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A patient expresses frustration with the healthcare system's inefficiencies. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that the system is functioning optimally.
- B. Listen actively to the patient's concerns, acknowledge the challenges, and offer support.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The nurse's best response when a patient expresses frustration with the healthcare system's inefficiencies is to listen actively to the patient's concerns, acknowledge the challenges they are facing, and offer support. It is important for the nurse to validate the patient's feelings and demonstrate empathy, rather than dismissing or ignoring their frustrations. By offering support and showing understanding, the nurse can help the patient feel heard and valued, which is an essential aspect of providing patient-centered care. This approach can also help to strengthen the nurse-patient relationship and build trust, ultimately leading to better outcomes for the patient's overall healthcare experience.
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A nurse is preparing to perform a wound irrigation procedure for a patient with a contaminated wound. What solution should the nurse use for wound irrigation?
- A. Sterile water
- B. Normal saline
- C. Hydrogen peroxide
- D. Betadine solution
Correct Answer: B
Rationale: Normal saline is the preferred solution for wound irrigation because it is isotonic and will not damage healthy tissue or delay wound healing. It helps to remove debris and pathogens from the wound, promoting a clean environment for healing. Sterile water can be used if normal saline is not available, but it may cause cellular damage if used in large volumes. Hydrogen peroxide and Betadine solution are not recommended for wound irrigation as they can be cytotoxic to the tissues and interfere with the wound healing process. It's important for the nurse to use evidence-based practice and follow recommended guidelines to promote optimal wound healing outcomes.
The group was observant as to the activities taking place in the delivery room. One of the activities involved social processes, which can be better explored. Which of the following qualitative research method should be used?
- A. Grounded theory
- B. Descriptive Phenomenology
- C. Historical research
- D. Case study
Correct Answer: A
Rationale: Grounded theory is a qualitative research method that focuses on generating theory from data rather than testing pre-existing theories. In this scenario, where the goal is to explore social processes observed in the delivery room activities, grounded theory would be the most appropriate method. This method allows researchers to systematically collect and analyze data in order to develop theoretical explanations for social phenomena. By using grounded theory, researchers can explore the interactions, behaviors, and social processes at play in the delivery room in a structured and systematic way, thereby gaining insights into these phenomena through an inductive approach.
A nurse is documenting a patient's care in the electronic health record (EHR). What principle should guide the nurse's documentation practices?
- A. Recording only objective data to maintain accuracy
- B. Documenting all care provided, including assessments and interventions
- C. Avoiding documentation of errors or adverse events to prevent liability
- D. Delaying documentation until the end of the shift to save time
Correct Answer: B
Rationale: Documenting all care provided, including assessments and interventions, is the principle that should guide the nurse's documentation practices in the electronic health record (EHR). Comprehensive and accurate documentation is essential for ensuring continuity of care, communication among healthcare team members, and legal protection. By documenting all care provided, the nurse contributes to a complete and thorough picture of the patient's condition and treatment, facilitating safe and effective patient care. This principle also aligns with professional standards and regulatory requirements, emphasizing the importance of timely and complete documentation in the EHR.
The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which of the following?
- A. Altered mucous membrane related to chemotherapy.
- B. Interrupted family processes related to life threatening i1lness of a family member.
- C. Fatigue related to disease process.
- D. Risk for injury related to thrombocytopenia
Correct Answer: D
Rationale: Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Patients with thrombocytopenia are at risk for injury due to potential bleeding complications. Therefore, the appropriate nursing diagnosis to protect the patient from further injury in this case would be "Risk for injury related to thrombocytopenia." This nursing diagnosis allows the nurse to assess for signs of bleeding, implement interventions to prevent injury, and closely monitor the patient's platelet levels to prevent complications.
The foundation of medication administration is the application for the "Rights of Medication Administration." which of the following is NOT included in these rights?
- A. Right route
- B. Right dosage
- C. Right patient
- D. Right price.
Correct Answer: D
Rationale: The "Rights of Medication Administration" include the following fundamental principles to ensure safe medication administration: right patient, right medication, right dosage, right route, right time, and right documentation. The price of the medication is not a part of these essential rights. These rights help to prevent medication errors and ensure that patients receive the correct medication in the correct way.