Nokea
During CPR, which of the following actions should be performed immediately after activating the emergency response system?
- A. Start chest compressions.
- B. Check for breathing.
- C. Perform abdominal thrusts.
- D. Assess pulse.
Correct Answer: A
Rationale: After activating the emergency response system, the immediate priority in CPR is to begin chest compressions to support blood circulation. High-quality chest compressions are crucial in providing oxygen to vital organs, especially the brain, during cardiac arrest. Starting chest compressions promptly can improve the chances of survival for the person in need of CPR. Checking for breathing, performing abdominal thrusts, or assessing pulse should only be done after initiating chest compressions in the CPR sequence.
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A patient with a history of deep vein thrombosis (DVT) is prescribed warfarin therapy. Which instruction is essential for the nurse to include in patient education about warfarin therapy?
- A. "Limit your intake of green leafy vegetables."
- B. "Avoid activities that may increase your risk of bleeding."
- C. "Take a double dose if you miss a dose to catch up."
- D. "Report any unusual bleeding or bruising to your healthcare provider."
Correct Answer: D
Rationale: It is essential for the nurse to instruct the patient to "Report any unusual bleeding or bruising to your healthcare provider." Warfarin is a medication that works by decreasing the clotting ability of the blood. This can increase the risk of bleeding, so it is important for the patient to be vigilant for any signs of abnormal bleeding. Prompt reporting of any unusual bleeding or bruising allows healthcare providers to adjust the dosage of warfarin to maintain a balance between preventing blood clots and minimizing the risk of bleeding complications. This instruction emphasizes the importance of close monitoring and communication with healthcare providers while on warfarin therapy.
The false statement about physiologic jaundice in the statements below is _____
- A. Caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase.
- B. Begins to decrease by the 6th or 7th day.
- C. Is visible in skin and sclera.
- D. Begins after 48 hours of 1ife.
Correct Answer: A
Rationale: Physiologic jaundice in newborns is a common and typically benign condition caused by the immaturity of the newborn's liver. The correct statement about physiologic jaundice is that it occurs due to an imbalance between the production and elimination of bilirubin. In contrast, Option A is the false statement because it incorrectly states that physiologic jaundice is caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase. This statement is inaccurate as physiologic jaundice results from the immature liver's reduced ability to conjugate bilirubin.
A patient presents with gradual-onset memory loss, impaired judgment, and personality changes. Over time, the patient develops difficulty with language, motor function, and coordination. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Parkinson's disease
- B. Alzheimer's disease
- C. Huntington's disease
- D. Amyotrophic lateral sclerosis (ALS)
Correct Answer: B
Rationale: The symptoms described such as memory loss, impaired judgment, personality changes, difficulty with language, motor function, and coordination all point towards Alzheimer's disease. Alzheimer's is a progressive neurodegenerative disease that primarily affects memory and cognitive functions. Over time, it leads to severe impairment in daily activities and overall functioning. While Parkinson's disease, Huntington's disease, and ALS can also present with neurological symptoms, the combination of gradual-onset memory loss, cognitive decline, and functional impairments seen in this scenario is most characteristic of Alzheimer's disease.
A woman in active labor is diagnosed with an amniotic fluid embolism. What is the priority nursing intervention?
- A. Administering oxygen via face mask
- B. Preparing for immediate cesarean section
- C. Initiating cardiopulmonary resuscitation (CPR)
- D. Inserting an indwelling urinary catheter
Correct Answer: C
Rationale: An amniotic fluid embolism is a rare and life-threatening complication during labor and delivery. It occurs when amniotic fluid or fetal cells enter the maternal circulation, triggering a rapid immune response that can lead to cardiovascular collapse and respiratory failure. The priority nursing intervention for a woman in active labor diagnosed with an amniotic fluid embolism is to initiate cardiopulmonary resuscitation (CPR) to support her vital functions and circulation. Providing immediate CPR can help sustain her until further medical interventions can be implemented. Administering oxygen and preparing for a cesarean section may be necessary but should occur after CPR is initiated to stabilize the woman's condition. Inserting an indwelling urinary catheter is not the priority in this emergency situation, as maintaining adequate cardiac and respiratory function takes precedence.
In this pandemic nurses are float to areas of most need in the time of a nursing shortage, this is an example of:
- A. Utilitarianism theory
- B. Justice
- C. Deontological theory
- D. Beneficence
Correct Answer: A
Rationale: Utilitarianism is an ethical theory that focuses on producing the greatest overall balance of good over bad consequences for everyone involved. In the context of the situation described, nurses being floated to areas of most need during a nursing shortage is an example of utilitarianism in action. The decision to float nurses is aimed at maximizing the benefit to the greatest number of patients by ensuring that critical care is provided where it is most needed, even if it may cause inconvenience or discomfort to the nurses being floated. This decision aligns with the principle of maximizing overall utility and promoting the greater good, which are central tenets of utilitarianism.