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A patient has been advised by the psychiatrist that he needs inpatient hospitalization. The patient agrees, signs the admission forms, and agrees to receive treatment. What type of admission is this?
- A. Formal
- B. Informal
- C. Voluntary
- D. Involuntary
Correct Answer: C
Rationale: This type of admission is considered voluntary because the patient willingly agrees to be admitted to the hospital for treatment. The patient has signed the admission forms and consented to receive the necessary care, indicating a willingness to participate in their treatment plan. In a voluntary admission, the individual retains the right to make decisions about their treatment and can choose to leave the hospital against medical advice if they wish to do so.
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During surgery, the nurse observes an unusual odor emanating from the surgical site. What should the nurse do?
- A. Document the observation in the patient's chart
- B. Ignore the odor and continue with the procedure
- C. Inform the surgeon immediately and assess for signs of infection
- D. Request additional suctioning to remove the odor
Correct Answer: C
Rationale: If the nurse observes an unusual odor emanating from the surgical site during surgery, it is important to inform the surgeon immediately and assess for signs of infection. Changes in odor can sometimes be an early sign of infection, which requires prompt attention and intervention. By communicating with the surgeon and conducting a thorough assessment, the nurse can help ensure the timely detection and management of any potential complications, such as infection, that may be affecting the patient's surgical outcome. Prompt action in response to unusual observations is crucial to maintaining patient safety and well-being during surgical procedures.
While performing the assessment your are guided that the organs found in the epigastrium include which of the following?
- A. Protion of duodenum & jejunum, left kidney, appendix & ovary
- B. Duodenum, pancreas, portion of the liver and pyloric end of the stomach.
- C. Stomach, spleen, tail of pancreas and adrenal gland
- D. Gallblader, duodenum, gallbladder and portion of the right kidney.
Correct Answer: B
Rationale: The epigastrium is the upper middle region of the abdomen, lying above the umbilical region and between the hypochondriac regions. It contains several organs including the duodenum, pancreas, portion of the liver, and the pyloric end of the stomach. The duodenum is the first part of the small intestine, the pancreas is a crucial organ for digestion and hormone regulation, the liver aids in digestion and detoxification, and the pyloric end of the stomach connects the stomach to the small intestine for further digestion and absorption of nutrients. These organs are typically assessed and examined when focusing on the epigastrium during a physical examination.
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 nurse is communicating with attending physician about the Intervention prescribed for a patient-post-spine surge statement is INDICATIVE of a collaborative relationship?
- A. "Can we talk about Mrs. Santos?"
- B. " I am Worried about Mrs. Santos blood pressure. It is not decreasing even with the new antihypertensive medication"
- C. "That new medication you prescribed for Mrs.-Santos ineffective"
- D. "We do not need to talk about Mrs. Santos blood pressure."
Correct Answer: A
Rationale: Option A, "Can we talk about Mrs. Santos?" is indicative of a collaborative relationship between the nurse and the attending physician. It shows open communication and a willingness to discuss the patient's case together, which is essential for optimal patient care. This statement implies teamwork and a shared responsibility for the patient's well-being. The other options either lack a collaborative tone, show concern without inviting discussion, or suggest a dismissive attitude towards addressing the patient's needs.
A nurse is preparing to assist with a magnetic resonance imaging (MRI) procedure for a patient. What action should the nurse prioritize to ensure procedural safety?
- A. Screening the patient for contraindications to MRI, such as metal implants or claustrophobia
- B. Administering intravenous sedation to the patient before the procedure
- C. Placing the patient in a supine position with arms at their sides during the MRI scan
- D. Allowing the patient to wear metallic jewelry or accessories during the procedure
Correct Answer: A
Rationale: The nurse should prioritize screening the patient for contraindications to MRI, such as metal implants or claustrophobia, to ensure procedural safety. Metallic objects can be hazardous in an MRI environment as they can be attracted to the magnet, potentially causing harm to the patient or staff. Claustrophobia can also be a significant issue for patients undergoing an MRI scan, and identifying this beforehand allows for appropriate measures to be taken to address the patient's anxiety or discomfort. Prioritizing this screening step helps ensure the safety and well-being of the patient during the MRI procedure.