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The group used an audio recorder to capture what transpired during the interview. After the transcription, which of the following action is APPROPRIATE for the group to do with the audiotape?
- A. Keep the audiotape in a vault and dispose of it a year after.
- B. Submit the audiotape to their research adviser.
- C. Throw it in the trash bin immediately after it was used.
- D. Post the recording on their university research website for others to listen.
Correct Answer: B
Rationale: Submitting the audiotape to their research adviser is the appropriate action for the group to take after transcription. It is important to maintain the audiotape as a research record for verification purposes, especially if any discrepancies arise during the analysis of the transcript. The research adviser can provide guidance on how to securely store or handle the audiotape in compliance with research ethics and data protection guidelines. This ensures the integrity of the research process and supports transparency in the event of any future inquiries or validation requirements. Keeping a record of the audiotape and following proper protocols for its handling is essential in conducting ethical and reliable research.
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The patient made the following statement to the nurse, my doctor just told me that he cannot save my Leg and that I need to have an above-the-knee-amputation. Which response by the nurse is MOST APPROPRIATE?
- A. " Tell me more"
- B. "Dr. Benito is an excellent surgeon."
- C. "If I were you, I will get a second opinion."
- D. "Are you in pain?"
Correct Answer: C
Rationale: The most appropriate response by the nurse is, "If I were you, I will get a second opinion." This response acknowledges the seriousness of the situation and the life-changing decision the patient has been told to make. Suggesting the patient seek a second opinion is essential as it encourages the patient to explore all options and ensures they have considered all possibilities before proceeding with a major surgery like an above-the-knee amputation. It shows the nurse's support for the patient while also advocating for the patient's right to make an informed decision about their healthcare.
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 Dental, Alimentary, and Biliary
Correct Answer: C
Rationale: The presentation described is consistent with fungal keratitis. Fungal keratitis typically presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. The filamentous opacities seen on slit-lamp examination are characteristic of fungal hyphae extending from the corneal lesion. This condition is often associated with risk factors such as trauma with vegetable matter, contact lens wear, or topical corticosteroid use. Prompt diagnosis and treatment with antifungal medications are essential to prevent complications and preserve vision.
Which of the following clinical manifestations would the nurse expect to find when performing admission assessment?
- A. Rapid progressive muscular atrophy.
- B. Ascending paralysis with ataxia .
- C. Hyperactive deep tendon reflexes
- D. Paresthesia and muscle weakness of upper body.
Correct Answer: D
Rationale: When performing an admission assessment, the nurse should expect to find clinical manifestations that are indicative of a variety of conditions. Paresthesia (abnormal sensation like tingling, prickling, or numbness) and muscle weakness of the upper body are commonly associated with neurological conditions such as peripheral neuropathy or cervical radiculopathy. These symptoms suggest dysfunction in the nerves that supply the upper body muscles, leading to sensory changes and weakness. This finding would prompt further assessment and evaluation by healthcare providers to determine the underlying cause and appropriate interventions. Rapid progressive muscular atrophy, ascending paralysis with ataxia, and hyperactive deep tendon reflexes are not typically expected findings during an admission assessment and may signal more specific neurological conditions such as amyotrophic lateral sclerosis, Guillain-Barré syndrome, or spinal cord injury, respectively.
Chief Nurse cirila formulates strategies to address the short staffing in her hospital. Which of the following strategies s the BEST?
- A. Continuing Professional Development such as post-graduate study
- B. Entry salary of nurses to at par with that of government nurses
- C. Research engagement
- D. Evaluation and recognition for good performances thru reward system
Correct Answer: A
Rationale: Continuing Professional Development such as post-graduate study is the best strategy among the options provided for addressing short staffing in the hospital. By encouraging nurses to pursue post-graduate studies, Chief Nurse Cirila is investing in the long-term growth and development of her nursing workforce. Post-graduate studies can enhance the knowledge, skills, and expertise of nurses, making them more competent in their roles. This can lead to improved patient care outcomes, increased job satisfaction among nurses, and ultimately help in retaining and attracting talent in the hospital. Additionally, supporting nurses in their professional development can boost morale and motivation, which are crucial factors in addressing short staffing issues.
A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:
- A. Defamation
- B. assault
- C. battery .
- D. fraud.
Correct Answer: C
Rationale: Battery occurs when there is an intentional touching of another person without their consent. In this case, the nurse began cardiopulintary resuscitation on a client who had requested a "Do Not Resuscitate" (DNR) order, which means the client did not consent to the resuscitation. This action can be considered as battery because the client's wishes were not respected, and the nurse proceeded with a medical intervention against those wishes, leading to harm and potential legal consequences. This is different from assault, which involves a threat of force, and from defamation and fraud, which are not applicable to this situation.