Nokea
Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPR0PRIATE answer can the nurse give?
- A. Urinary tract infections are strongly associated with the occurrence of preterm labor
- B. Reduced sensation to urinate usually occur during preterm labor
- C. Preterm 1abor treatment usually causes women a bladder infection because of restricted fluid intake
- D. Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit
Correct Answer: A
Rationale: Urinary tract infections are strongly associated with the occurrence of preterm labor. It is important to screen for and address any urinary tract infections during pregnancy to reduce the risk of complications like preterm labor. Diagnostic procedures, such as obtaining a urine sample for testing, help healthcare providers identify and treat any infections promptly to promote a healthy pregnancy. Therefore, the nurse can explain to Patient Presley that the diagnostic procedure is necessary to detect and address any potential urinary tract infections that could impact her pregnancy.
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The foundation of medication administration is the application for the "Rights of Medication Administration." which of the following is NOT included in these rights?
- A. Right route
- B. Right dosage
- C. Right patient
- D. Right price.
Correct Answer: D
Rationale: The "Rights of Medication Administration" include the following fundamental principles to ensure safe medication administration: right patient, right medication, right dosage, right route, right time, and right documentation. The price of the medication is not a part of these essential rights. These rights help to prevent medication errors and ensure that patients receive the correct medication in the correct way.
While preparing the surgical site, the nurse notices that the skin preparation solution has expired. What should the nurse do?
- A. Use the expired solution as it is still effective
- B. Document the expiration date in the patient's chart
- C. Discard the expired solution and obtain a new one
- D. Dilute the solution with sterile water to extend its shelf life
Correct Answer: C
Rationale: Using an expired skin preparation solution can compromise the safety and effectiveness of the surgical site cleansing. Expired solutions may have reduced efficacy or could cause adverse reactions due to chemical breakdown over time. Therefore, it is essential for the nurse to discard the expired solution and obtain a new one to ensure proper sanitation and reduce the risk of complications during the surgical procedure. It is important to adhere to proper protocols and guidelines in healthcare settings to maintain patient safety and optimal outcomes.
The nurse informs the patient and family that rehabilitation prior to discharge is BEST described as______.
- A. a period of ups and downs, physically and emotionally
- B. long and one requiring involvement of significant others
- C. easy and smooth from discharge onwards
- D. a rapid process towards recovery
Correct Answer: A
Rationale: Rehabilitation prior to discharge is best described as a period of ups and downs, physically and emotionally because it involves the recovery process after an illness, injury, or medical procedure. It is a challenging time where the patient may experience setbacks and improvements on their journey back to health. There can be physical challenges such as regaining strength and mobility, as well as emotional challenges like coping with the changes in their condition. Therefore, the rehabilitation process is often not smooth and can be a rollercoaster of progress and setbacks, both physically and emotionally.
The nurse researcher is planning a research study that will use human subjects and their choice to participate in a specific treatment. The ethical principle that describes a prospective subject's freedom to choose whether or not to participate in the research study is what?
- A. Justice
- B. Confidentiality
- C. Beneficence
- D. Respect for persons
Correct Answer: D
Rationale: Respect for persons is an ethical principle that emphasizes the autonomy and freedom of individuals to make their own decisions regarding participation in research studies. In the context of human subjects research, this principle requires that individuals have the right to choose whether or not to participate in a study, without any coercion or manipulation. The principle of respect for persons also includes the concept of informed consent, where individuals must be provided with all necessary information about the study in order to make an informed decision about participation. Overall, respecting the autonomy and choices of individuals is a fundamental aspect of ethical research conduct.
A woman in active labor is diagnosed with a prolapsed umbilical cord. What is the priority nursing action?
- A. Elevate the mother's hips to relieve pressure on the cord.
- B. Prepare for immediate cesarean section.
- C. Administer intravenous fluids rapidly.
- D. Perform a vaginal examination to assess cervical dilation.
Correct Answer: B
Rationale: A prolapsed umbilical cord is a medical emergency during labor because it can cause compression of the umbilical cord, leading to decreased oxygen supply to the fetus. The priority nursing action in this situation is to prepare for an immediate cesarean section. This is necessary to quickly deliver the baby and relieve pressure on the cord, preventing potential fetal distress or death. Elevating the mother's hips may help reduce pressure on the cord temporarily, but it is not the definitive treatment for a prolapsed cord. Administering intravenous fluids rapidly may be necessary, but it is not the priority intervention when the fetus is at risk due to a prolapsed cord. Performing a vaginal examination to assess cervical dilation is contraindicated in the presence of a prolapsed umbilical cord as it can further compress the cord and worsen the situation.