Nokea
Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you because you're only a nurse. I will wait for my doctor. " Which of the following should the nurse say I'm response to the patient?
- A. Your doctor prescribed this for us to do nursing care.
- B. I understand. I should call your doctor.
- C. I' m angry with the way you dismiss me.
- D. So then you would prefer to speak with your doctor?
Correct Answer: D
Rationale: It is important for the nurse to acknowledge the patient's preference and respect their choice. By responding with "So then you would prefer to speak with your doctor?" the nurse is showing understanding and willingness to accommodate the patient's request. This response helps to maintain a positive and respectful interaction with the patient.
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What symptom is an INDICATOR of cranial nerve involvement?
- A. Difficulty of speaking and chewing.
- B. Loss of pain sensation
- C. Spastic paralysis of the extremities
- D. Forgetfulness and syncope
Correct Answer: A
Rationale: Difficulty of speaking and chewing is an indicator of cranial nerve involvement. Cranial nerves are responsible for controlling various functions of the head and neck, including speech and mastication. Impairment of cranial nerve function can lead to difficulty in these activities. In the context of the question, with the patient in the stroke unit, cranial nerve involvement can occur due to the stroke affecting the brain regions responsible for cranial nerve function. Loss of pain sensation, spastic paralysis of the extremities, and forgetfulness with syncope are not specific indicators of cranial nerve involvement in this scenario.
The QA team has been bombarded by complaints of patients on their long waiting period in the OPD, before the health care professionals are examining them. In response to this concern, which type of quality assessment should the team implement?
- A. Outcome evaluation
- B. Ongoing evaluation
- C. Process evaluation
- D. Structures evaluation
Correct Answer: C
Rationale: Process evaluation focuses on assessing how well the activities and procedures are being conducted to achieve the desired outcomes. In this situation, the long waiting period in the OPD is a process issue related to the efficiency of patient flow and appointment scheduling practices. By implementing a process evaluation, the QA team can analyze and improve the workflow, identify bottlenecks causing delays, and streamline the processes to reduce waiting times for patients. This approach allows the team to make targeted improvements in the processes directly associated with the patient experience, leading to a more effective and efficient OPD operation.
A patient with a history of heart failure presents with dependent edema in the lower extremities. Which nursing action is most appropriate for managing the patient's edema?
- A. Applying compression stockings
- B. Elevating the legs above heart level
- C. Administering diuretics as prescribed
- D. Encouraging increased fluid intake
Correct Answer: C
Rationale: The most appropriate nursing action for managing a patient with dependent edema in the lower extremities is to administer diuretics as prescribed. Diuretics help the body remove excess fluid, reducing swelling and edema in the extremities. It is important to follow the healthcare provider's orders for administering diuretics to ensure the patient's fluid balance is managed effectively. While elevating the legs above heart level and applying compression stockings may provide temporary relief, addressing the underlying cause of fluid retention with diuretics is essential for long-term management of the edema in a patient with heart failure. Encouraging increased fluid intake would not be appropriate in this case, as the focus should be on reducing fluid overload rather than increasing fluid intake.
Nurse Pedrito sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________.
- A. Unable to carry out cognitive and motor activity at the same time.
- B. Observed shaving only one side of his face.
- C. Unable to complete a range of vision without turning his head side to side.
- D. Unable to distinguish between two tactile stimuli.
Correct Answer: B
Rationale: Unilateral neglect is a common condition following a stroke where the individual fails to attend to one side of their body or to the space on that side. In this case, Mang Jose exhibiting signs of unilateral neglect by only shaving one side of his face, neglecting the other side. This behavior demonstrates a lack of awareness or attention to the affected side of his body, indicating a classic symptom of unilateral neglect.
Which of the following clinical manifestations would the nurse expect to find in the client with rhinitis?
- A. Nasal congestion, rhinorrhea and sneezing
- B. Headache, sore throat and sneezing
- C. Nasal congestion, pyrexic and rhinorrhea
- D. Nasal congestion, headache and sore throat
Correct Answer: A
Rationale: Rhinitis is inflammation of the nasal mucosa, and common clinical manifestations include nasal congestion (blockage or stuffiness), rhinorrhea (runny nose), and sneezing. These symptoms are often present in both allergic and non-allergic rhinitis. While headaches, sore throat, and fever can occur in some cases, they are not as specific to rhinitis as nasal congestion, rhinorrhea, and sneezing.