Nokea
A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:
- A. perfusion
- B. locomotion
- C. respiration
- D. mentation
Correct Answer: D
Rationale: When determining priorities in patient care, assessing perfusion, respiration, and locomotion are crucial. However, assessing mentation is also important but not typically included in the ABCs of emergency care. Monitoring mentation is essential for neurological assessment and detecting changes in mental status, but it is not part of the immediate priorities in life-threatening situations.
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What are sheets/forms that provide an efficient and time-saving way to record information that must be obtained repeatedly at regular and/or short intervals of time? This does not replace progress notes; instead, it records information on vital signs, intake and output, treatment, postoperative care, postpartum care, and diabetic regimen, etc. These are used whenever specific measurements or observations need to be documented repeatedly. What is this?
- A. Nursing Kardex
- B. Graphic Flow Sheets
- C. Discharge Summary
- D. Medicine and Treatment Record
Correct Answer: A
Rationale: The correct answer is A, Nursing Kardex. Nursing Kardex is a tool used for documenting essential patient information that needs to be recorded repeatedly at regular intervals. It includes vital signs, intake and output, treatment details, postoperative care, postpartum care, and diabetic regimen. This tool is efficient and time-saving for healthcare professionals. Choice B, Graphic Flow Sheets, may be used for visual representation of patient data but is not specifically designed for repeated documentation of essential information. Choice C, Discharge Summary, is a document outlining the patient's care and condition at the time of discharge, not for repeated recording of ongoing data. Choice D, Medicine and Treatment Record, focuses more on specific medications and treatments rather than a comprehensive recording of various patient data needed at regular intervals.
Overdosage of medication or anesthetic can happen even with the aid of technology like infusion pumps, sphygmomanometer, and similar devices/machines. As a staff member, how can you improve the safety of using infusion pumps?
- A. Check the functionality of the pump before use
- B. Select the brand of infusion pump carefully
- C. Allow the technician to set the infusion pump before use
- D. Verify the flow rate against your calculation
Correct Answer: D
Rationale: To enhance the safety of using infusion pumps, it is crucial to verify the flow rate against your calculation. This step ensures that the prescribed dosage is being delivered accurately, reducing the risk of medication errors. Checking the functionality of the pump before use (Choice A) is also important to ensure it is working properly. Allowing the technician to set the pump (Choice C) may not always guarantee the correct settings. Selecting the brand of infusion pump carefully (Choice B) is not directly related to the safe use of the pump.
Which of the following treatments is not recommended for a child classified with no dehydration?
- A. Administering 1,000 ml to 1,400 ml within 4 hours
- B. Continuing feeding
- C. Allowing the child to take as much fluid as he wants
- D. Returning the child to the doctor if the condition worsens
Correct Answer: B
Rationale: The correct answer is B. Continuing feeding is a recommended treatment for a child classified with no dehydration. This helps maintain the child's nutritional status and supports recovery. Options A, C, and D are appropriate interventions for a child with no dehydration. Option A ensures adequate fluid intake, option C promotes hydration, and option D ensures appropriate follow-up if the condition worsens.
Being in contact with reality and the environment is a function of the:
- A. conscience
- B. ego
- C. id
- D. super ego
Correct Answer: B
Rationale: Being in contact with reality and the environment is a function of the ego. The ego is responsible for mediating between the id's basic desires, the superego's idealistic standards, and the real world. The conscience (not listed as a choice) is related to feelings of guilt or moral responsibility. The id represents primal instincts, and the superego represents the internalized ideals and moral standards.
What is the most effective way to limit the number of microorganisms in the hospital?
- A. Using strict aseptic technique in all procedures
- B. Wearing a mask and gown when caring for all patients with communicable diseases
- C. Sterilizing all instruments
- D. Handwashing
Correct Answer: A
Rationale: The most effective way to limit the number of microorganisms in the hospital is by using strict aseptic technique in all procedures. This approach ensures that the risk of introducing harmful microorganisms into the hospital environment or patients is minimized. Choice B, wearing a mask and gown when caring for patients with communicable diseases, is important but not as comprehensive as using aseptic technique in all procedures. Sterilizing all instruments (Choice C) is crucial for preventing infections but may not address all avenues of microorganism transmission. Handwashing (Choice D) is a fundamental practice in infection control but alone may not be as effective as utilizing aseptic techniques in all procedures to limit microorganisms in the hospital.