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In planning the nursing care for this patient what is the important nursing intervention a nurse must do?
- A. Encourage patient to release anxiety by crying.
- B. Reassure family that complete recovery is probable.
- C. Assess patient for respiratory distress.
- D. Have patient assist with care.
Correct Answer: C
Rationale: Assessing the patient for respiratory distress is the important nursing intervention that must be done in this situation. The scenario provided indicates that the patient with chronic obstructive pulmonary disease (COPD) is experiencing increased work of breathing, which puts them at risk for respiratory distress. It is crucial for the nurse to monitor the patient's respiratory status closely, including assessing their oxygen saturations, respiratory rate, and effort, to identify any signs of respiratory distress early and intervene promptly. This proactive assessment can help prevent further deterioration of the patient's condition and ensure appropriate nursing interventions are implemented promptly.
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Inductive Reasoning process is applied in:
- A. Qualitative research
- B. Action research
- C. Quantitative research
- D. Applied research
Correct Answer: A
Rationale: Inductive reasoning is the process of drawing general conclusions from specific observations or examples. It is often used in qualitative research to develop theories or explanations based on the data collected. Qualitative research focuses on understanding phenomena in their natural settings and uses inductive reasoning to interpret and make sense of the data. This approach allows researchers to explore complex issues and uncover new insights by analyzing the details and patterns within the data.
During the surgical procedure, the nurse notices a discrepancy between the patient's identification bracelet and the surgical consent form. What should the nurse do?
- A. Proceed with the procedure as planned
- B. Document the discrepancy in the patient's chart
- C. Inform the surgeon and anesthesia provider immediately
- D. Request clarification from the patient and family members
Correct Answer: C
Rationale: If the nurse notices a discrepancy between the patient's identification bracelet and the surgical consent form, the immediate action should be to inform the surgeon and anesthesia provider. It is crucial to address any discrepancies before proceeding with the surgical procedure to ensure patient safety and prevent any potential errors or complications. The surgical team needs to be made aware of the issue so that they can verify the correct patient information and ensure that all necessary steps are taken to proceed safely. Communication and collaboration among the healthcare team members are essential in such situations to prevent any harm to the patient.
Public health services are provided by government facilities. What is the most appropriate response of a public health nurse to the statement: The government should give these health services free of charge to people?
- A. "Yes and for that reason, we should choose our government officials wisely during elections".
- B. "Yes, I agree. But right now, the government does not have enough resources to do that".
- C. "That is an ideal situation that our government does not have enough resources to do that".
- D. "Many of the health services are given free, but we people pay for them just the same through our taxes".
Correct Answer: D
Rationale: The most appropriate response is "Many of the health services are given free, but we people pay for them just the same through our taxes." This response acknowledges the fact that public health services are funded by taxpayers, even though they may be perceived as free by the public. It highlights the connection between government funding and the provision of health services, emphasizing that these services are not truly free but are paid for through taxes. It also addresses the misconception that these services are entirely free without any costs involved.
The toddlers years are a time of great cognitive, emotional and social development. The toddles is a child _______ months old.
- A. 6 to 12
- B. 36 to 48
- C. 9 to 36
- D. 12 to 36
Correct Answer: C
Rationale: Toddlers are typically children who are 1 to 3 years old. In this context, the toddlers are children in the age range of 9 to 36 months old. This period is marked by significant cognitive, emotional, and social development as children in this age group start to explore their environments, develop their language skills, begin to understand emotions, and interact with others. It is a crucial stage in a child's development where they start becoming more independent and forming their own identities.
A patient presents with sudden-onset severe lower abdominal pain, nausea, vomiting, and inability to pass urine. On physical examination, there is suprapubic tenderness and a palpable bladder. What is the most likely diagnosis?
- A. Acute pyelonephritis
- B. Acute urinary retention
- C. Renal colic
- D. Bladder cancer
Correct Answer: B
Rationale: The patient's presentation with sudden-onset severe lower abdominal pain, nausea, vomiting, inability to pass urine, suprapubic tenderness, and a palpable bladder is classic for acute urinary retention. Acute urinary retention is a urological emergency characterized by the sudden inability to pass urine due to the inability to empty the bladder completely. The palpable bladder on physical examination indicates significant bladder distension. This condition can be caused by multiple factors such as bladder outlet obstruction, neurogenic causes, or medications affecting bladder function. Prompt intervention is necessary to relieve the bladder distension, alleviate symptoms, and prevent complications like bladder rupture.