Nokea
A spill that occurs on any surface within a healthcare facility
- A. Requires a nursing assistant to pick out any pieces of glass from the spill and discard them
- B. Can be absorbed by a special liquid soap
- C. May require the use of heavy-duty gloves for clean up
- D. Requires the use of an autoclave
Correct Answer: C
Rationale: The correct answer is C because a spill in a healthcare facility may contain hazardous materials, requiring the use of heavy-duty gloves to protect against contamination. This step is crucial to ensure the safety of staff and patients.
A is incorrect because picking out glass is not the primary concern when dealing with a spill in a healthcare setting. B is incorrect as special liquid soap alone may not be sufficient to fully clean and disinfect the spill. D is incorrect because an autoclave is used for sterilization, not for cleaning up spills. Overall, C is the correct choice as it prioritizes safety and proper handling of potentially harmful spills in a healthcare environment.
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A 25-year-old male presents after a bar fight with altered consciousness and a GCS of 10. Which statement is true?
- A. "Hyperoxia should be avoided"
- B. CT scanning is an important part of neurological assessment
- C. Mandatory intubation to protect his airway is required
- D. His GCS suggests severe head injury
Correct Answer: B
Rationale: The correct answer is B because in a patient with altered consciousness after head trauma, CT scanning is crucial to assess for intracranial injuries. It helps identify any hematomas or contusions requiring urgent intervention. Choice A is incorrect as hyperoxia is beneficial in traumatic brain injury. Choice C is not always necessary if the patient maintains airway patency. Choice D is incorrect as a GCS of 10 suggests moderate head injury, not necessarily severe.
Bending backward is also called
- A. Rotation
- B. Dorsiflexion
- C. Supination
- D. Opposition
Correct Answer: B
Rationale: The correct answer is B: Dorsiflexion. Bending backward is the movement of bringing the top of the foot towards the shin, which is dorsiflexion at the ankle joint. Rotation (A) is the movement around an axis, not bending backward. Supination (C) is the movement of turning the palm or foot upward, not bending backward. Opposition (D) is the movement of bringing the thumb and little finger together, not bending backward. Therefore, the correct term for bending backward is dorsiflexion.
A resident who is at risk for pressure injuries may have
- A. An alternating pressure mattress
- B. A bariatric bed
- C. An electric bed
- D. A closed bed
Correct Answer: A
Rationale: The correct answer is A: An alternating pressure mattress. This type of mattress helps reduce pressure on specific areas of the body by alternating pressure points, which can prevent pressure injuries. The other choices, B: A bariatric bed, C: An electric bed, and D: A closed bed, do not directly address the prevention of pressure injuries. Bariatric beds are designed for heavier individuals, electric beds assist with adjusting positions, and closed beds do not offer the necessary pressure relief for someone at risk of pressure injuries. Therefore, A is the most appropriate choice for addressing the specific needs of a resident at risk for pressure injuries.
Signs of burnout include
- A. Being slow to anger
- B. Obsessing over small things
- C. Having lots of patience
- D. Lack of frustration
Correct Answer: B
Rationale: The correct answer is B: Obsessing over small things. Burnout often leads to heightened sensitivity and fixation on minor issues, causing individuals to obsess over small details. This behavior is a sign of emotional exhaustion and reduced effectiveness. Choices A, C, and D are incorrect as burnout typically manifests as increased irritability, decreased patience, and heightened frustration levels. These symptoms are contrary to the characteristics described in choices A, C, and D.
An adult patient who experiences the loss of his/her gag reflex following a closed-head and suspected spinal injury may have suffered an injury to which of the following cranial nerves?
- A. Cranial nerve X (vagus)
- B. Cranial nerve III (oculomotor)
- C. Cranial nerve XII (hypoglossal)
- D. Cranial nerve IX (glossopharyngeal)
Correct Answer: A
Rationale: The correct answer is A: Cranial nerve X (vagus). The vagus nerve is responsible for the gag reflex. A loss of gag reflex in a patient with a closed-head and spinal injury indicates damage to the vagus nerve. The other choices are incorrect because: B (oculomotor) is responsible for eye movement, C (hypoglossal) is responsible for tongue movement, and D (glossopharyngeal) is responsible for swallowing and taste sensation. None of these cranial nerves are directly related to the gag reflex.