Nokea
A patient expresses religious beliefs that conflict with a recommended treatment plan. What is the nurse's best approach?
- A. Disregard the patient's religious beliefs and insist on the recommended treatment.
- B. Listen actively to the patient's religious beliefs, respect their autonomy, and explore alternative options.
- C. Ignore the patient's religious beliefs and proceed with implementing the recommended treatment.
- D. Tell the patient that their religious beliefs are irrelevant to their medical care.
Correct Answer: B
Rationale: The best approach for the nurse in this situation is to listen actively to the patient's religious beliefs, respect their autonomy, and explore alternative treatment options. It is important for the nurse to understand and acknowledge the patient's perspective, even if it conflicts with the recommended treatment plan. By showing respect for the patient's beliefs and involving them in the decision-making process, the nurse can work collaboratively with the patient to find a solution that aligns with their religious beliefs while also addressing their medical needs. This approach promotes patient-centered care and helps build a trusting and therapeutic relationship between the nurse and the patient.
You may also like to solve these questions
Which of the following conditions is characterized by chronic hypoxemia, pulmonary hypertension, and right heart failure?
- A. Chronic obstructive pulmonary disease (COPD)
- B. Idiopathic pulmonary fibrosis (IPF)
- C. Pulmonary embolism (PE)
- D. Cor pulmonale
Correct Answer: D
Rationale: Cor pulmonale is a condition characterized by right heart failure secondary to pulmonary hypertension, which is often caused by chronic hypoxemia. Chronic hypoxemia occurs in conditions such as chronic obstructive pulmonary disease (COPD) where there is limited airflow in and out of the lungs, leading to low oxygen levels in the blood. However, the specific characteristic of pulmonary hypertension leading to right heart failure distinguishes cor pulmonale from COPD. Other conditions like idiopathic pulmonary fibrosis (IPF) and pulmonary embolism (PE) may also lead to hypoxemia but are not primarily associated with pulmonary hypertension and right heart failure as in cor pulmonale.
If more than one vaccine is given, the following guidelines should be observed, EXCEPT.
- A. Do not give more than one dose of the same vaccine in one session.
- B. Do not use the same arm or leg for more than one injection.
- C. Give doses of the same vaccine at the correct intervals.
- D. Use the same syringe and needle in administering two vaccines.
Correct Answer: D
Rationale: It is NOT recommended to use the same syringe and needle in administering two different vaccines. This is to prevent contamination or mixing of different vaccines, which could potentially affect their effectiveness or pose a risk to the individual receiving the vaccines. It is important to use separate syringes and needles for each vaccine to ensure proper administration and prevent any adverse reactions.
Which of the following is a surgical procedure commonly performed to treat carpal tunnel syndrome?
- A. Ulnar nerve transposition
- B. Median nerve release
- C. Radial nerve decompression
- D. Brachial plexus neurolysis
Correct Answer: B
Rationale: Carpal tunnel syndrome is a condition caused by compression of the median nerve in the wrist. The surgical procedure commonly performed to treat carpal tunnel syndrome is called median nerve release or carpal tunnel release. During this surgery, the transverse carpal ligament is divided to relieve pressure on the median nerve, reducing symptoms such as pain, numbness, and tingling in the hand and fingers. The goal of this procedure is to improve nerve function and reduce symptoms associated with carpal tunnel syndrome.
Which medication will be prescribed to control and maintain the blood pressue of patients at normal level?
- A. Lidocaine
- B. Amlodipine
- C. Epinephrine
- D. Furosemide
Correct Answer: B
Rationale: Amlodipine is a medication commonly prescribed to control and maintain blood pressure at normal levels. It belongs to a class of drugs known as calcium channel blockers, which work by relaxing and widening blood vessels, making it easier for the heart to pump blood around the body. This ultimately helps to lower blood pressure and reduce the workload on the heart, decreasing the risk of cardiovascular events like heart attacks and strokes. Lidocaine, Epinephrine, and Furosemide are not typically used for controlling and maintaining blood pressure within normal limits.
A patient presents with a thyroid nodule and signs of hyperthyroidism. Fine-needle aspiration biopsy reveals Hurthle cells and cellular atypia. Which endocrine disorder is most likely responsible for these symptoms?
- A. Hashimoto's thyroiditis
- B. Graves' disease
- C. Hurthle cell carcinoma
- D. Papillary thyroid carcinoma
Correct Answer: C
Rationale: Hurthle cell carcinoma is a type of thyroid cancer that arises from the Hurthle cells of the thyroid gland. Patients with Hurthle cell carcinoma may present with a thyroid nodule and signs of hyperthyroidism, which can mimic other thyroid disorders such as Graves' disease. Fine-needle aspiration biopsy revealing Hurthle cells and cellular atypia is suggestive of a Hurthle cell neoplasm, particularly Hurthle cell carcinoma. It is important to differentiate Hurthle cell carcinoma from benign Hurthle cell adenomas or other thyroid conditions to guide appropriate management and treatment.