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One error in record-keeping is illegible handwriting. What is the APPROPRIATE action by the nurse in this situation?
- A. Request the senior nurse to read the order for you.
- B. Let the resident-on-duty in the nurses station interpret it.
- C. Call the physician who made the order.
- D. Report the lapse to the Quality Assurance Committee
Correct Answer: A
Rationale: The appropriate action for a nurse in this situation is to request the senior nurse to read the illegible order for clarification. It is essential to ensure accurate and safe patient care by confirming the correct interpretation of the order with a colleague familiar with the handwriting. This action helps prevent errors and misunderstandings that may occur due to illegible handwriting. Consulting with the senior nurse is a common practice in healthcare settings to maintain effective communication and avoid mistakes in patient care.
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Which of the following are essential components of informed consent? I. explanation of the procedure and alternatives to the procedure II. discussion of potential risks and benefits of the procedure III. confirmation that the patient understands the risks, benefits, and any alterations
- A. I, III
- B. II, III
- C. I, II
- D. I, II, III
Correct Answer: D
Rationale: All of the components -explanation of the procedure and alternatives to the procedure (I), discussion of potential risks and benefits of the procedure (II), and confirmation that the patient understands the risks, benefits, and any alterations (III) -are essential parts of informed consent. Providing information about the procedure and its alternatives, disclosing potential risks and benefits, and ensuring that the patient comprehends this information are crucial to obtaining valid informed consent prior to any medical procedure.
A patient is prescribed a calcium channel blocker for the management of hypertension. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypoglycemia
- B. Peripheral edema
- C. Hypokalemia
- D. Tachycardia
Correct Answer: D
Rationale: Calcium channel blockers are often prescribed for the management of hypertension because they can help relax blood vessels and slow the heart rate, thus reducing blood pressure. One of the major adverse effects associated with calcium channel blockers is bradycardia (slow heart rate) or even more rarely, tachycardia (fast heart rate). Therefore, in a patient prescribed a calcium channel blocker for hypertension, the nurse should closely monitor for any signs and symptoms of tachycardia as it can be a serious adverse effect that needs prompt evaluation and intervention to prevent complications.
Leukemia is a chronic illness and it is expected that the patient will be in and out of the hospital. To maintain communication, the nurse will _________.
- A. ask the patient to call the hospital number listed in the yellow pages
- B. ask for the phone number where the patient can be easily contacted
- C. read the information sheet of the patient in the chart
- D. tell patient to write the number in a piece of paper and give it to the ward clerk
Correct Answer: B
Rationale: It is important for the nurse to have a direct and easily accessible means of communication with the patient who is expected to be in and out of the hospital due to their chronic illness like leukemia. By asking for the patient's phone number, the nurse can quickly reach out to them for updates, clarification, or any urgent matters that may arise. This direct communication line helps in ensuring continuity of care and addressing the patient's needs promptly. This approach is more practical and efficient compared to options such as asking the patient to call the hospital number listed in the yellow pages or relying on chart information which may not always be up to date. Writing down the number and giving it to the ward clerk may cause unnecessary delays in communication.
A postpartum client who experienced a vaginal delivery expresses concerns about resuming sexual activity. What information should the nurse provide to address the client's concerns?
- A. Discuss the potential use of barrier contraceptives for contraception.
- B. Educate the client about the normal changes in sexual desire and response.
- C. Recommend delaying sexual activity until the postpartum check-up.
- D. Encourage the client to use lubricants to alleviate discomfort.
Correct Answer: B
Rationale: Option B is the most appropriate response when addressing a postpartum client's concerns about resuming sexual activity after a vaginal delivery. Educating the client about the normal changes in sexual desire and response following childbirth can help alleviate anxiety and provide reassurance. It is crucial for the nurse to explain that it is common for women to experience changes in libido, physical discomfort, and emotional adjustments after giving birth. By discussing these normal postpartum changes, the nurse can support the client in understanding that her feelings are valid and that it may take time for her to feel ready to engage in sexual activity again. Furthermore, the nurse can provide information on ways to enhance comfort and intimacy when resuming sexual activity, such as communication with partners, using lubricants, and gradually easing back into sexual activity as desired.
Which measure will be used in the unit to ensure patient satisfaction of the delivery of health services?
- A. Encourage to use social media
- B. Provide means to evaluate services
- C. Verbal feedback
- D. Ask the local officials
Correct Answer: B
Rationale: Providing means to evaluate services is the most appropriate measure to ensure patient satisfaction with the delivery of health services. This can be done through patient surveys, feedback forms, or other evaluation methods. By systematically collecting and analyzing feedback from patients, healthcare providers can assess the quality of their services, identify areas for improvement, and address any concerns or issues raised by patients. This proactive approach allows for continuous monitoring and improvement of the healthcare services provided, leading to enhanced patient satisfaction and overall quality of care.