Nokea
How do the automated data processing systems in the medical C4I headquarters aid in various aspects?
- A. Maintaining patient accountability
- B. Tracking patient movement
- C. Managing health service logistics systems
- D. All of the above
Correct Answer: D
Rationale: The automated data processing systems in the medical C4I headquarters play a crucial role in maintaining patient accountability by tracking patient movement and aiding in the management of health service logistics systems. Therefore, the correct answer is D. Option A is incorrect because the systems do more than just maintaining patient accountability. Option B is incorrect as it focuses solely on tracking patient movement, missing the broader scope. Option C is also incorrect as it only addresses the management of health service logistics systems and overlooks the other functionalities provided by the systems.
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A patient is prescribed an oral anticoagulant. What should the nurse monitor for?
- A. Elevated blood glucose
- B. Decreased blood pressure
- C. Signs of bleeding
- D. Increased appetite
Correct Answer: C
Rationale: Correct! When a patient is prescribed an oral anticoagulant, the nurse should monitor for signs of bleeding. Oral anticoagulants are medications that prevent blood clot formation but can increase the risk of bleeding. Monitoring for signs such as easy bruising, blood in urine or stool, and prolonged bleeding from minor cuts is essential. Choices A, B, and D are incorrect because oral anticoagulants do not typically affect blood glucose levels, blood pressure, or appetite.
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
- A. Frequent aspirin (acetylsalicylic acid) and a non-narcotic analgesic
- B. Motrin (ibuprofen), an NSAID, PRN
- C. Demerol (meperidine), a narcotic analgesic, every four (4) hours
- D. Morphine, a narcotic analgesic, every two (2) to three (3) hours PRN
Correct Answer: D
Rationale: In a sickle cell crisis, morphine is the preferred analgesic due to its potency and effectiveness in managing severe pain. Choice A is incorrect because aspirin is contraindicated in sickle cell disease due to its potential to cause a further decrease in blood flow. Choice B, Motrin (ibuprofen), is also not the ideal choice as NSAIDs can exacerbate renal complications in sickle cell patients. Choice C, Demerol (meperidine), is not recommended for sickle cell pain management due to its toxic metabolite accumulation which can cause seizures and other complications.
The nurse enters a client's room and the client is demanding release from the hospital. The nurse reviews the client's record and notes that the client was admitted 2 days ago for treatment of an anxiety disorder, and the admission was voluntary. Which intervention should the nurse initiate first?
- A. Telephone the client's family and have them persuade the client to stay
- B. Have the client read and sign all the appropriate self-discharge papers
- C. Explain to the client that he cannot leave because he asked for treatment
- D. Notify the client's healthcare provider of the client's stated intent to leave the hospital
Correct Answer: D
Rationale: The correct intervention for the nurse to initiate first is to notify the client's healthcare provider of the client's intention to leave the hospital. This is important to ensure that the client's care and safety are appropriately managed. Option A is incorrect as involving the family without proper assessment or intervention could violate the client's autonomy. Option B is incorrect because it does not involve the healthcare provider in the decision-making process. Option C is incorrect as it does not address the client's rights to make decisions about their own care.
What instructions should the nurse discuss with the client diagnosed with Raynaud's phenomenon?
- A. Explain that exacerbations will not occur in the summer
- B. Use nicotine gum to help quit smoking
- C. Wear extra warm clothing during cold exposure
- D. Avoid prolonged exposure to direct sunlight
Correct Answer: C
Rationale: The correct answer is to wear extra warm clothing during cold exposure. This instruction is crucial for managing Raynaud's phenomenon as it helps prevent vasospasms triggered by cold temperatures. Choice A is incorrect because exacerbations can occur in any season. Choice B is not directly related to managing Raynaud's phenomenon. Choice D is also irrelevant as direct sunlight exposure does not typically worsen symptoms of Raynaud's phenomenon.
Which of the following grains is acceptable for someone with celiac disease?
- A. Rice
- B. Rye
- C. Wheat
- D. Barley
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.