digital Marketing Coordinator, Creative Services