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Because of the failure to replace the defective electric fan immediately, a fire broke out and it became big enough to burn a major portion of the unit because the fire extinguisher was missing. What lesson can be gained from this?
- A. Punishment must be imposed on erring employees
- B. Reorientation of the new staff.
- C. Refer the erring employee to HR.
- D. Every protocol must be followed .
Correct Answer: D
Rationale: The lesson that can be gained from this scenario is that every protocol must be followed. In this situation, failure to replace the defective electric fan immediately and having a missing fire extinguisher directly led to the fire escalating and causing significant damage. By ensuring that all safety protocols and procedures are followed promptly and consistently, potential hazards and risks can be mitigated or prevented. It is crucial for employees to understand the importance of adhering to established protocols in order to maintain a safe working environment and prevent accidents or emergencies.
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A patient with suspected pulmonary embolism (PE) presents with sudden onset dyspnea, pleuritic chest pain, and hemoptysis. Which of the following diagnostic tests is most appropriate for confirming the diagnosis?
- A. Chest X-ray
- B. Electrocardiography (ECG)
- C. D-dimer assay
- D. Spiral computed tomography (CT) angiography
Correct Answer: D
Rationale: Spiral CT angiography is the most appropriate test for confirming the diagnosis of pulmonary embolism (PE) in a patient with suspected PE. It is a non-invasive imaging modality that can detect filling defects within the pulmonary vasculature indicative of a clot. This diagnostic test has high sensitivity and specificity for diagnosing PE, making it a valuable tool in the management of patients with suspected PE.
Nurse Gina has also to consider in terms of financial status most of the elderly are
- A. Sufficient
- B. disoriented
- C. Dependent to others financially
- D. Have pension
Correct Answer: C
Rationale: Nurse Gina has to consider that most of the elderly are dependent on others financially. This is an important factor to take into account when planning and providing care for elderly patients. Many elderly individuals rely on financial assistance from family members, government programs, or retirement funds. Understanding the financial status of elderly patients helps nurses like Gina provide adequate care and support to meet their needs effectively. This can involve coordinating with social services or financial assistance programs to ensure that the patients' financial concerns are addressed along with their healthcare needs.
Which nursing diagnosis is NOT RELEVANT to sexual health?
- A. Anxiety-related inability to conceive after six months .
- B. Health-seeking behaviors related to reproductive functioning
- C. Sexual dysfunction related to an unknown cause.
- D. Risk for infection related to high-risk. sexual behaviors.
Correct Answer: B
Rationale: In the given situation, the nursing diagnosis that is NOT RELEVANT to sexual health is option B, Health-seeking behaviors related to reproductive functioning. This diagnosis focuses on the patient's proactive approach to seeking healthcare services related to reproductive health matters. However, in the situation presented of a pregnant patient with sickle cell anemia experiencing fever, painful swelling, and in labor pain, the immediate priority lies in addressing the health issues related to sickle cell disease and the current pregnancy. Sexual health is not the primary concern in this scenario compared to managing the complications of sickle cell anemia during pregnancy. Therefore, the diagnosis related to health-seeking behaviors related to reproductive functioning is not as pertinent in this specific case.
A postpartum client reports feeling emotional and tearful despite no apparent physical discomfort. What nursing intervention should be prioritized to address the client's emotional well-being?
- A. Providing opportunities for rest and sleep
- B. Educating the client about the "baby blues" phenomenon
- C. Encouraging the client to engage in self-care activities
- D. Referring the client to a mental health professional
Correct Answer: B
Rationale: Educating the client about the "baby blues" phenomenon should be prioritized as it is a common occurrence that happens to many women after giving birth. The "baby blues" refer to feelings of sadness, irritability, and tearfulness that many new mothers experience due to hormonal changes and the stress of adjusting to motherhood. By understanding that these feelings are a normal part of the postpartum period and that they usually resolve on their own within a few weeks, the client may feel reassured and supported. Providing information and support can help the client cope with these emotions and reduce any anxiety or distress they may be feeling. If the client's emotional state does not improve or becomes more severe, further intervention such as referring to a mental health professional may be necessary. But initially, education and reassurance about the "baby blues" can be an effective nursing intervention to address the client's emotional well-being.
Nurse Carmi finally decided to make an in depth study of ONLY ONE SUBJECT of domestic violence. What design will she use?
- A. Causality Design
- B. Predictive Correlational Design
- C. Descriptive Correlational Design
- D. Descriptive Case Study Design
Correct Answer: D
Rationale: A descriptive case study design is the most suitable approach when Nurse Carmi decides to make an in-depth study of only one subject of domestic violence. This design involves a comprehensive and detailed exploration of a single individual or a specific situation, allowing for an in-depth analysis of various aspects related to the subject. Since Nurse Carmi is focusing on studying only one subject, a case study design will enable her to gather detailed information, delve deep into the complexities of the individual's experiences, behaviors, and outcomes related to domestic violence. This design will provide a rich and holistic understanding of the single case being studied, offering valuable insights and potential implications for practice and intervention strategies.