Nokea
Patient Benito ask5 Nurse Virgo, "Why can't the surgeon just take out my pancreas?" The BEST response of Nurse Virgo is
- A. "your body needs to function well with your pancreas "
- B. "your attack will soon be overcome when you are at rest"
- C. "if your pancreas is removed, you can never eat fat and fried foods again"
- D. "antibiotic wil1 relieve signs of infection"
Correct Answer: A
Rationale: The best response of Nurse Virgo is to explain to Patient Benito that his body needs to function well with his pancreas. The pancreas plays a critical role in the digestive system by producing digestive enzymes and hormones that help regulate blood sugar levels. Removing the pancreas would result in serious health consequences and complications, as the body relies on it for essential functions. It is important for the patient to understand the significance of the pancreas and why its removal is not a viable solution.
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A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed-consent?
- A. Surgeon
- B. Nurse anesthetist
- C. Nurse
- D. Anesthesiologist
Correct Answer: A
Rationale: The primary responsibility for obtaining informed consent lies with the surgeon who will be performing the procedure. Informed consent is a process where the healthcare provider explains the procedure, benefits, risks, and alternatives to the patient, allowing them to make an informed decision about their care. While other healthcare team members may also participate in this process, the ultimate responsibility typically rests with the surgeon as they are the one performing the surgery.
Mrs. Carpio has an order of Thiazide diuretics for her edema. The following is the entry that you expect to be written in her progress report EXCEPT ______.
- A. Serum electrolyte monitored everyday
- B. Intake and output done every shift
- C. Weight taken before drug is administered
- D. Drug is administered at 8o'clock in the evening
Correct Answer: D
Rationale: The entry you expect to be written in Mrs. Carpio's progress report should include details related to monitoring her response to the Thiazide diuretics and ensuring her safety. Options A, B, and C all focus on these aspects by monitoring serum electrolytes, intake and output, and weight before drug administration, which are important considerations when a patient is on Thiazide diuretics. However, specifying the time of drug administration (8 o'clock in the evening) is not necessary in the progress report entry. The focus should be on the patient's response to the medication and the associated monitoring parameters. Time of administration is more relevant for nursing care plans or medication schedules.
A patient presents with sudden-onset weakness and sensory loss on one side of the body, along with difficulty speaking and understanding speech. Symptoms began approximately 1 hour ago and have partially resolved since then. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Ischemic stroke
- B. Transient ischemic attack (TIA)
- C. Hemorrhagic stroke
- D. Subarachnoid hemorrhage
Correct Answer: B
Rationale: The patient's presentation of sudden-onset weakness and sensory loss on one side of the body, along with difficulty speaking and understanding speech that partially resolved within one hour, is consistent with a transient ischemic attack (TIA). TIAs are caused by temporary disruption of blood flow to a part of the brain, leading to transient neurological symptoms. Unlike an ischemic stroke, which results in permanent damage to brain tissue due to prolonged interruption of blood flow, TIAs are transient and resolve within 24 hours. Hemorrhagic strokes and subarachnoid hemorrhages typically present with sudden, severe headaches, and may not improve or resolve quickly as seen in this case.
A patient with terminal cancer experiences dyspnea and anxiety. Which intervention should the palliative nurse prioritize to address the patient's symptoms?
- A. Administer oxygen therapy to relieve dyspnea.
- B. Encourage the patient to practice relaxation techniques.
- C. Prescribe opioid medications for symptom management.
- D. Refer the patient to a respiratory therapist for breathing exercises.
Correct Answer: C
Rationale: When a patient with terminal cancer experiences dyspnea (difficulty breathing) and anxiety, opioid medications are often prioritized by palliative care providers for symptom management. Opioids are effective in relieving dyspnea by acting as respiratory depressants and reducing the feeling of air hunger. Additionally, opioids have sedative effects that can help alleviate anxiety and promote relaxation. Therefore, in this situation, prescribing opioid medications would be the most appropriate intervention to address both the dyspnea and anxiety symptoms simultaneously. Oxygen therapy, relaxation techniques, and breathing exercises may also be useful adjunctive interventions, but opioid medications are typically prioritized for immediate symptom relief in this context.
Which of the following is an example of self directed learning activity?
- A. Research at work
- B. Attends webinars
- C. Attendance to graduate school
- D. Resource person
Correct Answer: A
Rationale: Research at work is an example of self-directed learning activity because it involves taking the initiative to seek out information, learn new skills, and solve problems independently within a workplace setting. This type of learning requires self-motivation, self-discipline, and autonomy to set goals, gather resources, and develop knowledge or expertise in a specific area. Individuals engage in research at work to enhance their professional growth, expand their skill set, or address challenges encountered in their job responsibilities. It is a proactive approach to learning where individuals take charge of their own development and continuously strive to improve their performance.