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A postpartum client exhibits signs of postpartum psychosis, including hallucinations, delusions, and disorganized behavior. Which nursing intervention is most appropriate?
- A. Administering antipsychotic medication as ordered
- B. Encouraging the client to participate in group therapy sessions
- C. Providing education on coping skills and stress management
- D. Notifying the healthcare provider immediately
Correct Answer: D
Rationale: When a postpartum client exhibits signs of postpartum psychosis such as hallucinations, delusions, and disorganized behavior, it is crucial to involve the healthcare provider immediately. Postpartum psychosis is a psychiatric emergency that requires prompt assessment and intervention by mental health professionals. The healthcare provider can determine the appropriate course of action, which may include hospitalization, medication management, and specialized psychiatric care. Delaying notification can lead to serious consequences for both the client and her infant, so timely intervention is essential in managing postpartum psychosis.
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Which of the following actions is appropriate for managing a conscious patient with a foreign object lodged in the eye?
- A. Attempting to remove the object with tweezers.
- B. Rinsing the eye with sterile saline solution.
- C. Applying pressure to the eyelid to dislodge the object.
- D. Placing a bandage over the affected eye.
Correct Answer: B
Rationale: When managing a conscious patient with a foreign object lodged in the eye, the appropriate action is to rinse the eye with sterile saline solution. This helps to flush out the foreign object and reduce the risk of further injury or infection. Attempting to remove the object with tweezers or applying pressure to the eyelid can potentially cause more harm to the eye. Placing a bandage over the affected eye is not beneficial in this situation as it does not address the presence of the foreign object. Rinsing the eye with sterile saline solution is the safest and most effective initial step to take in managing a foreign object lodged in the eye.
Bioethical issue should be describe as _____.
- A. the withholding of food and treatment at the request of the patient in a written advance directive given before a patient acquired permanent brain damage from an accident
- B. the physician's making all decisions of client management without getting input from the patient
- C. after the patient gives permission, the physician's disclosing all information to the family for this support in the management of the patient
- D. a research project that included treating all regular employed personnel and not treating all casual employed to compare the outcome of specific drug therapy
Correct Answer: A
Rationale: The bioethical issue described in option A revolves around the concept of advance directives. Advance directives are legal documents that outline a person's wishes regarding medical treatment in the event that they are unable to communicate those wishes themselves. In this scenario, the issue pertains to the withholding of food and treatment based on a written advance directive that was made before the patient suffered permanent brain damage. This raises important ethical considerations about respecting a patient's autonomy and adhering to their previously expressed wishes, even in difficult circumstances. The decision to withhold treatment in such a situation is a complex bioethical issue that needs to be handled carefully while balancing the principles of autonomy and beneficence.
With diagnosis of hemorrhagic stroke, the nurse teaches the caregiver that with position of the bed should be in what position?
- A. High-Fowler's
- B. Prone
- C. Fowler
- D. Flat
Correct Answer: A
Rationale: For a patient diagnosed with a hemorrhagic stroke, the caregiver should ensure that the bed is positioned in a High-Fowler's position. This position involves elevating the head of the bed between 60 to 90 degrees. Elevating the head of the bed helps to reduce intracranial pressure and promote optimal cerebral perfusion. It also assists in maintaining proper ventilation and oxygenation, which are essential for the patient's recovery. It is important to avoid positioning the patient flat or in a prone position as these may exacerbate the condition and lead to further complications.
The professional conduct. of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?
- A. Improving performance
- B. Patient care standards
- C. Organizationa l ethics
- D. Leadership and management
Correct Answer: B
Rationale: The professional conduct of doctors, nurses, and other healthcare providers in health facilities primarily aligns with patient care standards. This quality standard ensures that healthcare professionals prioritize the well-being, safety, and comfort of the patients they serve. Patient care standards encompass various aspects of healthcare delivery, including effective communication, compassionate treatment, adherence to medical protocols, and respect for patient rights and confidentiality. By upholding patient care standards, healthcare providers demonstrate their commitment to delivering quality care and maintaining the trust and confidence of their patients.
Amy, a multiparous patient, 28 hours after Ceasarian delivery (CS), who is breastfeeding, complains of severe abdominal cramps. Nurse Kayla explains that these are caused by which of the following?
- A. Flatulence accumulation after CS
- B. Release of Oxytocin during the breastfeeding session
- C. Healing of the abdominal incision after CS
- D. Side effects of the medications administered after delivery
Correct Answer: B
Rationale: The severe abdominal cramps experienced by the multiparous patient Amy, 28 hours after a Cesarean delivery (CS) and while breastfeeding, are likely caused by the release of Oxytocin during the breastfeeding session. Oxytocin is a hormone that is naturally produced during breastfeeding to stimulate the contraction of the uterus and help reduce postpartum bleeding. These contractions may result in cramping sensations in the abdomen, specifically at the site of the uterus. It is a normal physiological response and an indication that the body is working as it should to support the postpartum recovery process.