Nokea
The nurse caring for a patient who practices Ayurveda would assess for:
- A. an increased stool osmolality gap resulting from dehydration.
- B. petechiae resulting from fine-needle punctures.
- C. use of over-the-counter remedies intended for intended symptom.
- D. magnets strategically placed on affected joints.
Correct Answer: C
Rationale: The correct answer is C, as Ayurveda is a traditional Indian medicine system using herbal remedies. Assessing for over-the-counter remedies aligns with Ayurvedic practices.
A: Stool osmolality gap and dehydration are not directly related to Ayurveda.
B: Petechiae from fine-needle punctures are not typically associated with Ayurveda.
D: Magnets on joints are not a common Ayurvedic practice.
In summary, assessing for over-the-counter remedies is the most relevant choice for a patient who practices Ayurveda.
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Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
- A. the federally coordinated National Disaster Medical System.
- B. local homeland communities where troops receive care.
- C. the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
- D. the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses.
Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?
- A. Staffing only 8 hour shifts on the unit
- B. Decreasing the number of patients cared for on any specific unit
- C. Increasing salaries for experienced nurses
- D. Increasing staffing on the evening shift
Correct Answer: B
Rationale: The correct answer is B because decreasing the number of patients cared for on a specific unit can improve patient outcomes by allowing nurses to provide more individualized care, reduce workload stress, and prevent errors. Staffing only 8-hour shifts (A) may not address the root cause of patient outcomes. Increasing salaries for experienced nurses (C) may improve retention but does not directly impact patient care. Increasing staffing on the evening shift (D) may help with workload distribution but does not address the overall patient load issue.
Which nurse is more prone to burnout? The nurse who:
- A. graduated last in the class.
- B. is industrious and conscientious.
- C. refuses to work an extra shift even though he or she needs the money.
- D. volunteers to serve on only one committee and keeps in touch with schoolmates.
Correct Answer: C
Rationale: The correct answer is C because the nurse who refuses to work an extra shift despite needing money is more prone to burnout. This choice indicates a lack of work-life balance and boundary-setting, leading to increased stress and potential burnout. Refusing to take breaks or extra shifts can result in exhaustion and emotional strain.
Option A is incorrect as academic performance does not necessarily correlate with burnout. Option B, being industrious and conscientious, is actually a positive trait that may help prevent burnout through effective time management and self-care. Option D's involvement in one committee and maintaining school connections is also not indicative of burnout risk, as long as boundaries are maintained.
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
- A. try to quiet the child and is considered child abuse.
- B. bring out toxic wind from the body.
- C. balance heat loss from the body.
- D. brush the body with ruda to allow spirits to return.
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
- A. Knowledge
- B. Comprehension
- C. Application
- D. Analysis
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.
Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.