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A patient with a history of peptic ulcer disease is prescribed proton pump inhibitors (PPIs) for ulcer healing. Which information is important for the nurse to include in patient education about PPI therapy?
- A. PPIs should be taken on an empty stomach.
- B. PPIs should be discontinued once symptoms resolve.
- C. PPIs may increase the risk of gastrointestinal bleeding.
- D. PPIs should be taken with antacids for optimal effect.
Correct Answer: C
Rationale: While proton pump inhibitors (PPIs) are commonly prescribed for the treatment of peptic ulcer disease to help heal ulcers and reduce acid production, it is important for the nurse to educate the patient about potential risks associated with PPI therapy. PPIs have been associated with an increased risk of gastrointestinal bleeding, especially in patients with a history of peptic ulcer disease. It is crucial for the patient to be aware of this risk and to take precautions, such as avoiding other medications that can increase bleeding risk and informing healthcare providers about any signs of bleeding, such as black stools or abdominal pain. Educating the patient about this potential adverse effect allows for early recognition and prompt intervention if necessary.
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Past medical history section of Krini contains. the following, but NOT______
- A. Prenatal history
- B. Current history
- C. Child hood illness
- D. Birth history
Correct Answer: B
Rationale: The past medical history section typically includes information about a person's medical background before the current point in time. This would involve details such as prenatal history, birth history, childhood illnesses, surgeries, and medical conditions that have occurred in the past. "Current history" would be more appropriate for the present medical status and ongoing health issues, hence it does not belong in the past medical history section.
A patient presents with redness, pain, and photophobia in the left eye. Slit-lamp examination reveals ciliary injection, corneal edema, and a mid-dilated pupil with fixed reaction to light. Which of the following conditions is most likely responsible for this presentation?
- A. Anterior uveitis
- B. Acute angle-closure glaucoma
- C. Endophthalmitis
- D. Corneal abrasion
Correct Answer: A
Rationale: The presentation described in the question is characteristic of anterior uveitis. Anterior uveitis is inflammation of the iris and ciliary body in the eye. Patients typically present with symptoms such as redness, pain, and photophobia. Slit-lamp examination findings include ciliary injection (redness and engorgement of blood vessels in the ciliary body), corneal edema (swelling of the cornea), and a mid-dilated pupil with a fixed reaction to light due to involvement of the iris muscles. These features differentiate anterior uveitis from other conditions. Treatment of anterior uveitis may involve topical steroids and cycloplegics to reduce inflammation and alleviate symptoms.
Which of the following statements is TRUE of Quality Improvement?
- A. Focuses on the organizational structure than patient care
- B. Continually improve every process in the organization.
- C. Centered on people rather than processes.
- D. An approach that is externally driven by the stakeholders.
Correct Answer: B
Rationale: Quality Improvement is a systematic approach that aims to continually enhance the quality of services or products within an organization. The statement that is true of Quality Improvement is that it focuses on continually improving every process in the organization (Option B). This includes processes related to patient care, organizational structure, and all aspects of operations. Quality Improvement involves identifying areas for improvement, implementing changes, monitoring the effectiveness of those changes, and then making further refinements. By focusing on every process within the organization, Quality Improvement helps drive positive outcomes and ensures sustainable improvements in quality and performance.
The BEST rationale for the conduct of the program is which of the following?
- A. Ensure safe practice in the hospital
- B. Improve nursing practice in general
- C. Provide knowledge and skills to all nursing staff in IV Therapy
- D. De1iver safe and quality nursing care to patients on intravenous therapy
Correct Answer: D
Rationale: The BEST rationale for the conduct of the program is to deliver safe and quality nursing care to patients on intravenous therapy (IV). This directly ties the purpose of the program to the real-world outcome it seeks to achieve - providing optimal care for patients requiring intravenous therapy. Ensuring safe practice in the hospital (Option A) is important but it is not specific to the focus of the IV therapy program. Improving nursing practice in general (Option B) is a noble goal but the program should have a specific and targeted objective. Providing knowledge and skills to all nursing staff in IV Therapy (Option C) is essential, but the primary aim should be centered on improving patient care outcomes. Therefore, delivering safe and quality nursing care to patients on IV therapy aligns most closely with the core purpose of the program and should be the primary rationale.
Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an IMPORTANT element that characterizes Nursing as a profession ?
- A. Has members
- B. Possess body of knowledge
- C. Service oriented
- D. A calling
Correct Answer: B
Rationale: Possessing a body of knowledge is an important element that characterizes nursing as a profession. Nursing is a field that requires specialized education, training, and expertise in various areas of healthcare. Nurses are expected to have a comprehensive understanding of anatomy, physiology, pharmacology, and various nursing theories and practices to effectively care for patients. This body of knowledge distinguishes nursing as a profession and supports the delivery of high-quality, evidence-based patient care. While the other options (having members, being service-oriented, and a calling) are also important aspects of nursing, possessing a body of knowledge is fundamental to the profession's identity and practice.