Nokea
A professional nurse has a duty to know and respect the Patient's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights? The right to/for ______.
- A. A considerate and respectful care
- B. Privacy and confidentiality
- C. A complete and current information about his illness
- D. Expect continuity of care from discharge to full recovery
Correct Answer: D
Rationale: While continuity of care is an important aspect of patient care, it is not explicitly included in the Patient's Bill of Rights. The Patient's Bill of Rights typically focuses on fundamental rights such as respectful care, privacy, confidentiality, and receiving complete and current information about their illness. Continuity of care is often addressed in healthcare policies and practices, but it is not a specific right outlined in the Patient's Bill of Rights.
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A pregnant woman presents with severe abdominal pain and syncope at 6 weeks gestation. On examination, she has signs of hypovolemic shock. Which of the following conditions is the most likely cause of these symptoms?
- A. Ectopic pregnancy
- B. Threatened abortion
- C. Placenta previa
- D. Gestational trophoblastic disease
Correct Answer: A
Rationale: In a pregnant woman presenting with severe abdominal pain, syncope, signs of hypovolemic shock, and gestational age of 6 weeks, the most likely cause is an ectopic pregnancy. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, commonly in the fallopian tube. As the pregnancy grows and the tube stretches, it can lead to rupture, causing severe abdominal pain, internal bleeding, and signs of shock. This is a life-threatening emergency that requires prompt diagnosis and management. It is important to consider ectopic pregnancy in any pregnant woman presenting with abdominal pain and signs of shock, especially in the first trimester.
Patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following type of anesthesia would you expect to be ordered?
- A. Spinal
- B. Local
- C. Caudal
- D. General
Correct Answer: D
Rationale: When the anesthesiologist visits a patient to explain the anesthesia for surgery, the most likely type of anesthesia to be ordered in this scenario would be general anesthesia. General anesthesia is a state of controlled unconsciousness where the patient is completely unaware and unresponsive during the procedure. This type of anesthesia is typically used for surgeries that are more complex, lengthy, or invasive, requiring the patient to be completely still and asleep throughout the operation.
In her capacity to teach, the nurse describes the changes of the uterus after childbirth to return to a nonpregnant state as _____
- A. catabolism
- B. subinvolution
- C. contraction of muscle fibers
- D. Involution
Correct Answer: D
Rationale: Involution refers to the process of the uterus returning to its nonpregnant state after childbirth. During pregnancy, the uterus undergoes significant changes and enlarges to accommodate the growing fetus. After childbirth, the uterus begins to contract, leading to a decrease in its size and a return to its pre-pregnant state. This process involves the shedding of the excess endometrial tissue and the reduction of the size of the uterine muscle fibers. It is a normal and essential process for postpartum recovery. Failure of the uterus to undergo proper involution is known as subinvolution, which can lead to complications such as postpartum hemorrhage.
A nurse involves well-being in her definition of health. What will the primary concern or focus of the nurse when she provides care to a family confronting the imminent death of a family member?
- A. Reinforcing the need for the whole family to adapt to the impending death.
- B. Sharing the nurse's knowledge on the client's symptoms of grief
- C. Discussing the perceived meaning of life with the family
- D. Administering pain medication so that the client can be kept comfortable
Correct Answer: A
Rationale: When a nurse involves well-being in her definition of health, it indicates a holistic approach that considers not only physical health but also emotional, mental, and social aspects of well-being. In the context of a family confronting the imminent death of a family member, the primary concern of the nurse would be to focus on reinforcing the need for the whole family to adapt to the impending death. This involves providing emotional support, facilitating communication, addressing coping mechanisms, and assisting the family in coming to terms with the situation. By emphasizing the importance of the whole family adapting to the imminent death, the nurse can help promote holistic well-being for the family during this challenging time.
What would Merle do to keep abreast with the latest trends in peri-operative nursing?
- A. Attend training and seminars
- B. All of these
- C. Perform researches
- D. Pursue graduate studies
Correct Answer: B
Rationale: To keep abreast with the latest trends in peri-operative nursing, Merle should employ a combination of attending training and seminars, performing researches, and pursuing graduate studies. Attending training and seminars will expose Merle to new information, techniques, and best practices in peri-operative nursing. Performing researches will help Merle stay updated with current developments and evidence-based practices in the field. Pursuing graduate studies will provide Merle with advanced knowledge and skills, allowing for a deeper understanding of peri-operative nursing concepts and practices. By incorporating all of these strategies, Merle can ensure that he remains knowledgeable and competent in his role as a peri-operative nurse.