Nokea
Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 800 cc level and not 400cc, as endorsed. What is the CORRECT information that she will chart?
- A. Anything goes, nobody reads the charting anyway.
- B. Record the 400 cc.
- C. Chart that she received 800
- D. Refer to the Head Nurse on what to do.
Correct Answer: C
Rationale: The correct information that the incoming nurse should chart is that she received 800 cc of IV fluid. It is crucial for the charting to accurately reflect the actual situation to provide an accurate record for the patient's care. In this scenario, the discrepancy between the endorsed amount (400 cc) and the observed amount (800 cc) should be documented to ensure transparency and continuity of care. This deviation from the expected amount should be clearly recorded for proper monitoring and evaluation of the patient's condition.
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The professional conduct. of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?
- A. Improving performance
- B. Patient care standards
- C. Organizationa l ethics
- D. Leadership and management
Correct Answer: B
Rationale: The professional conduct of doctors, nurses, and other healthcare providers in health facilities primarily aligns with patient care standards. This quality standard ensures that healthcare professionals prioritize the well-being, safety, and comfort of the patients they serve. Patient care standards encompass various aspects of healthcare delivery, including effective communication, compassionate treatment, adherence to medical protocols, and respect for patient rights and confidentiality. By upholding patient care standards, healthcare providers demonstrate their commitment to delivering quality care and maintaining the trust and confidence of their patients.
She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery?
- A. Right occipitoposterior with no flexion
- B. Right occipitoposterior with full flexion
- C. Left transverse anterior in moderate flexion
- D. Left Sacroanterior with full flexion
Correct Answer: C
Rationale: The considered ideal fetal position for a healthy delivery is left transverse anterior with moderate flexion. This position allows for an easier descent through the birth canal and reduces the chances of complications during delivery. This position is optimal for a smoother and safer delivery process for both the mother and the baby.
A patient with chronic kidney disease is prescribed calcium carbonate as a phosphate binder. Which instruction should the nurse provide to the patient regarding calcium carbonate administration?
- A. Take with meals
- B. Take on an empty stomach
- C. Take with a full glass of water
- D. Crush tablets before administration
Correct Answer: A
Rationale: Calcium carbonate should be taken with meals because it requires the presence of stomach acid to be properly absorbed. Taking it with meals helps ensure optimal absorption and effectiveness as a phosphate binder in patients with chronic kidney disease. Administering calcium carbonate on an empty stomach may lead to gastrointestinal side effects such as upset stomach, bloating, and constipation. Taking it with a full glass of water is also recommended to help prevent potential gastrointestinal issues and to ensure proper hydration. Crushing tablets before administration is not advised unless specifically instructed by a healthcare provider, as it can alter the drug's release and absorption properties.
A patient expresses frustration with the healthcare system's inefficiencies. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that the system is functioning optimally.
- B. Listen actively to the patient's concerns, acknowledge the challenges, and offer support.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The nurse's best response when a patient expresses frustration with the healthcare system's inefficiencies is to listen actively to the patient's concerns, acknowledge the challenges they are facing, and offer support. It is important for the nurse to validate the patient's feelings and demonstrate empathy, rather than dismissing or ignoring their frustrations. By offering support and showing understanding, the nurse can help the patient feel heard and valued, which is an essential aspect of providing patient-centered care. This approach can also help to strengthen the nurse-patient relationship and build trust, ultimately leading to better outcomes for the patient's overall healthcare experience.
The assessment of the patient with ingested poison must include________. I. determining the poison ingested and the amount II the time from ingestion and the signs and symptoms III. weight of the patient IV. Patient's immunization history
- A. I, II, III, and IV
- B. I, II, and III
- C. I, II, and IV
- D. II, III, and IV
Correct Answer: B
Rationale: The assessment of a patient who has ingested poison must include determining the poison ingested and the amount (I), the time from ingestion and the signs and symptoms (II), as well as the weight of the patient (III). These factors are essential in evaluating the severity of the poisoning and determining the appropriate treatment plan. However, the patient's immunization history (IV) is not directly relevant to the assessment of ingested poison and thus is not essential in this context.