Nokea
Mrs. Carpio has an order of Thiazide diuretics for her edema. The following is the entry that you expect to be written in her progress report EXCEPT ______.
- A. Serum electrolyte monitored everyday
- B. Intake and output done every shift
- C. Weight taken before drug is administered
- D. Drug is administered at 8o'clock in the evening
Correct Answer: D
Rationale: The entry you expect to be written in Mrs. Carpio's progress report should include details related to monitoring her response to the Thiazide diuretics and ensuring her safety. Options A, B, and C all focus on these aspects by monitoring serum electrolytes, intake and output, and weight before drug administration, which are important considerations when a patient is on Thiazide diuretics. However, specifying the time of drug administration (8 o'clock in the evening) is not necessary in the progress report entry. The focus should be on the patient's response to the medication and the associated monitoring parameters. Time of administration is more relevant for nursing care plans or medication schedules.
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Which of the following is an example of self directed learning activity?
- A. Research at work
- B. Attends webinars
- C. Attendance to graduate school
- D. Resource person
Correct Answer: A
Rationale: Research at work is an example of self-directed learning activity because it involves taking the initiative to seek out information, learn new skills, and solve problems independently within a workplace setting. This type of learning requires self-motivation, self-discipline, and autonomy to set goals, gather resources, and develop knowledge or expertise in a specific area. Individuals engage in research at work to enhance their professional growth, expand their skill set, or address challenges encountered in their job responsibilities. It is a proactive approach to learning where individuals take charge of their own development and continuously strive to improve their performance.
One of the lecturers discussed the complications that patients may have while on IV therapy. Which of the following is the most common Complication that IV patients may contract while on IV therapy?
- A. Embolism
- B. Phlebitis
- C. Cardiac Overload
- D. Aneurysm
Correct Answer: B
Rationale: Phlebitis is the most common complication that patients may contract while on IV therapy. Phlebitis is the inflammation of the vein where the IV is inserted, which can cause redness, pain, and swelling along the vein. It can be caused by mechanical irritation, chemical irritation, or infection from the IV catheter. Prompt removal of the IV catheter and appropriate treatment are necessary to manage phlebitis and prevent further complications. While embolism, cardiac overload, and aneurysm are potential complications of IV therapy, phlebitis is more commonly seen in clinical practice.
Which of the following imaging test that uses transducer will be likely be ordered by the physician to detect gallstones?
- A. Computed Tomography
- B. Abdominal Ultrasound
- C. Abdominal X-ray
- D. Doppler sonography
Correct Answer: B
Rationale: An abdominal ultrasound is the imaging test that uses a transducer and is most commonly ordered by physicians to detect gallstones. This non-invasive procedure allows the physician to visualize the gallbladder and detect any presence of gallstones. The transducer emits sound waves that bounce off the gallstones, creating images that can be seen on a screen. This imaging test is safe, reliable, and effective in diagnosing gallstones without the use of radiation or contrast dye.
A nurse is preparing to assist with a magnetic resonance imaging (MRI) procedure for a patient. What action should the nurse prioritize to ensure procedural safety?
- A. Screening the patient for contraindications to MRI, such as metal implants or claustrophobia
- B. Administering intravenous sedation to the patient before the procedure
- C. Placing the patient in a supine position with arms at their sides during the MRI scan
- D. Allowing the patient to wear metallic jewelry or accessories during the procedure
Correct Answer: A
Rationale: The nurse should prioritize screening the patient for contraindications to MRI, such as metal implants or claustrophobia, to ensure procedural safety. Metallic objects can be hazardous in an MRI environment as they can be attracted to the magnet, potentially causing harm to the patient or staff. Claustrophobia can also be a significant issue for patients undergoing an MRI scan, and identifying this beforehand allows for appropriate measures to be taken to address the patient's anxiety or discomfort. Prioritizing this screening step helps ensure the safety and well-being of the patient during the MRI procedure.
Which of the following is a common complication associated with hip fracture in elderly patients?
- A. Compartment syndrome
- B. Avascular necrosis of the femoral head
- C. Dislocation of the hip prosthesis
- D. Volkmann's contracture
Correct Answer: B
Rationale: Avascular necrosis of the femoral head, also known as osteonecrosis, is a common complication associated with hip fractures in elderly patients. It occurs when there is a loss of blood supply to the femoral head following the fracture, leading to bone tissue death. This can result in pain, limitation of motion, and potentially the collapse of the femoral head, causing further complications. Timely diagnosis and appropriate management are crucial in order to prevent further degeneration of the hip joint. Other complications such as compartment syndrome, dislocation of the hip prosthesis, and Volkmann's contracture are not typically associated with hip fractures in elderly patients.