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When patient record reach the Medical Records, the assigned staff will _____.
- A. store the charts in their respective shelves
- B. separate the medico-legal charts
- C. check the completeness of the charting of the doctors and nurses
- D. bind the chart immediately
Correct Answer: C
Rationale: The correct answer is C because checking the completeness of the charting by doctors and nurses ensures that all necessary information is accurately documented, facilitating proper patient care and treatment. This step helps identify any missing or incorrect information that may impact patient safety.
A: Storing the charts in respective shelves is a routine task that does not involve verifying the accuracy or completeness of the information.
B: Separating medico-legal charts is important but does not directly address the completeness of charting by doctors and nurses.
D: Binding the charts immediately is not necessary before ensuring the completeness and accuracy of the information documented.
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Which of the following actions should be taken first when encountering a person experiencing an allergic reaction with signs of respiratory distress?
- A. Administer an epinephrine auto-injector.
- B. Position the person comfortably.
- C. Monitor vital signs.
- D. Assess the severity of the reaction.
Correct Answer: D
Rationale: The correct answer is D: Assess the severity of the reaction. This should be the first action taken because it helps determine the urgency of the situation and guides subsequent steps. Assessing the severity allows for appropriate intervention - from calling emergency services if the reaction is severe, to administering medication if necessary.
A: Administering an epinephrine auto-injector should only be done if the severity of the reaction warrants it, as it is a potent medication that can have serious side effects if used inappropriately.
B: Positioning the person comfortably is important, but assessing the severity of the reaction takes precedence to ensure prompt and appropriate care.
C: Monitoring vital signs is important, but assessing the severity of the reaction is crucial in determining the immediate course of action.
In her recommendation, Nurse Gina stated, elderly should be given independence. This means ________.
- A. They must live on their own
- B. The environment should be safe for them
- C. They are free what to do
- D. They have rights
Correct Answer: C
Rationale: The correct answer is C because independence for the elderly means they have the freedom to make choices and decisions about their own lives. This empowers them to live according to their preferences and values. Choice A is incorrect because it doesn't consider individual circumstances; choice B is important but doesn't capture the essence of independence; choice D is too broad and doesn't specifically address the concept of personal autonomy and agency for the elderly.
Which of the following is a characteristic of qualitative research?
- A. Deductive process
- B. Fixed research design
- C. Control over the context
- D. Inductive process
Correct Answer: D
Rationale: The correct answer is D: Inductive process. Qualitative research typically involves an inductive approach, where researchers gather data, analyze patterns, and develop theories or hypotheses based on the observed data. This allows for exploration and discovery of new insights.
A) Deductive process is not a characteristic of qualitative research, as deductive reasoning involves starting with a hypothesis and testing it with data.
B) Fixed research design is not common in qualitative research, which often uses flexible and adaptive designs to accommodate emergent findings.
C) Control over the context is not a key characteristic of qualitative research, as it often involves studying real-world settings with natural contexts rather than controlled environments.
In summary, the inductive process is a key characteristic of qualitative research as it allows for exploration and theory development based on observed data, distinguishing it from deductive approaches, fixed designs, and controlled contexts.
A patient presents with excessive thirst, large volumes of dilute urine, and low urine osmolality. Laboratory tests reveal hypernatremia and elevated serum osmolality. Which endocrine disorder is most likely responsible for these symptoms?
- A. Hyperthyroidism
- B. Hypothyroidism
- C. Diabetes mellitus
- D. Diabetes insipidus
Correct Answer: D
Rationale: The correct answer is D: Diabetes insipidus. This condition is characterized by excessive thirst, large volumes of dilute urine, low urine osmolality, hypernatremia, and elevated serum osmolality. The underlying cause is a deficiency in or insensitivity to antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine properly. Hyperthyroidism (choice A) and hypothyroidism (choice B) do not directly affect urine concentration. While diabetes mellitus (choice C) can also present with polyuria and polydipsia, it would typically have high urine osmolality due to the presence of glucose. Therefore, diabetes insipidus is the most likely endocrine disorder responsible for these specific symptoms.
Which of the following interventions is recommended for managing a patient with suspected pelvic inflammatory disease (PID)?
- A. Empiric antibiotic therapy directed against common pathogens.
- B. Surgical exploration and drainage of pelvic abscesses.
- C. Hormonal therapy to suppress ovarian function.
- D. Symptomatic treatment with nonsteroidal anti-inflammatory drugs (NSAIDs).
Correct Answer: A
Rationale: The correct answer is A: Empiric antibiotic therapy directed against common pathogens. This is recommended for managing PID because it helps treat the infection and prevent complications. Antibiotics target the underlying bacterial infection causing PID. Surgical exploration (B) is not the initial treatment for PID. Hormonal therapy (C) is not indicated for PID management. Symptomatic treatment with NSAIDs (D) can help with pain but does not address the infection itself.