Nurse Merry 's application to Canada has finally been approved and she was advised to depart in three months But, she is also enrolled in the graduate school and ambivalent to go because of this engagement plus the fact that her mother has just been discharged from the hospital. Which of the following actions is BEST?
- A. Tell family that the. money spent in graduate school can be easily earned in Canada
- B. Inform the agency that she could go anytime as they wish.
- C. Tell the recruiter to give her more time to settle her personal affairs.
- D. Share to friends this is her escape from her sad life with her family.
Correct Answer: C
Rationale: The correct answer is C. Nurse Merry should tell the recruiter to give her more time to settle her personal affairs before departing to Canada. This is the best action because it shows responsibility and consideration for her current commitments and family situation. By requesting more time, she can prioritize her mother's recovery and complete her graduate studies, demonstrating good decision-making skills and care for her loved ones.
Option A is incorrect because it dismisses the importance of family and personal obligations. Option B is incorrect as it shows a lack of planning and responsibility. Option D is incorrect as it suggests running away from problems instead of addressing them responsibly.
You may also like to solve these questions
The PRIORITY nursing objective when caring a patient with a tracheostomy is _________.
- A. To increase tissue oxygenation
- B. To provide patent airway
- C. To decrease tissue oxygenation
- D. To improve ventilation
Correct Answer: B
Rationale: The correct answer is B: To provide a patent airway. When caring for a patient with a tracheostomy, ensuring a clear and unobstructed airway is the top priority to maintain adequate oxygenation and ventilation. This involves suctioning, maintaining proper tube placement, and monitoring for any signs of respiratory distress. Choices A, C, and D are incorrect as they do not address the immediate need for airway management, which is crucial for the patient's safety and well-being.
Latex allergy can be a type I IgE-mediated immediate hypersensitivity to plant proteins from the latex of rubber. It can manifest in its MOST severe form as _____.
- A. Pruritus, erythema and swelling
- B. Asthma
- C. Anaphylaxis
- D. Blisters and other skin lesions
Correct Answer: C
Rationale: The correct answer is C: Anaphylaxis. Anaphylaxis is the MOST severe form of an allergic reaction, including latex allergy. It is a systemic, potentially life-threatening reaction that can involve multiple organ systems. Symptoms can include difficulty breathing, swelling of the throat, a rapid drop in blood pressure, and cardiovascular collapse. Pruritus, erythema, and swelling (choice A) are common symptoms of allergic reactions but not specific to anaphylaxis. Asthma (choice B) can be a manifestation of latex allergy but is not the most severe form. Blisters and other skin lesions (choice D) are not typical of anaphylaxis but can occur in some cases of contact dermatitis from latex exposure.
A patient is prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which adverse effect should the nurse monitor closely in the patient?
- A. Bradycardia
- B. Hyperkalemia
- C. Hyponatremia
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. SSRI medications can lead to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), causing hyponatremia. This occurs due to increased levels of serotonin affecting the hypothalamus, leading to excessive ADH release. Hyponatremia can result in neurological symptoms and must be closely monitored.
A: Bradycardia is not a common adverse effect of SSRIs.
B: Hyperkalemia is not typically associated with SSRIs.
D: Hypertension is not a common adverse effect of SSRIs; they may actually lower blood pressure.
A nurse is preparing to perform a chest tube insertion for a patient with a pneumothorax. What action should the nurse prioritize to ensure proper placement of the chest tube?
- A. Positioning the patient in a semi-Fowler's position with arms elevated
- B. Marking the insertion site with a pen to guide tube placement
- C. Administering analgesia to the patient before the procedure
- D. Confirming the insertion site and direction using imaging guidance
Correct Answer: D
Rationale: The correct answer is D because confirming the insertion site and direction using imaging guidance ensures precise placement of the chest tube, minimizing the risk of complications. Imaging guidance allows the nurse to visualize the exact location of the pneumothorax and guide the tube insertion accurately.
A: Positioning the patient in a semi-Fowler's position with arms elevated may be beneficial for comfort but does not directly ensure proper chest tube placement.
B: Marking the insertion site with a pen may help as a reference point but does not guarantee accurate placement.
C: Administering analgesia is important for the patient's comfort but does not impact the placement of the chest tube.
In summary, choice D is the most critical step to ensure the chest tube is correctly placed and effectively treats the pneumothorax.
A biphasic anti-ovulatory medication of combined progestin and estrogen is prescribed for a female patient. What should the nurse include when teaching about this oral contraceptive?
- A. Restrict sexual activity temporarily.
- B. Report any irregular vaginal bleeding.
- C. Increase the intake of calcium.
- D. Have bi-monthly Pap smears.
Correct Answer: B
Rationale: The correct answer is B: Report any irregular vaginal bleeding. This is important because irregular vaginal bleeding can indicate potential issues such as breakthrough bleeding or hormonal imbalances, which may require adjustments to the contraceptive regimen. Other choices are incorrect because: A) Restricting sexual activity is not necessary with this medication, C) Increasing calcium intake is not directly related to taking biphasic anti-ovulatory medication, and D) Bi-monthly Pap smears are not specifically required due to this type of contraception.