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A nurse is participating in a healthcare team meeting to discuss a patient's care plan. What is the nurse's role in interdisciplinary collaboration?
- A. Dictating decisions and delegating tasks to other team members
- B. Listening actively, contributing expertise, and sharing information
- C. Assuming a passive role and deferring to other healthcare providers
- D. Working independently without considering input from other team members
Correct Answer: B
Rationale: The nurse's role in interdisciplinary collaboration is crucial for providing comprehensive and effective patient care. By actively participating in healthcare team meetings, the nurse should listen attentively to the input of other team members, contribute their expertise, and share relevant information about the patient's condition. Collaboration involves working together towards shared goals, pooling knowledge and resources, and fostering mutual respect among team members. The nurse's active involvement in the care planning process helps ensure coordinated and patient-centered care delivery. This approach enhances communication, improves outcomes, and promotes a holistic approach to patient care.
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A patient presents with well-demarcated, hypopigmented macules with fine scaling, affecting the trunk and proximal extremities. The patient reports a history of sun exposure and outdoor activities. Which of the following conditions is most likely responsible for this presentation?
- A. Tinea versicolor
- B. Vitiligo
- C. Pityriasis rosea
- D. Seborrheic keratosis
Correct Answer: A
Rationale: The presentation described in the question is characteristic of tinea versicolor, a fungal skin infection caused by Malassezia furfur. The hypopigmented macules with fine scaling are often seen on the trunk and proximal extremities, particularly in areas that are more prone to sebum production. Patients with tinea versicolor may have a history of sun exposure and outdoor activities as the organism responsible for the infection thrives in warm, humid environments. Treatment typically involves the use of topical antifungal agents such as ketoconazole or selenium sulfide.
A postpartum client exhibits signs of deep vein thrombosis (DVT), including calf pain, swelling, and warmth. Which nursing action is most appropriate?
- A. Applying warm compresses to the affected calf
- B. Encouraging ambulation to promote circulation
- C. Notifying the healthcare provider immediately
- D. Administering anticoagulant medication as ordered
Correct Answer: C
Rationale: Deep vein thrombosis (DVT) is a serious condition that requires prompt medical intervention. The presence of calf pain, swelling, and warmth in a postpartum client are concerning signs of a potential DVT. By notifying the healthcare provider immediately, appropriate diagnostic tests, such as ultrasound imaging, can be ordered to confirm the diagnosis. Timely treatment with anticoagulant medication can then be initiated to prevent complications such as pulmonary embolism. Applying warm compresses or encouraging ambulation may exacerbate the condition by promoting clot dislodgement, making immediate notification of the healthcare provider the most appropriate nursing action in this situation.
A patient is non-compliant with prescribed medications and treatment plans. What is the nurse's best approach to address non-compliance?
- A. Dismiss the patient's reasons for non-compliance and assert the importance of following the prescribed regimen.
- B. Listen actively to the patient's reasons for non-compliance, address any barriers or concerns, and collaborate on finding solutions.
- C. Ignore the patient's non-compliance and proceed with implementing the treatment plan regardless.
- D. Tell the patient that non-compliance is unacceptable and they must adhere to the prescribed regimen.
Correct Answer: B
Rationale: The nurse's best approach to address non-compliance with prescribed medications and treatment plans is to actively listen to the patient's reasons for non-compliance. By acknowledging and addressing any barriers or concerns the patient may have, the nurse can work collaboratively with the patient to find effective solutions. This approach promotes open communication, trust, and a patient-centered care plan that takes into consideration the patient's individual needs and circumstances. Dismissing the patient's reasons (choice A), ignoring the non-compliance (choice C), or resorting to a confrontational approach (choice D) are less effective strategies that may lead to further resistance and hinder the patient's willingness to engage in their treatment.
The __________ is link between the nervous system and the endocrine system
- A. Spinal cord
- B. Pituitary gland
- C. Hypothalamus
- D. Thyroid gland
Correct Answer: C
Rationale: The hypothalamus is the link between the nervous system and the endocrine system. It plays a crucial role in maintaining homeostasis in the body by communicating with the pituitary gland, which is often referred to as the "master gland" of the endocrine system. The hypothalamus produces hormones that regulate the release of hormones from the pituitary gland, which then controls the functions of other endocrine glands throughout the body. This connection allows the nervous system to influence and coordinate various hormonal responses in the body, helping to regulate processes such as metabolism, growth, stress responses, and reproduction.
Romy is diagnosed with small cell lung cancer (SCLC) a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE?
- A. Providing relief from symptoms.
- B. Reducing fatigue
- C. Providing psychological support.
- D. Advising treatment options
Correct Answer: A
Rationale: In the case of Romy being diagnosed with small cell lung cancer (SCLC) and undergoing palliative treatment, the most appropriate nursing action is to focus on providing relief from symptoms. Palliative care aims to improve the quality of life for patients with serious illnesses by managing their symptoms, such as pain, shortness of breath, nausea, and other side effects of treatment. As the cancer is advanced and the goal is not curative treatment but rather to keep the patient comfortable, symptom management becomes a priority to ensure Romy's physical comfort and well-being during this difficult time. Providing relief from symptoms is crucial in palliative care to help enhance the patient's quality of life and ensure they are as comfortable as possible.