Nokea
During CPR, which of the following actions should be performed immediately after activating the emergency response system?
- A. Start chest compressions.
- B. Check for breathing.
- C. Perform abdominal thrusts.
- D. Assess pulse.
Correct Answer: A
Rationale: After activating the emergency response system, the immediate priority in CPR is to begin chest compressions to support blood circulation. High-quality chest compressions are crucial in providing oxygen to vital organs, especially the brain, during cardiac arrest. Starting chest compressions promptly can improve the chances of survival for the person in need of CPR. Checking for breathing, performing abdominal thrusts, or assessing pulse should only be done after initiating chest compressions in the CPR sequence.
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What specific term should Nurse Gladys write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease?
- A. Peripheral neuropathy
- B. Inflammation of the fingers
- C. Peripheral cyanosis
- D. Clubbing of the fingers
Correct Answer: D
Rationale: Clubbing of the fingers is a specific term that Nurse Gladys should write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease. Clubbing of the fingers is a diagnostic sign associated with various medical conditions, including congenital heart disease. It is characterized by changes in the angle and shape of the nails, typically involving softening of the nail bed, enlargement of the fingertips, and a loss of the normal angle between the nail and the nail bed. Peripheral neuropathy, inflammation of the fingers, and peripheral cyanosis are different conditions and do not specifically describe the nail changes seen in clubbing.
The nurse must include in the education plan, which of the following components? (Select all that apply.) I. Objectives II. Content and time allotment III. Teaching and learning resources IV. Evaluation parameters
- A. II, III, and IV
- B. I, II, III and IV
- C. I, III, and IV
- D. I, II, and III
Correct Answer: B
Rationale: In order to create a comprehensive education plan, the nurse must include all of the listed components.
The electric fan now stops every now and then and continues to spark at intervals. The best thing to DO NEXT is to__________.
- A. turn off the fan immediately.
- B. call the maintenance immediately
- C. let it continue to function
- D. request for another fan as soon as possible (ASAP)
Correct Answer: A
Rationale: The best thing to do next is to turn off the fan immediately. The fact that the electric fan is stopping every now and then and sparking at intervals indicates a potential electrical issue or malfunction. This situation poses a safety hazard as it increases the risk of an electrical fire or damage to the fan. Turning off the fan immediately will help prevent any further damage or potential danger. After turning off the fan, it would be advisable to call for maintenance to inspect and repair the fan to ensure it is safe to use again.
A patient presents with fatigue, weakness, and jaundice. Laboratory tests reveal elevated indirect bilirubin levels, reticulocytosis, and positive Coombs test. Which of the following conditions is most likely to cause these findings?
- A. Hereditary spherocytosis
- B. Thalassemia
- C. Sickle cell disease
- D. G6PD deficiency
Correct Answer: A
Rationale: The patient's presentation of fatigue, weakness, jaundice, elevated indirect bilirubin levels, reticulocytosis, and positive Coombs test is consistent with hemolytic anemia. Among the options provided, hereditary spherocytosis is the most likely condition to cause these findings.
A nurse is caring for a patient who expresses concerns about the potential side effects of a prescribed medication. What action should the nurse take to address the patient's concerns?
- A. Disregard the patient's concerns and reassure them about the medication's safety
- B. Provide accurate information about the medication, including potential side effects
- C. Encourage the patient to stop taking the medication if they are worried about side effects
- D. Minimize the importance of the patient's concerns and focus on other aspects of care
Correct Answer: B
Rationale: The nurse should provide accurate information about the medication, including potential side effects, to address the patient's concerns. It is important for the nurse to listen to the patient's worries and provide them with the knowledge they need to make an informed decision about their treatment. By educating the patient about the medication and its potential side effects, the nurse empowers the patient to be actively involved in their care and promotes shared decision-making. Disregarding the patient's concerns, encouraging them to stop taking the medication, or minimizing the importance of their worries are not appropriate responses and may negatively impact the patient-nurse relationship and the patient's adherence to the prescribed treatment.