Nokea
A retired nurse stops to help in an emergency at the scene of an accident, if the injured party files suit and the, the nurse would probably be covered by
- A. Her homeowner's insurance
- B. National Care Act
- C. Her automobile insurance
- D. The Good Samaritan Law
Correct Answer: D
Rationale: The Good Samaritan Law offers legal protection to individuals who voluntarily provide assistance at the scene of an emergency or accident. These laws vary by state, but generally, they grant immunity from civil liability for the individual providing aid as long as they act in good faith and without expectation of compensation. In this case, the retired nurse who stopped to help in the emergency at the scene of an accident would likely be covered by the Good Samaritan Law, protecting her from being sued by the injured party for any unintended consequences of her efforts to assist.
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A patient in the ICU develops acute kidney injury (AKI) secondary to hypovolemic shock. What intervention should the healthcare team prioritize to manage the patient's renal function?
- A. Administer intravenous fluids to restore circulating volume.
- B. Initiate continuous renal replacement therapy (CRRT) for RRT.
- C. Implement strict dietary restrictions to reduce renal workload.
- D. Recommend nephrotoxic medications for therapeutic purposes.
Correct Answer: A
Rationale: In a patient with acute kidney injury (AKI) secondary to hypovolemic shock, the priority intervention to manage the patient's renal function is to administer intravenous fluids to restore circulating volume. Hypovolemic shock leads to decreased blood flow to the kidneys, resulting in hypoperfusion and ischemic damage to the renal tubules. Prompt correction of hypovolemia with intravenous fluids helps improve renal perfusion and function by increasing blood flow to the kidneys. Adequate fluid resuscitation can potentially prevent further kidney damage and support kidney function recovery. It is crucial to address the underlying cause of AKI (hypovolemia in this case) to prevent complications and improve patient outcomes. Initiating renal replacement therapy or recommending nephrotoxic medications would not be the initial interventions for managing AKI in this scenario.
A patient admitted to the ICU develops acute exacerbation of chronic heart failure (CHF) with pulmonary edema and respiratory distress. What intervention should the healthcare team prioritize to manage the patient's exacerbation?
- A. Administer intravenous loop diuretics for fluid removal.
- B. Initiate positive pressure ventilation for respiratory support.
- C. Perform emergent pericardiocentesis for tamponade relief.
- D. Recommend inotropic medications to improve myocardial contractility.
Correct Answer: B
Rationale: In this scenario, the patient is presenting with acute exacerbation of chronic heart failure (CHF) complicated by pulmonary edema and respiratory distress. The priority intervention for managing this exacerbation is to initiate positive pressure ventilation for respiratory support. Positive pressure ventilation, such as non-invasive positive pressure ventilation (NIPPV) or invasive mechanical ventilation, can help improve oxygenation and decrease the work of breathing for the patient. By providing adequate respiratory support, ventilation can reduce the negative effects of pulmonary edema and respiratory distress due to CHF exacerbation. Administering intravenous loop diuretics (Choice A) might be necessary to address fluid overload, but it is not the initial priority as ensuring adequate ventilation is crucial. Emergent pericardiocentesis (Choice C) is not indicated in this scenario as there is no mention of cardiac tamponade. Inotropic medications (Choice D) may be considered in managing acute exacerbation of CHF but
The nurse instructs the patient that the BEST time for an incontinent patient to take his diuretics is
- A. Any time of the day
- B. In the morning
- C. After 4:00 PM
- D. At bedtime
Correct Answer: D
Rationale: The best time for an incontinent patient to take diuretics is at bedtime. This timing allows for increased urine production during the night, consequently reducing the need for frequent toileting during the day. By taking the diuretic at bedtime, the patient can manage their incontinence more effectively and have better rest without disruptions from frequent urination during the day.
A patient presents with a displaced fracture of the distal radius and ulna after a fall. What is the preferred initial treatment for this injury?
- A. Closed reduction and splinting
- B. Open reduction and internal fixation (ORIF)
- C. Closed reduction and external fixation (CREF)
- D. Cast immobilization without reduction
Correct Answer: A
Rationale: In the case of a displaced fracture of the distal radius and ulna, the preferred initial treatment is typically closed reduction and splinting. Closed reduction involves manually realigning the fractured bones without the need for surgery. Splinting is then utilized to immobilize the wrist and forearm to allow for proper healing of the fracture. This approach is often effective in realigning the bones and stabilizing the injury, allowing for adequate healing without the need for more invasive interventions like surgery. Following the initial management with closed reduction and splinting, the patient's progress will be monitored, and further interventions may be considered based on the specific characteristics of the fracture and the patient's response to treatment.
What is the ultimate purpose of record keeping
- A. Safeguard information
- B. History
- C. Archive
- D. Store information
Correct Answer: A
Rationale: The ultimate purpose of record-keeping is to safeguard information. While history, archiving, and storing information are all important functions of record-keeping, safeguarding information stands out as the primary goal. Keeping accurate and accessible records ensures that essential information is secured, protected from unauthorized access, loss, and damage. Safeguarding information also promotes transparency, accountability, and compliance with legal and ethical standards. In the case of Nurse Mely's consideration of teamwork and collaboration in community health nursing, safeguarding the relevant information through precise and organized record-keeping is crucial for effective communication, continuity of care, and successful health outcomes.