Nokea
The nurse asks the patient, "What do you fear MOST about your surgery tomorrow?" This is an example of which communication technique?
- A. Providing general leads
- B. Seeking clarification
- C. Summarizing
- D. Presenting reality
Correct Answer: B
Rationale: In this scenario, the nurse is asking the patient to elaborate on their feelings and thoughts related to the upcoming surgery. By asking, "What do you fear MOST about your surgery tomorrow?" the nurse is seeking clarification to better understand the patient's concerns and enable effective communication. Seeking clarification involves asking open-ended questions that encourage the patient to express themselves more fully, allowing the healthcare provider to address their specific worries or needs more effectively.
You may also like to solve these questions
Weight loss and Malnutrition are commonly observed among patients with COPD. They should be taught to avoid ______.
- A. have full stomach even when in dyspneic condition
- B. keeping body mass between 21-25 kg./m
- C. a high caloric and high protein diet
- D. exercise one hour before and after eating
Correct Answer: A
Rationale: Patients with COPD often experience dyspnea, which makes it difficult for them to breathe. When they have a full stomach, their diaphragm is compressed, which can further increase difficulty in breathing. Teaching patients with COPD to avoid having a full stomach even when in dyspneic condition is important to prevent exacerbation of breathing problems. It is advisable for them to have small, frequent meals to ensure adequate nutrition without compromising their ability to breathe comfortably.
A patient presents with recurrent episodes of epistaxis, particularly after blowing the nose or during dry weather. Anterior rhinoscopy reveals a friable, vascular lesion in Little's area. Which of the following interventions is most appropriate for managing this condition?
- A. Nasal packing with anterior nasal tampons
- B. Application of silver nitrate cautery
- C. Endoscopic cauterization of the sphenopalatine artery
- D. Surgical excision of the nasal polyp
Correct Answer: B
Rationale: The clinical scenario described is consistent with a diagnosis of anterior epistaxis due to a prominent vascular lesion located in Little's area, which is an important site for nosebleeds. Silver nitrate cautery is the most appropriate intervention for managing this condition. Silver nitrate cautery is a commonly used method to chemically cauterize and eliminate the friable blood vessels responsible for recurrent epistaxis. It is a cost-effective and minimally invasive technique that can be easily performed in an outpatient setting. Nasal packing with anterior nasal tampons might be considered in cases of severe or refractory epistaxis, but in this scenario, where the source of bleeding is localized and identifiable, silver nitrate cautery is the treatment of choice. Endoscopic cauterization of the sphenopalatine artery and surgical excision of a nasal polyp are unnecessary and overly invasive for the described scenario.
A nurse is preparing to perform an intramuscular (IM) injection for a patient. What action should the nurse take to ensure proper injection technique?
- A. Selecting a small-gauge needle to minimize patient discomfort
- B. Administering the injection rapidly to reduce patient anxiety
- C. Aspirating the syringe to confirm needle placement before injection
- D. Inserting the needle at a 90-degree angle into the muscle
Correct Answer: D
Rationale: When performing an intramuscular (IM) injection, the nurse should insert the needle at a 90-degree angle into the muscle. This angle helps ensure proper and deep penetration into the muscle tissue for effective administration of the medication. It also helps prevent leakage or tissue damage at the injection site. Additionally, inserting the needle at a 90-degree angle facilitates accurate delivery of the medication into the muscle where it can be absorbed properly. Therefore, selecting the correct angle for inserting the needle is critical in ensuring the success and effectiveness of the IM injection.
The patient asks you about goiter. You describe this disorder as ___________-.
- A. A condition produced by excessive endogenous or exogenous thyroid hormone
- B. The enlargement of the thyroid gland and usually caused by an iodine-deficient diet
- C. None of the choices
- D. Inflammation of the thyroid gland that may lead to chronic hypothyroidism
Correct Answer: B
Rationale: Goiter is a condition characterized by the enlargement of the thyroid gland. The most common cause of goiter worldwide is iodine deficiency, which is required for the production of thyroid hormones. When there is insufficient iodine intake, the thyroid gland enlarges in an attempt to produce more hormones, leading to the development of goiter. While other factors can also contribute to the development of goiter, such as autoimmune diseases and certain medications, the primary cause associated with the condition is an iodine-deficient diet.
A patient in the intensive care unit (ICU) develops acute respiratory distress syndrome (ARDS) characterized by hypoxemia and bilateral pulmonary infiltrates. What intervention should the healthcare team prioritize to manage the patient's condition?
- A. Initiate mechanical ventilation with low tidal volume strategy.
- B. Administer intravenous fluids to maintain hemodynamic stability.
- C. Prescribe broad-spectrum antibiotics for suspected pneumonia.
- D. Perform chest physiotherapy to promote airway clearance.
Correct Answer: A
Rationale: Acute Respiratory Distress Syndrome (ARDS) is a severe form of acute lung injury that is characterized by hypoxemia, bilateral pulmonary infiltrates, and noncardiogenic pulmonary edema. When managing a patient with ARDS in the ICU, the priority intervention is to provide adequate oxygenation and ventilation. Mechanical ventilation is often necessary to support gas exchange in these patients.