Nokea
Falls are one of the leader environmental hazards reported in health facilities. One of the MOST common occurrences that precipitate a patient fall is
- A. experiencing stress, anxiety, and fatigue
- B. leaving the side rails down
- C. reaching item at the bedside
- D. performing activities of daily living
Correct Answer: B
Rationale: Leaving the side rails down is one of the most common occurrences that can lead to a patient fall. Side rails are important safety measures designed to prevent patients from falling out of bed. When the side rails are left down, the patient is at a higher risk of accidentally rolling out of bed and falling. It is crucial for healthcare providers to always ensure that the side rails are up and secure to help prevent patient falls.
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A patient with heart failure is prescribed digoxin. Which electrolyte imbalance increases the risk of digoxin toxicity?
- A. Hyperkalemia
- B. Hypernatremia
- C. Hypokalemia
- D. Hyponatremia
Correct Answer: C
Rationale: Hypokalemia (low levels of potassium) increases the risk of digoxin toxicity. This is because digoxin competes with potassium for binding sites on the sodium-potassium ATPase pump in the cell membrane. When potassium levels are low, there is an increased binding of digoxin to these pumps, leading to enhanced entry of calcium into the cells. This can result in an increased intracellular calcium concentration, leading to digoxin toxicity and potential cardiac arrhythmias. Therefore, monitoring and correcting potassium levels is crucial in patients prescribed digoxin to reduce the risk of toxicity.
Which procedure has to be done to the patient to establish a definitive diagnosis of lung cancer?
- A. Chest x-ray followed by a CT scan
- B. Cytological study of the sputum
- C. Bronchoscopy
- D. Magnetic resonance imaging
Correct Answer: C
Rationale: Bronchoscopy is a procedure that allows direct visualization of the inside of the airways in the lungs. It is considered the most definitive method to establish a diagnosis of lung cancer as it can directly visualize any abnormal growths or tumors in the bronchial tubes. During bronchoscopy, tissue samples can be collected for biopsy to confirm the presence of cancer cells. This procedure is more accurate compared to other diagnostic methods such as chest x-ray, CT scan, cytological study of sputum, or magnetic resonance imaging in confirming a diagnosis of lung cancer.
The last and necessary part of the activity is _______.
- A. informing the students their next day 's assignment
- B. the joke portion for good vibes
- C. evaluation so that future. but similar activities can be improved
- D. after care of the venue, an earlier reminder by the Head Nurse
Correct Answer: C
Rationale: The last and necessary part of any activity should involve an evaluation process. By evaluating the activity, the organizers can gather feedback on what worked well and what areas need improvement. This feedback is crucial for enhancing future activities that are similar in nature. It allows for reflections on the effectiveness of the activity, identifies strengths and weaknesses, and helps in making necessary adjustments for better outcomes in the future. Overall, evaluation ensures continuous improvement and development in organizing successful activities.
A characteristic of qualitative research data is that they are what
- A. In text form
- B. Free of patterns
- C. Dichotomous
- D. Inappropriate for analysis
Correct Answer: A
Rationale: Qualitative research data are typically in text form rather than numeric or statistical data. This means that the data collected through qualitative research methods are descriptive and usually presented in the form of words, phrases, or narratives. Qualitative data often involve subjective interpretations, opinions, and in-depth insights, making text a more suitable format for capturing these nuances compared to numerical or quantitative data. The focus in qualitative research is on understanding experiences, meanings, and perspectives, which are best conveyed through textual data.
The first standard step in oxygen therapy that the nurse should do is________.
- A. assess client's condition
- B. gather all the equipment and supplies
- C. prepare the client for the oxygen treatment
- D. check the chart for ordered flow rate and oxygen delivery method
Correct Answer: A
Rationale: The first standard step in oxygen therapy that the nurse should do is to assess the client's condition. Before initiating any oxygen treatment, it is essential to assess the client's respiratory status, oxygen saturation levels, vital signs, and overall condition. This initial assessment helps the nurse to determine the appropriate course of oxygen therapy based on the client's individual needs and current health status. Assessing the client's condition first ensures that the oxygen therapy provided is safe and effective for the specific needs of the client.