Nokea
The NICU nurse prepares for the arrival of the newborn. Which of the following PRIORITY item should be placed at the newborn's bedside? A _____________.
- A. Specific gravity urinometer
- B. Rectal thermometer
- C. Blood pressure cuff
- D. Bottle of sterile normal saline
Correct Answer: C
Rationale: The priority item that should be placed at the newborn's bedside is a blood pressure cuff. Monitoring the newborn's blood pressure is crucial in the NICU, as it helps assess the baby's cardiovascular function and overall well-being. Blood pressure changes can be an early indication of potential health issues, so having a blood pressure cuff readily available allows for timely monitoring and intervention if necessary. The other items listed (specific gravity urinometer, rectal thermometer, bottle of sterile normal saline) are also important in neonatal care, but monitoring blood pressure takes precedence in this scenario.
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Case finding for PTB n the community requires that the nurse should Identify persons having sputum characterized as ________.
- A. Rusty, frothy
- B. Blood stained
- C. Yellowish
- D. Greenish
Correct Answer: B
Rationale: Identifying persons with sputum characterized as blood stained is important in case finding for pulmonary tuberculosis (PTB) in the community. Blood stained sputum, also known as hemoptysis, is a common symptom of TB. It occurs when there is bleeding in the respiratory tract, often as a result of damage to the lungs caused by tuberculosis infection. Therefore, the presence of blood in the sputum is a significant clinical finding that should alert healthcare providers, including nurses, to the possibility of TB. Early identification and diagnosis of individuals with blood stained sputum can lead to prompt treatment and the prevention of further transmission of the disease in the community.
The nurse develops the following hypothesis: Elderly women receive less aggressive treatment for terminally-ill spine patients than younger women. Which variable would be considered to be the independent variable?
- A. Degree of treatment received
- B. Age of the patient
- C. Use of inpatient treatment
- D. Type of complications being treated
Correct Answer: B
Rationale: The independent variable in an experiment is the variable that is manipulated or determined by the researcher. In this hypothesis, the nurse is suggesting that the age of the patient (elderly vs. younger) influences the aggressiveness of treatment received. Therefore, the age of the patient is the independent variable in this scenario. The dependent variable would be the degree of treatment received, as it is expected to be influenced by the independent variable, which is the age of the patient.
During the surgical procedure, the nurse notices a discrepancy between the patient's identification bracelet and the surgical consent form. What should the nurse do?
- A. Proceed with the procedure as planned
- B. Document the discrepancy in the patient's chart
- C. Inform the surgeon and anesthesia provider immediately
- D. Request clarification from the patient and family members
Correct Answer: C
Rationale: If the nurse notices a discrepancy between the patient's identification bracelet and the surgical consent form, the immediate action should be to inform the surgeon and anesthesia provider. It is crucial to address any discrepancies before proceeding with the surgical procedure to ensure patient safety and prevent any potential errors or complications. The surgical team needs to be made aware of the issue so that they can verify the correct patient information and ensure that all necessary steps are taken to proceed safely. Communication and collaboration among the healthcare team members are essential in such situations to prevent any harm to the patient.
A pregnant woman presents with sudden onset of severe lower abdominal pain and syncope. On examination, she appears pale, and her abdomen is distended and tense. Which of the following conditions is the most likely cause of these symptoms?
- A. Ectopic pregnancy
- B. Pelvic inflammatory disease
- C. Placenta previa
- D. Ruptured ovarian cyst
Correct Answer: C
Rationale: Placenta previa is a condition in pregnancy where the placenta implants low in the uterus, partially or completely covering the cervix. This can lead to painless, bright red vaginal bleeding in the third trimester. However, in some cases, placenta previa can also present with sudden onset of severe lower abdominal pain and signs of shock, such as syncope, pallor, and abdominal distention due to concealed bleeding. In severe cases, the bleeding can be significant and life-threatening for both the mother and the baby. It is important to promptly diagnose and manage placenta previa to prevent complications.
The CI is expected to set the atmosphere by welcoming everyone and by _________.
- A. showing every one the picture of the breast
- B. Discussing the objectives of the ward class
- C. giving an anecdote about an old man
- D. going ahead with the first part of the lecture
Correct Answer: B
Rationale: In a professional setting like a classroom or a meeting, it is important for the CI (chief instructor) to set the atmosphere by welcoming everyone and discussing the objectives of the ward class. By discussing the objectives, the CI can provide a clear direction for the session and ensure that everyone is on the same page in terms of what needs to be accomplished. This not only helps focus the participants but also creates a sense of purpose and organization, setting a positive tone for the rest of the interaction. Showing a picture of the breast or giving an anecdote about an old man may not be appropriate or relevant in this context. Going ahead with the first part of the lecture without any welcoming or setting the atmosphere may make the participants feel rushed or disconnected from the session's purpose.