Nokea
Nurse Sandy has completed the study and started to make a report to be Research department. A written brief summary is submitted which is known as _____.
- A. narrative
- B. critical appraisal
- C. abstract
- D. monograph
Correct Answer: C
Rationale: An abstract is a concise summary of a research study that provides an overview of the purpose, methods, results, and conclusions of the research. It is usually the first section of a research report or article and serves to give the reader a quick understanding of the study without having to read the full document. In this case, Nurse Sandy has completed the study and is preparing to submit a written brief summary to the Research department, which is typically in the form of an abstract. It highlights the key points of the study, allowing others to quickly grasp the main findings and implications.
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A patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed prednisone for an acute exacerbation. Which instruction is important for the nurse to include in patient education about prednisone therapy?
- A. "Take prednisone with antacids to minimize gastrointestinal upset."
- B. "Avoid abruptly stopping prednisone therapy."
- C. "Increase your intake of potassium-rich foods while taking prednisone."
- D. "Prednisone may cause weight loss, so monitor your weight regularly."
Correct Answer: B
Rationale: It is crucial for patients with COPD who are prescribed prednisone to be educated about the importance of not abruptly stopping the medication. Prednisone is a type of corticosteroid that should be tapered off gradually under the guidance of a healthcare provider to prevent potential withdrawal symptoms and adrenal insufficiency. Suddenly stopping prednisone can lead to serious adverse effects, including fatigue, weakness, joint pain, fever, dizziness, and potentially life-threatening complications. Therefore, adherence to the prescribed tapering schedule is essential to ensure the safe and effective management of COPD exacerbations with prednisone therapy.
Which element of malpractice occurs when the nurse does not act as a reasonable, prudent person would have acted in a similar circumstance?
- A. Duty
- B. Injury or damage
- C. Breach of duty
- D. Causation
Correct Answer: C
Rationale: Breach of duty is the element of malpractice that occurs when the nurse does not act as a reasonable, prudent person would have acted in a similar circumstance. This means that the nurse failed to uphold the standard of care expected in their practice. In a malpractice case, it must be proven that the nurse breached their duty of care towards the patient by not providing the expected level of skill and care that another reasonable nurse in the same situation would have provided.
Which of these measures will help stabilize mentally the parents of Nurse Lailanie?
- A. Establish a regular routine
- B. Repaint or buy a new furniture
- C. Move to small apartment
- D. Correct bad behaviors gently
Correct Answer: A
Rationale: Establishing a regular routine can be very helpful in stabilizing the mental state of parents. Consistency and structure in day-to-day activities can provide a sense of predictability and control, which can help reduce anxiety and stress. By having a routine, the parents can feel more organized, efficient, and better equipped to manage their responsibilities and emotions. Additionally, a regular routine can promote better sleep patterns, healthier habits, and overall well-being. This measure is practical, achievable, and can have positive effects on the mental stability of Nurse Lailanie's parents.
A patient with a history of stroke is at risk for impaired skin integrity due to immobility. Which nursing intervention is most effective in preventing pressure ulcers in this patient?
- A. Turning and repositioning the patient every 2 hours
- B. Massaging bony prominences regularly
- C. Applying heating pads to areas of erythema
- D. Using a pressure-reducing mattress
Correct Answer: A
Rationale: Turning and repositioning the patient every 2 hours is the most effective nursing intervention in preventing pressure ulcers in a patient with a history of stroke and immobility. Pressure ulcers, also known as bedsores, are caused by prolonged pressure on the skin, leading to reduced blood flow and tissue damage. By regularly turning and repositioning the patient, pressure is relieved from specific areas of the body, helping to prevent the development of pressure ulcers. This intervention helps to redistribute pressure, improve blood flow, and reduce the risk of skin breakdown, thus promoting skin integrity in immobile patients.
Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn 's Condition is used at how many minutes after birth?
- A. 1 to 10
- B. 1 to 7
- C. 1 to 3
- D. 1 to 5
Correct Answer: C
Rationale: The APCAR (Appearance, Pulse, Grimace, Activity, Respiration) score is used to evaluate a newborn's condition in the first few minutes after birth. This assessment typically occurs within the first 1 to 3 minutes after the baby is born. The score helps healthcare providers quickly assess the baby's overall well-being and determine if any immediate interventions or further monitoring are necessary.