Nokea
Leukemia is a chronic illness and it is expected that the patient will be in and out of the hospital. To maintain communication, the nurse will _________.
- A. ask the patient to call the hospital number listed in the yellow pages
- B. ask for the phone number where the patient can be easily contacted
- C. read the information sheet of the patient in the chart
- D. tell patient to write the number in a piece of paper and give it to the ward clerk
Correct Answer: B
Rationale: It is important for the nurse to have a direct and easily accessible means of communication with the patient who is expected to be in and out of the hospital due to their chronic illness like leukemia. By asking for the patient's phone number, the nurse can quickly reach out to them for updates, clarification, or any urgent matters that may arise. This direct communication line helps in ensuring continuity of care and addressing the patient's needs promptly. This approach is more practical and efficient compared to options such as asking the patient to call the hospital number listed in the yellow pages or relying on chart information which may not always be up to date. Writing down the number and giving it to the ward clerk may cause unnecessary delays in communication.
You may also like to solve these questions
A nurse is preparing to assist with a cardiopulmonary resuscitation (CPR) procedure for a patient in cardiac arrest. What action should the nurse prioritize during the initial assessment?
- A. Administering oxygen via nasal cannula at 2 liters per minute
- B. Checking for responsiveness and calling for help immediately
- C. Placing the patient in the recovery position to facilitate breathing
- D. Assessing the patient's airway, breathing, and circulation (ABCs)
Correct Answer: D
Rationale: The correct action to prioritize during the initial assessment when preparing to assist with a cardiopulmonary resuscitation (CPR) procedure for a patient in cardiac arrest is to assess the patient's airway, breathing, and circulation (ABCs). This involves quickly checking the patient's airway for any obstructions, assessing their breathing for signs of breathing difficulties or absence of breathing, and evaluating their circulation by checking for a pulse. This step is crucial in determining the need for immediate intervention, such as clearing the airway, providing rescue breaths, or initiating chest compressions. By prioritizing the assessment of the ABCs, the nurse can promptly identify and address life-threatening issues to improve the patient's chances of survival during a cardiac arrest situation.
Which of the following cell types is primarily responsible for the production of antibodies during the humoral immune response?
- A. Plasma cells
- B. T helper cells (Th cells)
- C. Memory B cells
- D. Macrophages
Correct Answer: A
Rationale: Plasma cells are the primary type of cells responsible for the production of antibodies during the humoral immune response. When activated by antigens, B cells differentiate into plasma cells, which are specialized in producing large quantities of antibodies. These antibodies are essential in fighting off infections by binding to antigens and marking them for destruction by other immune cells. T helper cells assist in activating B cells, but the actual production of antibodies is mainly carried out by plasma cells. Memory B cells are involved in mounting a rapid and specific secondary response upon re-exposure to the same antigen. Macrophages play a role in phagocytosis and antigen presentation, but they are not the primary cells responsible for producing antibodies during the humoral immune response.
Which of the following laboratory findings is characteristic of nephrotic syndrome?
- A. Hematuria
- B. Hypoalbuminemia
- C. Hyperkalemia
- D. Hypocalcemia
Correct Answer: B
Rationale: Nephrotic syndrome is a kidney disorder characterized by increased glomerular permeability, leading to protein loss in the urine. One of the hallmarks of nephrotic syndrome is hypoalbuminemia, which refers to low levels of albumin in the blood due to its excessive loss in the urine. This loss of albumin results in decreased oncotic pressure, leading to edema and ascites. Hematuria (choice A) is not typically found in nephrotic syndrome but may be present in other kidney conditions. Hyperkalemia (choice C) is not specific to nephrotic syndrome and may be more common in conditions affecting potassium regulation. Hypocalcemia (choice D) is also not a characteristic feature of nephrotic syndrome.
As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit?
- A. Dependently
- B. Interdependently
- C. Collegially
- D. Independently
Correct Answer: D
Rationale: Nurse Parker functioned independently when she initiated the visit by arranging for the clergy to see patient Ximena. In this scenario, the nurse took the initiative on her own without needing approval or direction from others. She recognized the patient's request for spiritual guidance and took independent action to meet that need. Independently functioning in this context demonstrates the nurse's autonomy and ability to make decisions based on the patient's preferences and well-being.
Which of the following are essential components of informed consent? I. explanation of the procedure and alternatives to the procedure II. discussion of potential risks and benefits of the procedure III. confirmation that the patient understands the risks, benefits, and any alterations
- A. I, III
- B. II, III
- C. I, II
- D. I, II, III
Correct Answer: D
Rationale: All of the components -explanation of the procedure and alternatives to the procedure (I), discussion of potential risks and benefits of the procedure (II), and confirmation that the patient understands the risks, benefits, and any alterations (III) -are essential parts of informed consent. Providing information about the procedure and its alternatives, disclosing potential risks and benefits, and ensuring that the patient comprehends this information are crucial to obtaining valid informed consent prior to any medical procedure.