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The lecturer reminded the committee members that bias is an influence that distorts study results. In quantitative research, which will eliminate bias?
- A. Trustworthiness
- B. Randomness
- C. Credibility
- D. Triangulation
Correct Answer: B
Rationale: In quantitative research, randomness plays a crucial role in eliminating bias. Random sampling ensures that every individual or element in the population has an equal chance of being selected for the study. This helps in reducing the possibility of bias creeping into the results due to selective sampling or favoritism towards certain groups. By using random sampling methods, researchers can increase the generalizability of their findings and have a higher level of confidence that the results are unbiased and representative of the entire population. Therefore, randomness is a key mechanism to eliminate bias in quantitative research studies.
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Mrs. Carpio has an order of Thiazide diuretics for her edema. The following is the entry that you expect to be written in her progress report EXCEPT ______.
- A. Serum electrolyte monitored everyday
- B. Intake and output done every shift
- C. Weight taken before drug is administered
- D. Drug is administered at 8o'clock in the evening
Correct Answer: D
Rationale: The entry you expect to be written in Mrs. Carpio's progress report should include details related to monitoring her response to the Thiazide diuretics and ensuring her safety. Options A, B, and C all focus on these aspects by monitoring serum electrolytes, intake and output, and weight before drug administration, which are important considerations when a patient is on Thiazide diuretics. However, specifying the time of drug administration (8 o'clock in the evening) is not necessary in the progress report entry. The focus should be on the patient's response to the medication and the associated monitoring parameters. Time of administration is more relevant for nursing care plans or medication schedules.
Which of the following is NOT covered in Patient's Bill of Rights?
- A. Refusal to treatment
- B. Informed consent
- C. Right to treatment
- D. Civil commitment
Correct Answer: D
Rationale: The Patient's Bill of Rights typically focuses on ensuring patients have the right to certain aspects of their healthcare, such as the right to refuse treatment, the right to informed consent, and the right to receive treatment. Civil commitment, on the other hand, refers to the legal process through which an individual is involuntarily placed in a psychiatric facility for evaluation and treatment. This issue is not typically addressed in the Patient's Bill of Rights, as it involves specific legal procedures rather than general patient rights.
A woman in active labor has a prolonged second stage with inadequate expulsive efforts. What nursing intervention is appropriate to facilitate fetal descent?
- A. Encourage the mother to push forcefully during contractions.
- B. Apply fundal pressure to assist with fetal descent.
- C. Prepare for immediate cesarean section.
- D. Administer intravenous magnesium sulfate for uterine relaxation.
Correct Answer: B
Rationale: In the scenario of a woman in active labor experiencing a prolonged second stage with inadequate expulsive efforts, the appropriate nursing intervention to facilitate fetal descent would be to apply fundal pressure. Fundal pressure, or applying pressure on the upper abdomen just above the uterine fundus, can help in directing the fetal head downwards and aiding in the descent through the birth canal. It is important to note that fundal pressure should be applied carefully and with proper technique to prevent excessive force that could potentially harm the mother or the baby. Encouraging the mother to push forcefully during contractions can be helpful, but the addition of fundal pressure can provide extra assistance in cases of inadequate progress. Immediate cesarean section may be considered if other interventions are unsuccessful or if there are concerns for fetal distress. Administering intravenous magnesium sulfate for uterine relaxation is not indicated in this situation.
A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed-consent?
- A. Surgeon
- B. Nurse anesthetist
- C. Nurse
- D. Anesthesiologist
Correct Answer: A
Rationale: The primary responsibility for obtaining informed consent lies with the surgeon who will be performing the procedure. Informed consent is a process where the healthcare provider explains the procedure, benefits, risks, and alternatives to the patient, allowing them to make an informed decision about their care. While other healthcare team members may also participate in this process, the ultimate responsibility typically rests with the surgeon as they are the one performing the surgery.
A patient presents with a pruritic, annular rash with fine scaling and central clearing, affecting the trunk and proximal extremities. The patient reports recent exposure to a new soap and laundry detergent. Which of the following conditions is most likely responsible for this presentation?
- A. Tinea corporis (ringworm)
- B. Nummular eczema
- C. Pityriasis rosea
- D. Lichen planus Ear, Nose, and Throat (ENT)
Correct Answer: A
Rationale: The patient's presentation of a pruritic, annular rash with fine scaling and central clearing, affecting the trunk and proximal extremities, following exposure to a new soap and laundry detergent is most consistent with tinea corporis, commonly known as ringworm. Ringworm is a superficial fungal infection caused by dermatophytes that can present with circular or annular lesions with central clearing and scaling. The exposure to new soap and laundry detergent may have disrupted the skin's microbiome, making it more vulnerable to fungal infections like tinea corporis. Nummular eczema typically presents as coin-shaped plaques rather than annular lesions, while pityriasis rosea presents with a herald patch followed by smaller similar lesions in a "Christmas tree" distribution. Lichen planus would not typically be associated with exposure to new soap and laundry detergent but can have distinct purple, polygonal papules.