After formulating and delimiting the research problem, which following will be a PRIORITY action of Gloria?
- A. Develop the theoretical framework of the study
- B. Formulate the hypothesis
- C. Plan the research design of the study
- D. Conduct a 1iterature search on the topic
Correct Answer: C
Rationale: After formulating and delimiting the research problem, the priority action would be to plan the research design of the study. This is crucial because the research design will outline the specific methods and procedures that Gloria will use to investigate the research problem and answer the research questions. Planning the research design involves determining the overall structure of the study, selecting the appropriate research methods, and outlining how data will be collected and analyzed. This step is essential for ensuring that the study is well-organized, rigorous, and will yield reliable results. Developing a solid research design early on will set a strong foundation for the rest of the research process.
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Which of the following clinical features is most characteristic of acute respiratory distress syndrome (ARDS)?
- A. Hypoxemia refractory to supplemental oxygen
- B. Severe cough with purulent sputum production
- C. Chest pain exacerbated by deep breathing
- D. Productive cough with hemoptysis
Correct Answer: A
Rationale: Acute respiratory distress syndrome (ARDS) is a serious and life-threatening condition characterized by rapid onset of respiratory failure, severe hypoxemia (low oxygen levels in the blood), and non-cardiogenic pulmonary edema. The hallmark of ARDS is severe hypoxemia that is difficult to correct even with high levels of supplemental oxygen. Patients with ARDS often require mechanical ventilation to maintain adequate oxygen levels. Severe cough with purulent sputum production, chest pain exacerbated by deep breathing, and productive cough with hemoptysis are not typical features of ARDS.
The nurse, as the community organizer, immerses self by joining local folks in their usual everyday activities in ordwwer to ______.
- A. gain trust and rapport of people
- B. make self popular among people
- C. identify and spot leaders
- D. become familiar with the place
Correct Answer: A
Rationale: Immersing oneself in the local community and participating in their everyday activities allows the nurse, as a community organizer, to establish trust and build rapport with the people. By actively engaging with the community members, the nurse can show genuine interest and commitment to their well-being, which fosters a sense of connection and mutual understanding. This approach is crucial for gaining the trust of the community, as it demonstrates that the nurse is invested in listening to their needs and working together to address health concerns effectively.
A postpartum client presents with persistent, severe headache, photophobia, and altered mental status. Which nursing action is most appropriate?
- A. Encouraging the client to rest in a dark, quiet room
- B. Providing acetaminophen for headache relief
- C. Notifying the healthcare provider immediately
- D. Offering a massage to relieve muscle tension
Correct Answer: C
Rationale: The most appropriate nursing action when a postpartum client presents with persistent, severe headache, photophobia, and altered mental status is to notify the healthcare provider immediately. These symptoms could be indicative of serious conditions such as postpartum preeclampsia or postpartum eclampsia, both of which require prompt medical evaluation and intervention. Delaying medical attention in such cases can lead to severe complications for the mother. Therefore, it is crucial to prioritize the client's safety and well-being by quickly involving the healthcare provider for further assessment and management.
A patient presents with a pruritic, eczematous rash with erythematous papules, vesicles, and excoriations on the flexural surfaces of the elbows and knees. The patient reports a personal history of asthma and hay fever. Which of the following conditions is most likely responsible for this presentation?
- A. Atopic dermatitis
- B. Contact dermatitis
- C. Seborrheic dermatitis
- D. Nummular eczema
Correct Answer: A
Rationale: Atopic dermatitis is a chronic, pruritic inflammatory skin condition that typically presents in individuals with a personal or family history of asthma and allergic rhinitis (hay fever). The characteristic presentation includes erythematous papules, vesicles, and excoriations on the flexural surfaces of the elbows and knees. This type of dermatitis is commonly seen in patients with atopy, which refers to a genetic predisposition to develop allergic diseases like asthma, hay fever, and eczema. Therefore, given the patient's personal history of asthma and hay fever along with the described rash distribution and appearance, atopic dermatitis is the most likely diagnosis.
In the ethical principle of beneficence, which is the BASIS of every nursing action in all work settings?
- A. Treating all patients selectively.
- B. Informing patients of hospital bills.
- C. Respecting refusal of treatment.
- D. Doing good at all times.
Correct Answer: D
Rationale: The ethical principle of beneficence, which is the basis of every nursing action in all work settings, emphasizes the importance of doing good at all times for the benefit of the patient. Nurses are expected to act in the best interest of their patients and strive to promote their well-being and welfare. This principle guides nurses to provide care that is compassionate, effective, and in line with the patient's needs and preferences. By prioritizing the good of the patient in all actions and decisions, nurses uphold the principle of beneficence and demonstrate their commitment to promoting positive outcomes for those under their care.