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An EMT approaches an accident victim. The victim says, "Don't touch me!" The EMT says, you need help, but the victim replies NO! don't touch me. If the EMT takes the victim by the arm and forces the victim into the ambulance, the EMT could be guilty of:
- A. Battery
- B. Negligence
- C. Malpractice
- D. Assault
Correct Answer: A
Rationale: Battery refers to the intentional and offensive physical contact with another person without their consent, resulting in harm or injury. In this scenario, the victim clearly expressed their unwillingness to be touched or helped by saying, "Don't touch me!" multiple times. By ignoring the victim's refusal and physically forcing them into the ambulance, the EMT is committing battery even though they may have had good intentions to provide assistance. It is important for medical professionals, including EMTs, to always respect a person's right to refuse medical treatment or assistance, even in emergency situations.
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Despite the short staffing, Nurse Cirila also has the responsibility to maintain safe environment for her pediatric patients. The following are the indicators that Nurse Cirila has achieved this goal, EXCEPT __________.
- A. Proper disposal of waste according to color coding
- B. Adherence to policies, protocols and procedures in the prevention and control of infection prevention.
- C. Assessing the competencies of a staff before delegating a task
- D. Observance of protocols in cases of earthquakes, fire and other emergencies.
Correct Answer: C
Rationale: The indicators listed indicate measures that Nurse Cirila can take to maintain a safe environment for her pediatric patients. However, assessing the competencies of staff before delegating a task is more related to ensuring effective delegation and appropriate task assignment rather than directly ensuring a safe environment for patients. While it is important to delegate tasks to qualified staff, this specific action does not directly contribute to maintaining a safe environment in the same manner as the other indicators listed (proper waste disposal, infection control, emergency protocols).
The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse CORRECT response is________.
- A. to determine diameters of the fetal skull
- B. increase sensitivity for common bile duct of the fetus
- C. useful to a visualized cystic duct of the fetus
- D. to assess fetus' well-being
Correct Answer: D
Rationale: Sonography, also known as ultrasound, is a non-invasive imaging technique that uses high-frequency sound waves to create images of structures inside the body. In the context of a patient who is pregnant, sonography is commonly used to assess the well-being of the fetus. It allows healthcare providers to monitor the growth and development of the fetus, evaluate the placenta, amniotic fluid levels, and detect any abnormalities that may be present.
During the normal postpartum course, when would the nurse expect to note the fundal assessment that will be in line with the umbilicus?
- A. Immediately after the delivery
- B. 4 days after the delivery
- C. When the client's bladder is full
- D. The day after the delivery
Correct Answer: D
Rationale: After childbirth, the uterus undergoes involution, which is the process of returning to its pre-pregnant size and location. Initially, the fundus is firm and located at or just below the level of the umbilicus immediately after delivery. Over the next 24 hours, the fundus should gradually decrease in height as involution progresses. By the day after delivery, the nurse would expect the fundal assessment to be in line with the umbilicus or slightly below it, indicating normal involution of the uterus. If the fundus remains high or deviates from this expected progression, further assessment and intervention may be needed to prevent complications such as postpartum hemorrhage.
A nurse is assessing a patient's pain using a pain rating scale. What action by the nurse demonstrates cultural competence in pain assessment?
- A. Assuming that the patient experiences pain similarly to other patients
- B. Using nonverbal cues to assess the patient's pain intensity
- C. Asking the patient about their cultural beliefs and preferences related to pain
- D. Administering pain medication without assessing the patient's pain level
Correct Answer: C
Rationale: Choosing option C, asking the patient about their cultural beliefs and preferences related to pain, demonstrates cultural competence in pain assessment. Pain experiences can vary greatly across different cultures, and a patient's cultural background can influence how they perceive and express pain. By inquiring about the patient's cultural beliefs and preferences, the nurse can gain a better understanding of the patient's perspective on pain. This information is crucial for providing individualized and culturally sensitive pain management interventions. It also shows respect for the patient's unique cultural background and helps build a trusting and collaborative relationship between the nurse and the patient.
A patient presents with progressive weakness, muscle atrophy, and fasciculations, primarily involving the upper and lower extremities. Over time, the patient develops dysphagia and dysarthria. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Parkinson's disease
- B. Guillain-Barré syndrome (GBS)
- C. Amyotrophic lateral sclerosis (ALS)
- D. Myasthenia gravis
Correct Answer: C
Rationale: The symptoms described, including progressive weakness, muscle atrophy, fasciculations, dysphagia, and dysarthria primarily involving the upper and lower extremities, are classic features of amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease. ALS is a progressive neurodegenerative disorder that affects the motor neurons in the brain and spinal cord, leading to muscle weakness and atrophy. As the disease progresses, patients may develop difficulty swallowing (dysphagia) and speaking (dysarthria). In contrast, Parkinson's disease primarily involves movement-related symptoms such as tremors, muscle stiffness, and slow movements. Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy that typically presents with ascending weakness and sensory abnormalities, often preceded by an infection. Myasthenia gravis is characterized by muscle weakness exacerbated by