Nokea
When Nurse Sarah distributed a Patient satisfaction' survey form to be filled by the consumer upon discharge in a hospital setting is in compliance to what quality standards?
- A. Organizational structure and professional ethics.
- B. Identification of Patient right and welfare.
- C. Improving performance, of health care personnel.
- D. Human resource management and staffing pattern.
Correct Answer: B
Rationale: When Nurse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon discharge in a hospital setting, it aligns with the quality standard of identifying Patient rights and welfare. Patient satisfaction surveys aim to gather feedback from patients about their experiences with the health care services provided. By distributing such surveys, the hospital is demonstrating its commitment to ensuring the rights and welfare of patients by seeking their feedback, understanding their concerns, and incorporating their suggestions for improvement. This initiative helps in enhancing the quality of care provided to patients and ultimately contributes to improving overall patient outcomes and satisfaction.
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A nurse is preparing to assist with a magnetic resonance imaging (MRI) procedure for a patient. What action should the nurse prioritize to ensure procedural safety?
- A. Screening the patient for contraindications to MRI, such as metal implants or claustrophobia
- B. Administering intravenous sedation to the patient before the procedure
- C. Placing the patient in a supine position with arms at their sides during the MRI scan
- D. Allowing the patient to wear metallic jewelry or accessories during the procedure
Correct Answer: A
Rationale: The nurse should prioritize screening the patient for contraindications to MRI, such as metal implants or claustrophobia, to ensure procedural safety. Metallic objects can be hazardous in an MRI environment as they can be attracted to the magnet, potentially causing harm to the patient or staff. Claustrophobia can also be a significant issue for patients undergoing an MRI scan, and identifying this beforehand allows for appropriate measures to be taken to address the patient's anxiety or discomfort. Prioritizing this screening step helps ensure the safety and well-being of the patient during the MRI procedure.
A patient receiving palliative care for end-stage chronic obstructive pulmonary disease (COPD) experiences chronic cough and excessive sputum production. What intervention should the palliative nurse prioritize to address the patient's symptoms?
- A. Administer bronchodilator medications to improve airway clearance.
- B. Encourage the patient to practice controlled coughing techniques.
- C. Prescribe mucolytic medications to thin respiratory secretions.
- D. Refer the patient to a respiratory therapist for breathing exercises.
Correct Answer: B
Rationale: Encouraging the patient to practice controlled coughing techniques would be the most appropriate intervention to address the symptoms of chronic cough and excessive sputum production in a patient with end-stage COPD receiving palliative care. Controlled coughing techniques can help the patient effectively clear respiratory secretions and improve airway clearance without the need for additional medications or interventions. This approach focuses on optimizing the patient's ability to manage their symptoms and maintain comfort, which aligns with the goals of palliative care. Administering bronchodilator medications, prescribing mucolytic medications, or referring the patient to a respiratory therapist for breathing exercises may have limited effectiveness in this advanced stage of the disease, and controlled coughing techniques would be a more practical and patient-centered approach to symptom management.
A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex keratitis
- B. Bacterial keratitis
- C. Fungal keratitis
- D. Acanthamoeba keratitis
Correct Answer: C
Rationale: The described presentation of a yellowish-white spot on the cornea with branching, filamentous opacities is characteristic of fungal keratitis. Fungal keratitis is typically associated with agricultural injuries, trauma involving plant material, or contact lens wear in agricultural environments. Fungal keratitis can be serious and may require intensive antifungal treatment to prevent vision loss. Prompt diagnosis and initiation of appropriate antifungal therapy are essential in managing fungal keratitis.
Which of the following is a common complication associated with hip fracture in elderly patients?
- A. Compartment syndrome
- B. Avascular necrosis of the femoral head
- C. Dislocation of the hip prosthesis
- D. Volkmann's contracture
Correct Answer: B
Rationale: Avascular necrosis of the femoral head, also known as osteonecrosis, is a common complication associated with hip fractures in elderly patients. It occurs when there is a loss of blood supply to the femoral head following the fracture, leading to bone tissue death. This can result in pain, limitation of motion, and potentially the collapse of the femoral head, causing further complications. Timely diagnosis and appropriate management are crucial in order to prevent further degeneration of the hip joint. Other complications such as compartment syndrome, dislocation of the hip prosthesis, and Volkmann's contracture are not typically associated with hip fractures in elderly patients.
Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?
- A. District hospital
- B. Rural health unit
- C. Puereculture Center
- D. Barangay health station
Correct Answer: A
Rationale: A district hospital is an example of a secondary health facility. Secondary health facilities are the intermediate level of healthcare services, providing a higher level of care compared to primary health facilities like rural health units and barangay health stations. District hospitals typically offer more specialized medical services, diagnostic facilities, and inpatient care that are not available at lower-level health facilities. When Nurse Vince refers a patient to a district hospital, it means that the patient requires more extensive and specialized medical care beyond what can be provided at the primary level of care.