Nokea
systematic meta- analysis of the literature?
- A. An electronic database and doctoral dissertations
- B. An electronic database
- C. Doctoral dissertations
- D. The Cochrane Statistical Methods
Correct Answer: B
Rationale: Systematic meta-analysis of the literature typically involves synthesizing research findings from multiple studies on a particular topic. The most common way to gather relevant studies for a meta-analysis is by searching through electronic databases. These databases contain a wide range of peer-reviewed literature such as research articles, reviews, and conference papers. Using electronic databases ensures a comprehensive and systematic approach to finding all relevant studies needed for a meta-analysis. While doctoral dissertations and statistical methods such as those offered by Cochrane can also be valuable sources of information, an electronic database is the primary tool used for conducting a systematic meta-analysis of the literature.
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One GOOD nursing intervention of the nurse for Almira would be to do which of the following?
- A. Advise her to eat her meals.
- B. Put her on absolute bed rest.
- C. Take the vital signs q 4 hours.
- D. Advise her to take care of Jay.
Correct Answer: A
Rationale: The correct nursing intervention for Almira would be to advise her to eat her meals. This is important in promoting her health and well-being, especially if she has been neglecting her own nutrition due to stress or caring for her son, Jay. Providing proper nutrition is a basic aspect of nursing care that supports the overall health and recovery of the patient. By encouraging Almira to prioritize her own nutrition, the nurse can help ensure that she has the physical strength and energy needed to take care of herself and her son effectively.
During a home visit, a member of the family you're visiting who has been using marijuana for three years tells theyou that he wants to be 'detoxified'. It is important for the nurse to ____.
- A. Instruct the patient to change his lifestyle
- B. Identify the patient's stage of change
- C. Tell the patient that relapses are not tolerated
- D. Realize that the patient is ready for change
Correct Answer: B
Rationale: Identifying the patient's stage of change is crucial when someone expresses a desire to be "detoxified" from a substance like marijuana. The Transtheoretical Model (Stages of Change) outlines different stages individuals go through when making behavior changes. By identifying which stage the patient is in (precontemplation, contemplation, preparation, action, maintenance, or relapse), the nurse can tailor interventions and support accordingly. This approach helps ensure that interventions are effective and appropriate for the individual's readiness for change. It is important to meet the patient where they are in their journey towards detoxification and offer support and guidance accordingly.
A nurse is preparing to assist with a transesophageal echocardiogram (TEE) procedure for a patient. What action should the nurse prioritize to ensure patient safety during TEE?
- A. Placing the patient in a supine position with arms at their sides
- B. Administering intravenous sedation to the patient before the procedure
- C. Instructing the patient to refrain from eating or drinking for six hours before the procedure
- D. Ensuring the availability of emergency equipment and resuscitation medications
Correct Answer: D
Rationale: Ensuring the availability of emergency equipment and resuscitation medications is crucial to prioritize patient safety during a transesophageal echocardiogram (TEE) procedure. TEE involves inserting a specialized probe (transducer) into the esophagus to obtain detailed images of the heart. While complications during TEE are rare, they can include adverse reactions to sedation, esophageal injury, arrhythmias, or other cardiac events. By having emergency equipment and resuscitation medications readily available, the healthcare team can respond promptly to any unforeseen complications or emergencies that may arise during the procedure, ensuring optimal patient safety. Placing the patient in a supine position, providing sedation, and advising the patient to fast before the procedure are important aspects of the TEE process; however, ensuring emergency preparedness takes precedence in prioritizing patient safety during the procedure.
A woman in active labor has been diagnosed with placenta previa. What is the priority nursing intervention?
- A. Prepare for immediate cesarean section.
- B. Administer intravenous oxytocin to augment labor.
- C. Insert a Foley catheter to monitor urine output.
- D. Implement bed rest and continuous fetal monitoring.
Correct Answer: A
Rationale: In the case of a woman in active labor with placenta previa, the priority nursing intervention is to prepare for an immediate cesarean section. Placenta previa is a condition in which the placenta covers part or all of the cervix, which can lead to severe bleeding during labor and delivery. The risk of hemorrhage is significant, making a cesarean section the safest option for both the mother and the baby in this situation. It is crucial to act promptly to prevent complications and ensure the well-being of both the mother and the baby. Administering intravenous oxytocin to augment labor or inserting a Foley catheter to monitor urine output would not address the immediate risk of hemorrhage associated with placenta previa. Implementing bed rest and continuous fetal monitoring may be part of the overall care plan but not the priority intervention in this urgent situation.
A patient presents with fever, headache, and a maculopapular rash that started on the face and spread to the trunk and extremities. Laboratory tests reveal leukopenia and thrombocytopenia. Which of the following is the most likely causative agent?
- A. Borrelia burgdorferi
- B. Plasmodium falciparum
- C. Rickettsia rickettsii
- D. Leishmania donovani
Correct Answer: C
Rationale: The clinical presentation described with fever, headache, maculopapular rash starting on the face and spreading to the trunk and extremities, along with leukopenia and thrombocytopenia suggests a likely diagnosis of Rocky Mountain spotted fever (RMSF), which is caused by the bacterium Rickettsia rickettsii.