Nokea
A patient expresses concerns about the financial implications of their treatment plan. What is the nurse's best response?
- A. Dismiss the patient's concerns and assure them that the treatment plan is necessary.
- B. Provide the patient with information about financial assistance programs and resources.
- C. Ignore the patient's concerns and proceed with implementing the treatment plan.
- D. Tell the patient that financial concerns should not affect their decision-making.
Correct Answer: B
Rationale: The correct answer is B because the nurse's role is to address the holistic needs of the patient, including financial concerns. Providing information about financial assistance programs and resources shows empathy and supports the patient in making informed decisions.
Choice A is incorrect because dismissing the patient's concerns can lead to a breakdown in trust and communication. Choice C is incorrect as ignoring the patient's concerns is not addressing the patient's needs. Choice D is incorrect because financial concerns are valid and should be considered in decision-making.
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The Nurse asks Baste, who is being admitted in a district hospital with uncontrolled diabetes mellitus, about his employment status. She knows that _____.
- A. A person's compliance is affected by one's affected economic status
- B. Baste's employment will cause complication to his diabetes
- C. External variables have little effected on compliance
- D. Diabetes mellitus will affect his client's work condition
Correct Answer: A
Rationale: Rationale: A person's compliance with diabetes management can be influenced by economic status, as financial concerns can impact access to medications, healthy food, and healthcare. This can affect treatment adherence and overall health outcomes. Choice A is correct because addressing economic factors is important in promoting compliance. Choices B, C, and D are incorrect as they do not directly address the relationship between economic status and compliance with diabetes management.
The physician ordered to start Ms. Mely on Total Parenteral Nutrition (TPN). What Is your INITIAL step to be undertaken PRIOR to this intervention?
- A. Determine if the family can afford the whole treatment,
- B. Evaluate the tolerance of the patient to glucose.
- C. Identify allergies of patient to the supplemental nutrition.
- D. Assess the basic understanding of the patient regarding TPN
Correct Answer: B
Rationale: The correct initial step before starting TPN is to evaluate the patient's tolerance to glucose. This is crucial to ensure the patient can metabolize the glucose effectively and avoid complications such as hyperglycemia. Assessing affordability (A) is important but not the immediate concern. Identifying allergies (C) should be done but is not the first step. Assessing the patient's understanding (D) is important but not as critical as evaluating glucose tolerance before starting TPN.
A nurse is conducting an admission assessment for a newly admitted patient. What aspect of cultural competence should the nurse prioritize during the assessment?
- A. Assuming that the patient shares the nurse's cultural beliefs
- B. Asking the patient about their cultural background and preferences
- C. Avoiding discussions about cultural differences to prevent discomfort
- D. Disregarding the patient's cultural practices and beliefs
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Asking the patient about their cultural background and preferences shows respect for their individuality and acknowledges the importance of cultural competence in providing person-centered care.
2. It allows the nurse to gain valuable insights into the patient's beliefs, values, and practices, enabling them to deliver culturally appropriate care.
3. By prioritizing this aspect, the nurse can establish rapport, build trust, and enhance communication with the patient, leading to better outcomes.
4. Choices A, C, and D are incorrect as they either involve assumptions, avoidance, or disregard for the patient's cultural background, which can lead to misunderstandings, discomfort, and ineffective care.
A woman in active labor demonstrates signs of prolonged second stage, characterized by ineffective pushing efforts and slow fetal descent. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?
- A. Maternal fatigue
- B. Pelvic floor dysfunction
- C. Fetal macrosomia
- D. Maternal hypotension
Correct Answer: B
Rationale: When a woman in active labor exhibits signs of prolonged second stage, such as ineffective pushing efforts and slow fetal descent, one of the maternal conditions that should be considered is pelvic floor dysfunction. The pelvic floor muscles play a crucial role in supporting the uterus, bladder, and rectum. If these muscles are weak or dysfunctional, it can lead to difficulty in pushing effectively and impede the descent of the fetus through the birth canal. This can result in prolonged labor and increase the risk of complications for both the mother and the baby. Therefore, assessing for pelvic floor dysfunction is important in addressing the abnormal labor pattern and providing appropriate interventions to support the progress of labor.
The physician inserted a chest tube drainage to Mr. Alda in order to help re-expand the lungs. Which of the following should you prepare FIRST as a nurse in case of emergency when the tube is accidentally disconnected?
- A. sterile clamps
- B. Sterile dressing.
- C. Another chest tube
- D. A bottle of sterile water.
Correct Answer: A
Rationale: Correct Answer: A - sterile clamps
Rationale:
1. **Immediate action**: Sterile clamps are essential to clamp the chest tube to prevent air from entering the pleural space.
2. **Prevent lung collapse**: Clamping the tube will prevent lung collapse and maintain positive pressure in the pleural space.
3. **Buy time**: By clamping the tube, you buy time to properly reattach the tube or secure it with a new connection.
4. **Safety**: Sterile clamps are a quick and effective solution to prevent a potentially life-threatening situation.
Summary of other choices:
B: Sterile dressing - Not the first priority as the immediate concern is preventing air from entering the pleural space.
C: Another chest tube - Not necessary initially as clamping can buy time to reattach the disconnected tube.
D: A bottle of sterile water - Not needed for emergency management of a disconnected chest tube.