Nokea
The nurse should always keep which of these drugs at the bedsides of a client with myasthenia gravis
- A. Atropine
- B. Inderal
- C. Tensilon
- D. Neostigmine
Correct Answer: C
Rationale: The nurse should always keep Tensilon (Edrophonium) at the bedside of a client with myasthenia gravis. Tensilon is a fast-acting cholinesterase inhibitor that can be used for the diagnosis and emergency treatment of myasthenia crisis. It helps improve muscle strength temporarily by increasing the levels of acetylcholine at the neuromuscular junction. Administering Tensilon can help differentiate between a myasthenic crisis (marked improvement in muscle strength) and a cholinergic crisis (no improvement or worsening of muscle weakness). Keeping Tensilon at the bedside allows for prompt administration in case of a myasthenic crisis.
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Nurse Edna admits a patient from the ER to the medical unit. The patient is very restless with IV lines and a urinary catheter. She was put to bed and the nurse applied a body restraint without the doctor's order. Nurse Edna's action can be liable for _____.
- A. invasion of privacy
- B. battery
- C. assault
- D. neglect
Correct Answer: B
Rationale: Battery in the context of healthcare refers to the intentional and unauthorized touching of a patient. By applying a body restraint without a doctor's order, Nurse Edna has potentially committed battery against the patient. It is important for healthcare providers to obtain proper authorization before implementing any physical restraints on a patient to avoid legal liabilities such as battery.
Nursing programs that are based on needs assessment and needs analysis and should ne offered free is which of the following?
- A. Continuing Development Program
- B. In-service Training Program
- C. Nursing Education Program
- D. Post-graduate program
Correct Answer: C
Rationale: Nursing programs that are based on needs assessment and needs analysis are meant to provide education and training to current or aspiring nurses according to specific needs within the healthcare system. These programs are usually foundational education programs that are essential for producing competent and skilled nurses. Offering such programs for free ensures that individuals with a passion for nursing but limited financial resources can access quality education and training opportunities. This helps in bridging the gap in the healthcare workforce and ultimately contributes to the overall health and well-being of the population.
Incident Reports (IRs) shall be collected for the day and due investigations scheduled by the quality Department. Upon completion of the investigation, the IRS ____.
- A. must be completed and stored on the open cabinet
- B. can be stored on the table top for easy retrieval
- C. must be summarized monthly and stored in a secured cabinet
- D. classified by cate so they can be easily accessibility
Correct Answer: C
Rationale: Incident Reports (IRs) must be summarized monthly and stored in a secured cabinet for several reasons. Firstly, summarizing the IRs monthly allows for a consolidated overview of the incidents that have occurred, highlighting any recurring patterns or trends that may need to be addressed. By storing the summarized IRs in a secured cabinet, the information is kept confidential and protected from unauthorized access. This practice also ensures that the reports are organized and easily accessible for future reference or audits. Storing the IRs on an open cabinet, table top, or with a classification system that may not be easily understandable can lead to potential breaches of confidentiality or difficulty in retrieving and understanding the information when needed.
The patient during labor would anticipate some emotional support. Which of the following nursing interventions should Nurse Sarah provide to keep the patient calm?
- A. Giving praise for her the sense of satisfaction regarding quick labor.
- B. Support in maintaining a sense of control.
- C. Explanation of the effect of labor on the newborn.
- D. Allowing the patient to express pain and anxiety
Correct Answer: B
Rationale: Support in maintaining a sense of control is essential in keeping the patient calm during labor. Giving the patient a sense of control allows them to feel empowered and more in charge of their experience. This can help reduce anxiety and fear, ultimately promoting a more positive and calm labor experience. Providing emotional support by assisting the patient in maintaining control can greatly benefit their overall emotional well-being during this stressful time.
Which type of plan should the nurse employ to assess the strengths and weaknesses of the organization?
- A. Nursing care
- B. Strategic
- C. Operational
- D. Program
Correct Answer: B
Rationale: To assess the strengths and weaknesses of the organization, the nurse should employ a strategic plan. A strategic plan involves setting overall goals, objectives, and strategies for the organization. It provides a comprehensive framework for evaluating the current state of the organization, identifying areas of improvement, and aligning resources to achieve long-term success. By using a strategic plan, the nurse can conduct a thorough analysis of the organization's internal and external factors, including its strengths and weaknesses, to determine the most effective course of action for the future.