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Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ________.
- A. oath of professional for new nurses
- B. nursing practice act 7164
- C. code of ethics for nurses
- D. core competency standards
Correct Answer: C
Rationale: By endorsing a detergent product on a TV commercial wearing a mini skirt and a plunging neckline shirt, Ms. Sanchez is violating the code of ethics for nurses. The code of ethics for nurses includes provisions that promote professionalism, respect, and integrity in the nursing profession. As a new nursing graduate, Ms. Sanchez has a responsibility to uphold the dignity and reputation of the nursing profession, and endorsing a product in a manner that may compromise her professional image goes against these principles. Nurses are expected to maintain a professional appearance and behavior that reflects positively on the profession and does not undermine public trust in their abilities as healthcare providers. Therefore, Ms. Sanchez's actions in this scenario are in violation of the code of ethics for nurses.
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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.
A primigravida at 39 weeks gestation presents to the labor and delivery unit with contractions every 5 minutes, lasting 45 seconds each. On examination, her cervix is dilated to 3 cm. What is the appropriate nursing intervention?
- A. Encourage the mother to walk to facilitate labor progression.
- B. Administer oxytocin to augment labor.
- C. Prepare for cesarean section.
- D. Encourage relaxation techniques to manage pain.
Correct Answer: A
Rationale: The appropriate nursing intervention in this case is to encourage the mother to walk to facilitate labor progression. The patient is in early labor with contractions every 5 minutes, lasting 45 seconds each, and her cervix is dilated to 3 cm. Encouraging the mother to walk can help gravity assist the descent of the baby and promote cervical dilation. Walking can also help alleviate some discomfort and encourage labor progression. It is important to promote natural, non-invasive methods to support the progress of labor before considering medical interventions such as oxytocin or cesarean section. Relaxation techniques can also be beneficial in managing pain during labor.
A patient admitted to the ICU develops acute liver failure with hepatic encephalopathy. What intervention should the healthcare team prioritize to manage the patient's encephalopathy?
- A. Administer lactulose or other ammonia-lowering agents.
- B. Perform liver transplantation to restore liver function.
- C. Initiate enteral nutrition to support metabolic needs.
- D. Prescribe benzodiazepines for sedation and agitation.
Correct Answer: A
Rationale: The healthcare team should prioritize administering lactulose or other ammonia-lowering agents to manage hepatic encephalopathy in a patient with acute liver failure. Hepatic encephalopathy is a neuropsychiatric syndrome that occurs in patients with liver dysfunction, leading to the accumulation of ammonia and other neurotoxic metabolites in the bloodstream. Lactulose works by acidifying the colon, which promotes the conversion of ammonia to ammonium, a less toxic form that can be excreted in the stool. By reducing the levels of ammonia, lactulose helps improve the neurological symptoms associated with hepatic encephalopathy.
A postpartum client reports severe headache, visual disturbances, and epigastric pain. Which nursing action is most appropriate?
- A. Encouraging the client to rest in a dark, quiet room
- B. Providing acetaminophen for headache relief
- C. Assessing blood pressure and other vital signs
- D. Offering a massage to relieve muscle tension
Correct Answer: C
Rationale: The most appropriate nursing action in this situation is to assess the client's blood pressure and other vital signs. The client's symptoms of severe headache, visual disturbances, and epigastric pain could be indicative of preeclampsia or eclampsia, which are serious conditions that require immediate medical attention. Checking the blood pressure and other vital signs will help determine if the client's symptoms are related to abnormal blood pressure levels, which is critical in identifying and managing hypertensive disorders in postpartum clients. Once the assessment is completed, appropriate medical interventions can be initiated promptly if necessary.
While preparing the surgical instruments for sterilization, the nurse notices that the autoclave is not reaching the required temperature. What should the nurse do?
- A. Document the issue in the equipment log and continue with sterilization
- B. Adjust the settings on the autoclave to increase the temperature
- C. Notify the sterile processing department and request maintenance
- D. Use an alternative method of sterilization for the instruments
Correct Answer: C
Rationale: It is crucial to ensure that the autoclave is functioning properly to achieve proper sterilization of surgical instruments. If the autoclave is not reaching the required temperature, it signifies a technical issue that needs to be addressed promptly. The nurse should notify the sterile processing department immediately and request maintenance to investigate and resolve the problem. Continuing with sterilization without addressing the temperature issue can compromise the effectiveness of sterilization and pose a risk of infection to patients. Adjusting the settings on the autoclave or using an alternative method of sterilization are not appropriate actions in this situation.