Nokea
Nurse Rey with the members of the team. from a tertiary hospital is going for their annual outreach program Operation TULI". There were 3000 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey, was asked to participate in per forming circumcision with the rest of the doctors. Nurse Rey can be 1iable of committing
- A. assault
- B. tort
- C. invasion of privacy
- D. malpractice
Correct Answer: D
Rationale: Nurse Rey can be liable for committing malpractice. Malpractice refers to professional negligence or failure to provide the standard of care expected in a particular medical situation. In this scenario, Nurse Rey is not qualified or authorized to perform circumcisions, as it falls outside of the scope of practice for a nurse. By participating in performing circumcisions without the necessary qualifications and training, Nurse Rey is potentially putting patients at risk and not providing the appropriate standard of care expected from a healthcare professional. This could be considered as malpractice, for which Nurse Rey may be held liable.
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Physiologic jaundice among newborn babies usually occur on, which of the following? It occurs ________.
- A. Within 24 hours from birth
- B. 7 days after birth
- C. Upon birth
- D. Between the 2nd and the 3rd day after birth
Correct Answer: D
Rationale: Physiologic jaundice among newborn babies typically occurs between the 2nd and the 3rd day after birth. This type of jaundice is considered normal and harmless and is caused by the breakdown of red blood cells and the immaturity of the newborn baby's liver in processing bilirubin. The bilirubin levels rise in the blood, leading to a yellowish discoloration of the skin and eyes. This type of jaundice usually peaks around the 3rd to 4th day after birth and then gradually resolves without treatment within the first week of life. It is important for healthcare providers to monitor bilirubin levels and ensure that they do not reach dangerous levels that could potentially harm the newborn.
A postpartum client who delivered a macrosomic infant expresses concerns about breastfeeding difficulties due to the baby's size. What nursing intervention should be prioritized to support successful breastfeeding in this situation?
- A. Providing education on techniques to improve latch and milk transfer
- B. Recommending supplemental formula feedings to ensure adequate nutrition
- C. Encouraging the client to avoid breastfeeding to prevent discomfort
- D. Referring the client to a lactation consultant for specialized support
Correct Answer: A
Rationale: Providing education on techniques to improve latch and milk transfer should be prioritized to support successful breastfeeding in this situation. Newborns who are macrosomic (large for gestational age) may have difficulties latching due to their size and may require additional support to effectively breastfeed. By educating the postpartum client on proper latch techniques and milk transfer, the nurse can help optimize the breastfeeding experience for both the mother and baby. This intervention focuses on addressing the specific concerns related to the infant's size and aims to promote successful breastfeeding despite potential challenges. As such, recommending supplemental formula feedings, encouraging the client to avoid breastfeeding, or immediately referring to a lactation consultant may not directly address the immediate need for support in improving breastfeeding in this situation.
The physician orders cromolyn sodium (nasal crom) for the client. The nurse instructs the client that the most effective administration schedule is ________.
- A. When manifestations peak only, with two or three doses per day
- B. At the start of the allergy season, with a dose of once-a-day
- C. One week before the allergy season begins, with four to six doses per day
- D. Just after manifestations begin, with a dose of twice-a-day
Correct Answer: D
Rationale: Cromolyn sodium (nasal crom) is a mast cell stabilizer that is commonly used to prevent symptoms of allergic rhinitis, such as sneezing, itching, and congestion. It works best when used before exposure to allergens. The most effective administration schedule for nasal crom is to start using it just after allergy symptoms begin, with a dose of twice-a-day. This helps to prevent the release of histamine and other inflammatory substances from mast cells, thereby reducing allergic symptoms. Using nasal crom in this way can help provide relief and improve the overall management of allergic rhinitis.
"The dress code in this facility does not include wearing blue jeans while on duty". This statement is an example of using which step in giving constructive criticism?
- A. Expressing empathy
- B. Stating expectation
- C. Describing the behavior
- D. Listing consequences
Correct Answer: B
Rationale: The statement provided clearly outlines the expectation regarding the dress code in the facility. By explicitly mentioning that wearing blue jeans while on duty is not included in the dress code, the individual is being informed about a specific expectation they are expected to adhere to. Stating expectations is a crucial step in giving constructive criticism as it sets a clear standard for behavior or performance. In this case, by mentioning the dress code policy, it helps guide the individual on what is acceptable and what is not when it comes to attire while at work.
A patient in the ICU develops acute gastrointestinal bleeding (GIB) requiring urgent intervention. What intervention should the healthcare team prioritize to manage the patient's bleeding?
- A. Perform endoscopic hemostasis with mechanical or thermal techniques.
- B. Administer proton pump inhibitors (PPIs) to reduce gastric acid secretion.
- C. Implement strict bed rest to minimize physical exertion and bleeding risk.
- D. Recommend transfusion of fresh frozen plasma to correct coagulopathy.
Correct Answer: A
Rationale: The healthcare team should prioritize performing endoscopic hemostasis with mechanical or thermal techniques in a patient with acute gastrointestinal bleeding (GIB) requiring urgent intervention. This approach involves directly visualizing the bleeding site and applying methods such as clipping, coagulation, or band ligation to stop the bleeding. Endoscopic hemostasis is considered the gold standard for managing acute GIB as it allows for both diagnostic and therapeutic intervention in real-time, offering a targeted and effective way to control bleeding and prevent recurrent episodes. Administering proton pump inhibitors (PPIs) may help in reducing gastric acid secretion and promoting ulcer healing but is not the primary intervention for actively bleeding patients. Implementing strict bed rest may be necessary in some cases to minimize physical exertion, but it is not the primary intervention to manage acute GIB. Transfusion of fresh frozen plasma to correct coagulopathy may be necessary if