It a medicine is unavailable and therefore not given to the patient, how is it charted?
- A. Leave it blank.
- B. Sign and make an explanation in the Nurses Notes.
- C. With an asterisk or mark, as per hospital protocol.
- D. Write the letter.
Correct Answer: B
Rationale: When a medication is unavailable and therefore not given to the patient, it is important to document this in the Nurses Notes along with an explanation. Leaving it blank (Option A) may lead to confusion or errors as the reason for not administering the medication would not be clear. Using an asterisk or mark as per hospital protocol (Option C) may not provide enough information about why the medication was missed. Writing the letter (Option D) without any explanation would not suffice in terms of documentation and accountability. Therefore, signing and making an explanation in the Nurses Notes (Option B) is the correct way to chart when a medication is unavailable. This ensures proper documentation of the situation and helps in maintaining the continuity of care for the patient.
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. The patient with nephrotic syndrome is ordered corticosteroids. Who of the following are NOT ALLOWED in the patient's
- A. Parents with diabetes.
- B. Relatives with upper respiratory tract infection.
- C. Visitors with mild asthma.
- D. Personnel with allergy.
Correct Answer: A
Rationale: Patients with nephrotic syndrome who are ordered corticosteroids need to avoid close contact with individuals who have infections or illnesses, as corticosteroids can suppress the immune system and increase the risk of infections. Therefore, it is important to prioritize the safety and well-being of the patient by minimizing potential sources of infection. While diabetes itself does not pose a direct risk to the patient with nephrotic syndrome, individuals with diabetes may have a compromised immune system or be at higher risk for infections, which could potentially be transmitted to the patient. This precaution helps to minimize the risk of infection and maximize the effectiveness of the treatment for nephrotic syndrome.
Since she wanted to capture the essence and emotion of the victims she chose to use the qualitative design. Which among the statements below is CORRECT about qualitative design?
- A. It commences study at present but consummates at any future time
- B. It allows estimation of relationship between studied variables
- C. It provides insights into attitudes, beliefs, motivates and behaviours of target population
- D. It tests results through numerical data and subjects them to statistical analysis
Correct Answer: C
Rationale: Qualitative research design focuses on gaining an in-depth understanding of attitudes, beliefs, motivations, and behaviors of individuals or groups. It does not typically involve statistical analysis or estimation of relationships between variables like quantitative designs do. Qualitative research involves collecting data through methods such as interviews, observations, or focus groups to provide rich and detailed insights into the experiences and perspectives of the participants. The emphasis is on understanding the meanings individuals attach to their experiences, rather than generalizing findings to a larger population.
What specific term should Nurse Gladys write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease?
- A. Peripheral neuropathy
- B. Inflammation of the fingers
- C. Peripheral cyanosis
- D. Clubbing of the fingers
Correct Answer: D
Rationale: Clubbing of the fingers is a specific term that Nurse Gladys should write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease. Clubbing of the fingers is a diagnostic sign associated with various medical conditions, including congenital heart disease. It is characterized by changes in the angle and shape of the nails, typically involving softening of the nail bed, enlargement of the fingertips, and a loss of the normal angle between the nail and the nail bed. Peripheral neuropathy, inflammation of the fingers, and peripheral cyanosis are different conditions and do not specifically describe the nail changes seen in clubbing.
A postpartum client who delivered vaginally reports difficulty emptying the bladder completely and experiences urinary frequency. What nursing intervention should be prioritized to address this issue?
- A. Assessing for signs of urinary retention or bladder distention
- B. Encouraging the client to increase fluid intake to promote urination
- C. Recommending the use of warm compresses to the suprapubic area
- D. Teaching the client pelvic floor exercises to improve bladder control
Correct Answer: A
Rationale: The priority nursing intervention in this situation is to first assess the client for signs of urinary retention or bladder distention. Difficulty in emptying the bladder completely and experiencing urinary frequency can be indications of urinary retention, which can lead to bladder distention and possible complications such as urinary tract infection. By assessing the client, the nurse can determine the cause of the issue and implement appropriate interventions. It is crucial to address potential complications promptly to promote the client's health and well-being postpartum. Once the assessment is completed, further interventions such as recommending appropriate measures, like warm compresses or pelvic floor exercises, can be considered based on the assessment findings.
A profession is characterized by the following except:
- A. Body of knowledge
- B. Code of ethics
- C. member of professional organization
- D. Engages in research
Correct Answer: C
Rationale: A profession is characterized by having a body of knowledge, a code of ethics, and engaging in research. However, being a member of a professional organization is not a defining characteristic of a profession. While many professionals may choose to join professional organizations for networking, support, and career advancement reasons, membership in such organizations is not universally required or exclusive to being considered a professional in a particular field. Hence, the presence or absence of professional organization membership does not determine the professional status of an individual.