Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an IMPORTANT element that characterizes Nursing as a profession ?
- A. Has members
- B. Possess body of knowledge
- C. Service oriented
- D. A calling
Correct Answer: B
Rationale: Possessing a body of knowledge is an important element that characterizes nursing as a profession. Nursing is a field that requires specialized education, training, and expertise in various areas of healthcare. Nurses are expected to have a comprehensive understanding of anatomy, physiology, pharmacology, and various nursing theories and practices to effectively care for patients. This body of knowledge distinguishes nursing as a profession and supports the delivery of high-quality, evidence-based patient care. While the other options (having members, being service-oriented, and a calling) are also important aspects of nursing, possessing a body of knowledge is fundamental to the profession's identity and practice.
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The nurse discusses and shares the medical records of Mr. Steve to a group of visiting members of a medical mission team. Which of the following rights could be violated? the right to
- A. Expect that all communications and record pertaining to his care should be treated as confidential.
- B. Obtain information regarding any relationships of the hospital to another health care and educational
- C. Informed consent
- D. Privacy
Correct Answer: A
Rationale: The nurse sharing Mr. Steve's medical records with a group of visiting members of a medical mission team violates his right to expect that all communications and records pertaining to his care should be treated as confidential. Patient confidentiality is a fundamental ethical principle in healthcare that protects a patient's privacy and sensitive information. Sharing medical records without the patient's consent breaches this confidentiality and can lead to legal and ethical consequences. It is important for healthcare providers to maintain the confidentiality of patient information to uphold trust between patients and healthcare professionals.
A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:
- A. Defamation
- B. assault
- C. battery .
- D. fraud.
Correct Answer: C
Rationale: Battery occurs when there is an intentional touching of another person without their consent. In this case, the nurse began cardiopulintary resuscitation on a client who had requested a "Do Not Resuscitate" (DNR) order, which means the client did not consent to the resuscitation. This action can be considered as battery because the client's wishes were not respected, and the nurse proceeded with a medical intervention against those wishes, leading to harm and potential legal consequences. This is different from assault, which involves a threat of force, and from defamation and fraud, which are not applicable to this situation.
Which of the following organisms is the MOST common causative agent of urinary tract infection (UTI)?
- A. Staphylococcus
- B. Pseudomonas
- C. Klebsiella
- D. Escherichia coli
Correct Answer: D
Rationale: Escherichia coli (E. coli) is the MOST common causative agent of urinary tract infection (UTI), accounting for approximately 80-85% of all cases. E. coli is a type of bacteria that naturally resides in the gastrointestinal tract and can easily migrate to the urinary tract, causing infection. Its prevalence in UTIs is due to various factors such as its ability to adhere to the uroepithelial cells and form biofilms, leading to persistent infections. Therefore, E. coli is the most common organism responsible for UTIs in both community and healthcare settings.
A nurse is preparing to assist with a cardiopulmonary exercise stress test for a patient. What action should the nurse prioritize to ensure patient safety during the test?
- A. Administering a beta-blocker medication to the patient before the test
- B. Monitoring the patient's electrocardiogram (ECG) rhythm continuously during the test
- C. Encouraging the patient to consume a heavy meal two hours before the test
- D. Allowing the patient to resume normal activities immediately after the test
Correct Answer: B
Rationale: The most critical action to prioritize for ensuring patient safety during a cardiopulmonary exercise stress test is to monitor the patient's electrocardiogram (ECG) rhythm continuously during the test (Option B). This monitoring allows the healthcare team to promptly detect any abnormal heart rhythms or signs of cardiac distress, enabling timely intervention if necessary. Continuous ECG monitoring is essential during exercise testing as it helps in assessing the heart's response to physical activity and identifying any potential cardiac abnormalities or complications that may arise during the test. By closely monitoring the ECG rhythm, the nurse can ensure the patient's safety and well-being throughout the procedure. Administering a beta-blocker medication before the test (Option A) may be indicated in some cases but is not as crucial as continuous ECG monitoring during the test. Encouraging the patient to consume a heavy meal before the test (Option C) is contraindicated as it can interfere with the accuracy of the results
While preparing the surgical instruments for sterilization, the nurse notices visible residue on some of the instruments. What action should the nurse take?
- A. Re-sterilize the instruments
- B. Use the instruments for the procedure as they are
- C. Document the findings in the instrument log
- D. Notify the sterile processing department
Correct Answer: A
Rationale: If visible residue is noticed on the surgical instruments, it is crucial to re-sterilize them before using them for any procedure. Visible residue may indicate that the instruments are not sterile and could potentially introduce contaminants into the patient during the procedure, leading to infection or other complications. It is essential to maintain the highest standards of cleanliness and sterility in healthcare settings to ensure patient safety. Therefore, the nurse should take immediate action to re-sterilize the instruments before proceeding with any surgical procedure.
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