Nokea
Nurse Mary had observedthat most patients with hypertension stop taking their medications and heard them saying "I feel good already" Which is the APPROPRIATE nursing diagnosis?
- A. Impaired gas exchange
- B. Knowledge deficit
- C. Anxiety
- D. Ineffective coping
Correct Answer: D
Rationale: The appropriate nursing diagnosis for this situation is "Ineffective coping" because the patients with hypertension who stop taking their medications despite feeling good may be using this behavior as a maladaptive coping mechanism. It suggests that they might not fully understand the importance of medication adherence or are struggling to accept their diagnosis. By not adhering to their prescribed treatment, they are putting themselves at risk for complications associated with uncontrolled hypertension. Therefore, the nursing diagnosis of "Ineffective coping" addresses the patients' inability to deal with their condition in a healthy manner, leading to noncompliance with their treatment regimen.
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Therapeutic treatment for Mrs. Juan should be directed towards helping her to ______.
- A. learn that her behavior is not serving a realistic purpose
- B. forget her fears by administering antianxiety medications
- C. redirect her energy into activities to help others
- D. understand her behavior is caused by unconscious impulses that she fears
Correct Answer: C
Rationale: Mrs. Juan's therapeutic treatment should focus on redirecting her energy into activities that involve helping others. By engaging in altruistic activities, Mrs. Juan can shift her focus away from her fears and anxieties towards something positive and fulfilling. This approach can help her to find purpose and meaning outside of her own concerns, fostering a sense of well-being and satisfaction. Additionally, helping others can provide Mrs. Juan with a sense of accomplishment and self-worth, ultimately contributing to her overall mental health and emotional resilience.
A patient presents with fatigue, pallor, and exertional dyspnea. Laboratory tests reveal severe anemia, low serum iron, low transferrin saturation, and elevated total iron-binding capacity (TIBC). Which of the following conditions is most likely to cause these findings?
- A. Iron deficiency anemia
- B. Anemia of chronic disease
- C. Sideroblastic anemia
- D. Thalassemia
Correct Answer: A
Rationale: The clinical presentation of fatigue, pallor, exertional dyspnea along with the laboratory findings of severe anemia, low serum iron, low transferrin saturation, and elevated TIBC are consistent with iron deficiency anemia. In iron deficiency anemia, there is inadequate iron available for erythropoiesis leading to microcytic hypochromic anemia. The low serum iron and transferrin saturation, along with the elevated TIBC, indicate decreased iron stores and increased iron-binding capacity as the body tries to compensate for the deficiency by increasing absorption and recycling of iron. Anemia of chronic disease typically presents with mild to moderate anemia, normal to low TIBC, and low transferrin saturation due to iron sequestration in macrophages. Sideroblastic anemia usually has elevated serum iron, high saturation, and normal to low TIBC. Thalassemia presents with microcytic hyp
Records are IMPORTANT iin health care for
- A. counting hospital bills
- B. evidence of health care
- C. Quantifying services provided
- D. For the physician to read
Correct Answer: B
Rationale: Records are IMPORTANT in health care as they serve as evidence of the health care services that have been provided to a patient. These records contain vital information such as the patient's medical history, diagnoses, treatments, medications, and test results. Keeping accurate and detailed records is crucial for monitoring a patient's progress, ensuring appropriate care is being provided, and serving as a reference point for healthcare providers involved in the patient's treatment. Additionally, health care records are essential for legal and insurance purposes, quality assessment, research, and continuity of care.
During surgery, the nurse observes an unusual odor emanating from the surgical site. What should the nurse do?
- A. Document the observation in the patient's chart
- B. Ignore the odor and continue with the procedure
- C. Inform the surgeon immediately and assess for signs of infection
- D. Request additional suctioning to remove the odor
Correct Answer: C
Rationale: If the nurse observes an unusual odor emanating from the surgical site during surgery, it is important to inform the surgeon immediately and assess for signs of infection. Changes in odor can sometimes be an early sign of infection, which requires prompt attention and intervention. By communicating with the surgeon and conducting a thorough assessment, the nurse can help ensure the timely detection and management of any potential complications, such as infection, that may be affecting the patient's surgical outcome. Prompt action in response to unusual observations is crucial to maintaining patient safety and well-being during surgical procedures.
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.