Contemporary Issues in Nursing

Contemporary Issues in Nursing Related

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A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?

  • A. Knowledge
  • B. Comprehension
  • C. Application
  • D. Analysis
Correct Answer: C

Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.

Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.

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A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?

  • A. "Let's talk only about one movie you recently watched."
  • B. "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
  • C. "I know your shift has been busy. What went wrong?"
  • D. "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
Correct Answer: D

Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics.

Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report.

Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.

The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

  • A. Prehistoric times and the Middle Ages
  • B. Civil War period and World War I
  • C. Renaissance and Reformation periods and the Colonial American period
  • D. Crimean War and Civil War periods
Correct Answer: A

Rationale: The correct answer is A: Prehistoric times and the Middle Ages. In prehistoric times, herbs were used as the primary form of medicine. During the Middle Ages, herbal medicine continued to be prevalent due to limited medical knowledge. Other choices are incorrect because B, C, and D do not align with historical periods where herbal medicine was a dominant health practice.

A nurse investigates energy therapies and learns that which therapies would be included? (select all that apply)

  • A. Qi gong
  • B. Osteopathy
  • C. Imagery
  • D. Healing touch
Correct Answer: A

Rationale: The correct answer is A: Qi gong. Qi gong is a form of energy therapy that focuses on balancing the body's energy flow. It involves gentle movements, meditation, and breathing exercises to promote healing and overall well-being. Osteopathy (B) is a manual therapy focusing on physical manipulation of the body, not energy. Imagery (C) involves mental visualization, not energy manipulation. Healing touch (D) is a form of energy therapy, but Qi gong is a more widely recognized and specific example in this context.

A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?

  • A. Inclusiveness
  • B. Consistency
  • C. Accuracy
  • D. Fruitfulness
Correct Answer: A

Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations.

Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case.
Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation.
Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.

In the preparedness phase for disasters, the community plans for a possible terrorist attack using anthrax as the weapon of destruction. What treatments and/or preparations would be needed?

  • A. Vaccines and Level B Personal Protection Equipment (PPE)
  • B. Treatment for burns, decontamination, and Level A PPE
  • C. Social distance determination, decontamination for radioactive fallout
  • D. Identify and detect incendiary devices, treatment for burns and propellants
Correct Answer: A

Rationale: The correct answer is A: Vaccines and Level B Personal Protection Equipment (PPE). In the preparedness phase for a terrorist attack using anthrax, vaccines are crucial for prevention. Level B PPE provides respiratory protection and skin protection against anthrax spores. This is essential for healthcare workers and first responders.

Choice B is incorrect as it mentions treatment for burns, which is not relevant to anthrax exposure. Decontamination and Level A PPE are not specifically needed for anthrax. Choice C is incorrect as it mentions radioactive fallout, which is not relevant to anthrax. Social distancing is also not effective in preventing anthrax exposure. Choice D is incorrect as it mentions incendiary devices and treatment for burns, which are not related to anthrax exposure. Identifying and detecting propellants is also not relevant to anthrax preparedness.

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