Nokea
If a nurse administers the wrong drug to a patient but the patient suffers no ill effects, the elements of malpractice that are missing are
- A. Duty to use care and breach of duty
- B. Duty to use care and damages
- C. Damages and causation
Correct Answer: C
Rationale: Without harm or injury, the essential components of damages and causation are absent.
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Early decelerations with a normal fetal heart rate variability during labor have which of the following indications?
- A. they often indicate fetal congenital heart disease
- B. they do not indicate fetal hypoxia
- C. they may indicate fetal acidemia
Correct Answer: B
Rationale: Early decelerations are typically benign and related to head compression during contractions.
Which of the following is not true of the vagina?
- A. It can act as a receptacle for seminal fluid from the male
- B. It serves as the lower part of the birth canal
- C. It is a passageway for urine
- D. It acts as an excretory duct for uterine secretions
Correct Answer: C
Rationale: The vagina is not a passageway for urine; this function is performed by the urethra.
Which of the following is the least predictable method of determining ovulation time?
- A. The measurement of LH in the urine
- B. The length of previous cycles
- C. The change in basal body temperature
- D. All of the above methods are equally accurate in determining ovulation time.
Correct Answer: B
Rationale: The length of previous cycles is less predictable compared to other methods.
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.
The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?
- A. In about a year.
- B. Likely any time now.
- C. Does your daughter know what to expect?
- D. It is impossible to predict when she will start her cycl
Correct Answer: B
Rationale: The correct answer is B: Likely any time now.
Rationale:
1. Breast development typically precedes menarche by about 2-2.5 years in most girls.
2. Breast buds appearing a year ago indicate the onset of puberty.
3. Thus, it is likely that menarche (first menstrual cycle) will occur soon.
Summary:
A: In about a year - Too specific, timing varies among individuals.
C: Does your daughter know what to expect? - Does not address the timing of menarche.
D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.