Nokea
Laboratory results for a patient on prolonged bedrest include a high level of urinary calcium. What risk does this pose for the patient?
- A. urinary calcium is not a concern
- B. renal calculi (kidney stones)
- C. increased urinary output
- D. imbalanced intake/output
Correct Answer: B
Rationale: Excess urinary calcium from bone breakdown risks kidney stones.
You may also like to solve these questions
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
- A. Suturing the surgical incision in the OR suite
- B. Managing patient care activities in the OR suite
- C. Assisting with applying sterile drapes in the OR suite
- D. Handing sterile instruments and supplies to the surgeon in the OR suite
Correct Answer: B
Rationale: The correct answer is B: Managing patient care activities in the OR suite. The primary role of the circulating nurse is to coordinate and manage patient care activities during surgery. This includes ensuring patient safety, maintaining aseptic technique, documenting the procedure, and communicating with the surgical team. Suturing the incision (A) is the responsibility of the surgeon, not the circulating nurse. Assisting with applying sterile drapes (C) is part of the scrub nurse's role. Handing sterile instruments to the surgeon (D) is the responsibility of the scrub nurse as well. Therefore, managing patient care activities (B) is the most appropriate role for the circulating nurse in the OR suite.
The most important risk factor(s) for the development of a healthcare associated infection in the older person is which of the following?
- A. The length of time they are in hospital for and the number of times that they move wards
- B. The presence of an invasive indwelling device and the degree of any underlying illness
- C. Whether they are exposed to other patients with infections
- D. If they are bed bound and can't cough properly
Correct Answer: B
Rationale: The correct answer is B, as the presence of invasive devices and underlying illnesses are significant risk factors for healthcare-associated infections in older patients.
When transferring a resident who has a weak side,
- A. The weaker side moves first
- B. The stronger side moves first
- C. The strong side and weak side move at the same time
- D. It does not matter which side moves first
Correct Answer: B
Rationale: The correct answer is B because when transferring a resident with a weak side, it is important to move the stronger side first to provide better support and stability. By moving the stronger side first, you can ensure proper weight distribution and reduce the risk of falls or injuries. This approach also helps prevent the weaker side from bearing too much weight or strain.
Choice A is incorrect because moving the weaker side first may compromise the resident's safety and stability. Choice C is incorrect as it can lead to imbalance and increase the risk of falls. Choice D is incorrect because the sequence of movement does matter to ensure a safe transfer for both the resident and the caregiver.
A 28 year old male is brought to the E He was involved in a fight in which he was beaten with a wooden stick. His chest shows multiple severe bruises. His airway is clear, RR is 22, HR is 126 and systolic BP is 90mmHg. Which one of the following should be performed during the primary survey?
- A. "GCS"
- B. Cervical spine x-ray
- C. TT-administration
- D. Blood alcohol level
Correct Answer: A
Rationale: The correct answer is A: "GCS" (Glasgow Coma Scale). During the primary survey, assessing the patient's level of consciousness using the Glasgow Coma Scale is crucial for identifying any potential head injuries or altered mental status due to trauma. This assessment helps determine the severity of the patient's condition and guides further management.
B: Cervical spine x-ray is not indicated during the primary survey as it is more appropriate in the secondary survey to evaluate for potential cervical spine injuries.
C: TT-administration (tetanus toxoid) is important for management but not a priority during the primary survey. It can be addressed later in the treatment process.
D: Blood alcohol level is not crucial during the primary survey for immediate life-saving interventions. It can be considered in the secondary survey for further evaluation.
One method substance abusers use to try to hide their addiction is to
- A. Avoid brushing their teeth
- B. Use room fresheners
- C. Consistently make eye contact
- D. Have strong social relationships
Correct Answer: B
Rationale: The correct answer is B: Use room fresheners. Substance abusers may use room fresheners to mask the smell of drugs or alcohol. This can help them hide their addiction from others by creating a more pleasant environment. Avoiding brushing their teeth (A) would not effectively hide their addiction, making eye contact (C) is unrelated to hiding addiction, and having strong social relationships (D) may not necessarily conceal their substance abuse. Using room fresheners is a direct method to cover up the scent associated with substance abuse.