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During surgery, the nurse observes a sudden change in the patient's level of consciousness. What is the nurse's immediate action?
- A. Administer a reversal agent for anesthesia
- B. Document the change in the patient's chart
- C. Check the patient's vital signs
- D. Notify the anesthesia provider immediately
Correct Answer: D
Rationale: The correct immediate action for the nurse is to notify the anesthesia provider immediately (Option D). This is crucial because a sudden change in the patient's level of consciousness during surgery could indicate a serious issue related to anesthesia administration. Notifying the anesthesia provider promptly allows for quick assessment and intervention to address the underlying cause, potentially preventing complications or even saving the patient's life. Administering a reversal agent (Option A) without proper evaluation by the anesthesia provider could be dangerous. Documenting the change in the patient's chart (Option B) is important but not the most immediate action. Checking the patient's vital signs (Option C) is also important but may not provide immediate insight into the cause of the change in consciousness.
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A nurse is teaching a patient about medication adherence. What approach by the nurse promotes patient empowerment and active participation in self-care?
- A. Providing written instructions and expecting compliance
- B. Demonstrating medication administration techniques
- C. Encouraging the patient to ask questions and express concerns
- D. Directing the patient to follow the healthcare provider's instructions
Correct Answer: C
Rationale: The correct answer is C because encouraging the patient to ask questions and express concerns promotes patient empowerment and active participation in self-care. This approach fosters communication, understanding, and collaboration between the nurse and patient, leading to better medication adherence. Choice A is incorrect as it lacks patient involvement. Choice B is helpful but does not necessarily empower the patient. Choice D is directive and does not encourage active participation or empowerment.
Which of the following regulates the practice of the nursing profession?
- A. Department of Health
- B. Professional Regulation Commission
- C. Civil Service Commision
- D. Professional Regulatory Board of Nursing
Correct Answer: D
Rationale: The correct answer is D: Professional Regulatory Board of Nursing. This board is specifically tasked with regulating the practice of the nursing profession, ensuring that nurses adhere to ethical and professional standards. The Department of Health (A) focuses on public health policies, not individual professional regulation. The Professional Regulation Commission (B) oversees various professions but does not specialize in nursing. The Civil Service Commission (C) deals with civil service matters, not professional nursing regulation. Therefore, the Professional Regulatory Board of Nursing is the most appropriate choice for regulating the nursing profession.
The 1icensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to ______.
- A. apply the theory earned from classroom to practice settings
- B. protect the public from incompetent practitioners
- C. apply the scope of nursing practice
- D. demonstrate expected competency standards
Correct Answer: D
Rationale: The correct answer is D because the licensure examination aims to assess if candidates meet the expected competency standards to practice nursing safely and effectively. This process ensures that only qualified individuals enter the profession, maintaining high standards of care. Choice A is incorrect because the exam goes beyond applying theory to include practical skills. Choice B is incorrect as protecting the public is the outcome of ensuring competency. Choice C is incorrect as the exam evaluates the full scope of nursing practice, not just its application.
Upon entry of the patient to ER, the nurse must FIRST perform which nursing intervention?
- A. Inject with rabies immune globulin.
- B. Cleanse the bite with soap and running water.
- C. Inject the rabies vaccine immediately.
- D. Administer the pain reliever, as ordered.
Correct Answer: B
Rationale: The correct answer is B: Cleanse the bite with soap and running water. This is the first nursing intervention because it is crucial to prevent infection. Cleaning the bite area helps remove bacteria and debris, reducing the risk of infection. Injecting with rabies immune globulin (choice A) and rabies vaccine (choice C) should be done later as per protocol after assessing the situation. Administering pain reliever (choice D) is important but not the first priority in this scenario.
Annie states,'I 'm afraid to 1et my children out of my sight now that I can't hear them." What is the nurse ' s BEST response?
- A. Tell me about your fears of losing contact with your children now that you can't hear them.
- B. Children need some freedom, and the mother has to learn trust them. "
- C. Do the children usually misbehave when they cannot be seen or heard by you?"
- D. "What can the children do to make you feel more comfortable?
Correct Answer: A
Rationale: Rationale:
A is the correct answer as it demonstrates therapeutic communication by encouraging Annie to express her feelings and fears. It shows empathy and understanding, allowing Annie to elaborate on her concerns. B is incorrect as it dismisses Annie's fears and implies blame on her parenting. C is incorrect as it focuses on the behavior of the children rather than addressing Annie's emotions. D is incorrect as it places the responsibility on the children to make Annie feel comfortable, rather than addressing her concerns directly.