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Should the investigation of the fall go further, which of the following is the best source of factual information ?
- A. incident report.
- B. nurse's notes in the chart
- C. anecdotal record
- D. process recording
Correct Answer: A
Rationale: The incident report is the best source of factual information to investigate the fall further. Incident reports are official documents that provide a detailed account of what happened leading up to and during an incident. They include factual information such as the date, time, location, individuals involved, and details of the event. By reviewing the incident report, investigators can gather accurate information to determine the cause of the fall and any contributing factors. This document serves as an essential tool in conducting a thorough investigation into the fall and helps in identifying preventive measures to avoid similar incidents in the future.
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The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following except
- A. enforce and monitor quality standards of nursing practice in the county
- B. issue, suspend revoke or reissue certification of registered nurses
- C. ensure proper conduct. Or nurses 1icensure in the county
- D. issue permit for the opening of nursing programs in the country
Correct Answer: D
Rationale: The Philippine Regulatory Commission - Board of Nursing (PRC-BON) has the power to regulate nursing practice in the Philippines.
A patient with a severe bacterial infection has elevated levels of C-reactive protein (CRP) in their blood. Which of the following functions does CRP primarily serve during the acute phase response?
- A. Opsonization of pathogens
- B. Activation of complement system
- C. Phagocytosis of pathogens
- D. Neutralization of toxins
Correct Answer: B
Rationale: During the acute phase response, C-reactive protein (CRP) primarily serves to activate the complement system. CRP binds to phosphocholine on the surface of pathogens, allowing for the activation of the classical pathway of the complement system. This leads to the recruitment of immune cells, opsonization of pathogens, and enhancement of phagocytosis. The activation of the complement system by CRP plays a crucial role in the host defense against infections, aiding in the elimination of pathogens and the resolution of inflammation.
The incoming nurse on duty reported, the nurse is administering a medication, the patient says, "This pill looks different from the one I had taken before. " What is the APPROPRIATE action of the nurse?
- A. Explain the purpose of the medication.
- B. Encourage the patient to take the medication.
- C. Check the original medication pre scription.
- D. Ask what the other pill looked 1ike.
Correct Answer: C
Rationale: When a patient expresses concern about a medication looking different from what they had taken before, it is crucial for the nurse to verify the original prescription to ensure that the correct medication is being administered. Checking the original medication prescription will help the nurse confirm if there have been any changes or errors in the medication orders. This step is essential for patient safety and to prevent any potential medication errors. It is important to prioritize patient safety and well-being in such situations, and verifying the prescription is the appropriate action to take in this case.
Nurse Ime, is a member of the Quality Assurance team of the hospital and has been always rated as very assertive. Which of the following is NOT a characteristic of an assertive person?
- A. Intervene with the situation calmly and confidently.
- B. She stands up with what she believes & push control on others.
- C. Articulate clearly the importance of nursing perspective.
- D. Use "I" when stating thought and feelings & "YOU" when persuading others.
Correct Answer: B
Rationale: Being assertive means expressing one's thoughts, beliefs, and feelings in a confident and respectful manner while also considering the perspective of others. It does not involve pushing control on others. Assertive individuals do not impose their beliefs on others but express themselves clearly and confidently, respecting the opinions of others. So, standing up for what one believes in can be assertive, but pushing control on others is not a characteristic of assertiveness.
A patient admitted to the ICU develops acute myocardial infarction (MI) with ST-segment elevation on electrocardiogram (ECG). What intervention should the healthcare team prioritize to manage the patient's MI?
- A. Perform emergent coronary angiography for revascularization.
- B. Administer fibrinolytic therapy to restore coronary blood flow.
- C. Implement strict bed rest to minimize cardiac workload.
- D. Recommend beta-blocker medications to reduce myocardial oxygen demand.
Correct Answer: A
Rationale: In a patient with acute myocardial infarction (MI) presenting with ST-segment elevation on ECG, the healthcare team should prioritize performing emergent coronary angiography for revascularization. This intervention, also known as primary percutaneous coronary intervention (PCI), involves opening up the blocked coronary artery responsible for the MI. Timely reperfusion of the affected artery is crucial in reducing myocardial damage and improving outcomes in acute MI patients. PCI is considered the preferred method for revascularization in patients with ST-segment elevation MI, as it has been shown to be more effective and associated with better outcomes compared to fibrinolytic therapy.