Nokea
A postpartum client exhibits signs of mastitis, including breast tenderness, erythema, and warmth. Which nursing action is most appropriate?
- A. Encouraging the client to continue breastfeeding
- B. Applying warm compresses to the affected breast
- C. Notifying the healthcare provider immediately
- D. Administering oral antibiotics as prescribed
Correct Answer: C
Rationale: Mastitis is an infection of the breast tissue that may occur in postpartum clients. When a postpartum client exhibits signs of mastitis, including breast tenderness, erythema, and warmth, it is crucial to notify the healthcare provider immediately. Prompt medical evaluation is necessary to determine the appropriate treatment plan, which may include antibiotics. Delay in treatment can lead to complications, such as abscess formation. Encouraging the client to continue breastfeeding and applying warm compresses may provide some relief but do not address the underlying infection. Administering oral antibiotics would require a prescription from the healthcare provider, hence notifying the provider is the most appropriate initial nursing action in this situation.
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Nurse Pat promised to a post- surgical patient, that she would come back to assist in his ambulation after carrying out the physician's order. This follows the principle of
- A. beneficence
- B. justice
- C. autonomy
- D. fidelity
Correct Answer: D
Rationale: Fidelity is a principle of ethics that relates to being faithful or loyal to one's commitments and responsibilities. When Nurse Pat promises to assist the post-surgical patient with ambulation after carrying out the physician's order, she is demonstrating fidelity by honoring her commitment to the patient. This principle highlights the importance of keeping promises, being reliable, and maintaining trust in the nurse-patient relationship.
There are pre operative medications given to the patient. Which of the following druugs are given in order to decrease intra-operative anesthetic requirements and pain?
- A. Celebrex (celecoxib)
- B. Acetaminaphen (tylenol)
- C. Ibuprofen (motrin)
- D. Demerol (meperidine HCl)
Correct Answer: B
Rationale: Acetaminophen (Tylenol) is given pre-operatively to decrease intra-operative anesthetic requirements and post-operative pain. It is a common analgesic that can help reduce the amount of intra-operative anesthesia needed and provide some pain relief during the surgery. Unlike drugs like Celebrex, Ibuprofen, and Demerol, Acetaminophen does not have anti-inflammatory properties, but it is effective in managing pain and can contribute to overall pain control before, during, and after surgery. This makes it a preferred choice for pre-operative medication in order to decrease the need for higher doses of anesthetics and reduce post-operative pain levels.
In three year's tie, Nurse Florence needs to attain certain number of continuing Professional Development units to be able to renew her __________.
- A. Philippine Nurses Association Membership
- B. Professional License
- C. Professional Identification Card
- D. Professional Registration
Correct Answer: B
Rationale: Nurse Florence needs to attain a certain number of continuing Professional Development units in order to renew her Professional License. Continuing Professional Development ensures that nurses stay up-to-date with the latest advancements and best practices in the field, ultimately leading to improved patient care outcomes. Renewing the Professional License is crucial for Nurse Florence to legally practice nursing and demonstrate her commitment to ongoing learning and development in the profession.
A patient is prescribed a calcium channel blocker for the management of hypertension. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypoglycemia
- B. Peripheral edema
- C. Hypokalemia
- D. Tachycardia
Correct Answer: D
Rationale: Calcium channel blockers are often prescribed for the management of hypertension because they can help relax blood vessels and slow the heart rate, thus reducing blood pressure. One of the major adverse effects associated with calcium channel blockers is bradycardia (slow heart rate) or even more rarely, tachycardia (fast heart rate). Therefore, in a patient prescribed a calcium channel blocker for hypertension, the nurse should closely monitor for any signs and symptoms of tachycardia as it can be a serious adverse effect that needs prompt evaluation and intervention to prevent complications.
What is the first step in the management of a chemical splash to the eyes?
- A. Irrigate the eyes with clean water.
- B. Instill antibiotic eye drops.
- C. Cover both eyes with a sterile dressing.
- D. Assess visual acuity.
Correct Answer: A
Rationale: The first step in the management of a chemical splash to the eyes is to irrigate the eyes with clean water. Flushing the affected eye with water helps to remove the chemical and minimize any potential injury. It is important to continue irrigation for at least 15-20 minutes to ensure thorough removal of the chemical. This prompt action can help prevent further damage to the eye and surrounding tissue. It is crucial to remember not to delay irrigation to seek medical advice first, as immediate irrigation is vital in such situations. After irrigating the eyes, further assessment and treatment can be carried out based on the severity of the injury.