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In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT
- A. need for a humidifier.
- B. length of tubing .
- C. determine the age of Excel.
- D. manner of administering oxygen, continuous or intermittent.
Correct Answer: C
Rationale: The nurse does not need to determine the age of Excel when planning for Sonny's oxygen therapy. This information is irrelevant to the specific care requirements of Sonny's oxygen therapy. Sonny's age, medical history, respiratory status, and oxygen needs are the key considerations in planning for his oxygen therapy. The nurse should focus on factors such as the need for a humidifier, length of tubing, and the manner of administering oxygen (continuous or intermittent) to ensure effective and safe delivery of oxygen therapy to Sonny.
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Which of the following actions is appropriate for managing a conscious patient with a foreign object lodged in the eye?
- A. Attempting to remove the object with tweezers.
- B. Rinsing the eye with sterile saline solution.
- C. Applying pressure to the eyelid to dislodge the object.
- D. Placing a bandage over the affected eye.
Correct Answer: B
Rationale: When managing a conscious patient with a foreign object lodged in the eye, the appropriate action is to rinse the eye with sterile saline solution. This helps to flush out the foreign object and reduce the risk of further injury or infection. Attempting to remove the object with tweezers or applying pressure to the eyelid can potentially cause more harm to the eye. Placing a bandage over the affected eye is not beneficial in this situation as it does not address the presence of the foreign object. Rinsing the eye with sterile saline solution is the safest and most effective initial step to take in managing a foreign object lodged in the eye.
Sandy asks the nurse if her new joint will function normally. The nurse can BEST answer this by saying that the________.
- A. doctor will be able to assess your limitations in 6 weeks and then explain them to you
- B. new joint will function almost as well as a normal joint, if you perform your exercises faithfully
- C. new joint will be stronger than the old one if you exercise well
- D. new joint won't function as well as the new joint, but will be better than the arthritic joint
Correct Answer: B
Rationale: The nurse can assure Sandy that her new joint will function almost as well as a normal joint if she performs her exercises faithfully because post-joint replacement surgery recovery often involves physical therapy and exercises aimed at restoring strength and mobility to the affected joint. By following the recommended exercise regimen and post-operative care instructions, Sandy can improve the function of her new joint and achieve a good level of mobility and functionality, similar to that of a normal joint. It is important for Sandy to be diligent and committed to her rehabilitation process to maximize the benefits of the joint replacement surgery.
Nurse Gayle is guided that the initial step of delegation is ______.
- A. demonstrate the task and let the staff continue the next activities
- B. Assess the capability of the staff, change him if not performing
- C. Determine the competency level of staff for the task being given
- D. Explain the task to be done with accompanying job description
Correct Answer: C
Rationale: The initial step of delegation is to determine the competency level of the staff for the task being given. Before delegating a task, a nurse must assess the knowledge, skills, and abilities of the staff member to ensure that they are competent and capable of performing the task safely and effectively. This step is crucial in ensuring that tasks are delegated appropriately and that quality patient care is maintained. By determining the competency level of the staff, Nurse Gayle can make informed decisions about delegation, provide appropriate support and resources, and facilitate effective communication throughout the delegation process.
A patient with advanced cancer experiences dyspnea and anxiety during episodes of breathlessness. Which intervention should the palliative nurse prioritize to address the patient's symptoms?
- A. Administer oxygen therapy to relieve dyspnea.
- B. Teach the patient pursed-lip breathing techniques.
- C. Recommend opioid medications for symptom management.
- D. Refer the patient to a respiratory therapist for breathing exercises.
Correct Answer: C
Rationale: Opioid medications are considered the first-line pharmacological treatment for dyspnea in palliative care patients with advanced cancer. Opioids help relieve dyspnea by reducing respiratory drive and the sensation of breathlessness, providing effective symptom management. In this case, addressing the patient's dyspnea with opioid medications would likely also help alleviate their anxiety related to breathlessness. Administering oxygen therapy (choice A) may not be effective at relieving dyspnea in this situation, as dyspnea in advanced cancer patients is often not primarily due to low oxygen levels. Teaching pursed-lip breathing techniques (choice B) and referring the patient to a respiratory therapist for breathing exercises (choice D) may be helpful complementary interventions, but opioid medications should be the priority for symptom management.
A nurse is collaborating with other healthcare providers to develop a plan of care for a patient. What is the primary purpose of interdisciplinary collaboration in nursing practice?
- A. Promoting professional development among healthcare providers
- B. Improving communication and coordination of patient care
- C. Establishing hierarchy and authority within the healthcare team
- D. Reducing workload and increasing efficiency in healthcare delivery
Correct Answer: B
Rationale: The primary purpose of interdisciplinary collaboration in nursing practice is to improve communication and coordination of patient care. When healthcare providers from different disciplines work together as a team, they can share their unique perspectives, knowledge, and skills to develop comprehensive care plans that address all aspects of a patient's well-being. This collaborative approach helps ensure that the patient receives holistic and coordinated care, leading to better outcomes and patient satisfaction. Effective communication and coordination among team members also help prevent errors, reduce duplication of efforts, and promote efficient use of resources. Overall, interdisciplinary collaboration is essential for delivering high-quality, patient-centered care in healthcare settings.