Nokea
The patient record (charts) are collected every three nights from the various departments. The night nurse is EXPECTED to do the following, EXCEPT,
- A. ensure the correct order of the chart.
- B. see to the completeness of the chart pages.
- C. bind the charts as they are
- D. tape or repair torn pages
Correct Answer: C
Rationale: The night nurse is expected to collect the patient charts from various departments every three nights. Among the tasks listed, binding the charts as they are is not typically a responsibility of the night nurse. This task is usually handled by administrative staff or professional medical records technicians who are trained to manage the organization and storage of patient charts. The night nurse's primary focus should be on ensuring the correct order of the charts, checking for completeness, and addressing any issues such as torn pages by taping or repairing them to maintain the integrity of the patient records.
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This global program aims to end poverty and protect the planet?
- A. Center for Disease Control
- B. Sustainable development goal
- C. Millenium development goals
- D. World health organization
Correct Answer: B
Rationale: The global program that aims to end poverty and protect the planet is known as the Sustainable Development Goals (SDGs). The SDGs were adopted by all United Nations Member States in 2015 as a universal call to action to end poverty, protect the planet, and ensure prosperity for all. The goals address a wide range of social, economic, and environmental challenges that the world faces, including poverty, hunger, health, education, gender equality, clean water, and energy. By achieving the SDGs, countries can work together to create a more sustainable and equitable world for present and future generations.
A nurse is advocating for a patient's rights within the healthcare system. What action by the nurse demonstrates advocacy?
- A. Making decisions for the patient without their input
- B. Collaborating with the healthcare team to develop a care plan
- C. Encouraging the patient to follow the healthcare provider's orders
- D. Speaking up on behalf of the patient to ensure their needs are met
Correct Answer: D
Rationale: Speaking up on behalf of the patient to ensure their needs are met is a key action that demonstrates advocacy by the nurse. Advocacy involves actively supporting and safeguarding the rights of the patient, ensuring that their best interests are being considered within the healthcare system. This may include advocating for appropriate treatment, services, resources, or respect for the patient's autonomy and decision-making. By speaking up for the patient, the nurse is acting as their voice and championing their well-being.
The nurse recognizes that a patient is exhibiting symptoms associated with a TIA. After what period of time does the nurse determine these symptoms will subside?
- A. 1 hour
- B. 12 hours
- C. 3 to 6 hours
- D. 24 to 36 hours
Correct Answer: A
Rationale: Transient ischemic attack (TIA) is a temporary episode of neurological dysfunction caused by a temporary disruption in blood supply to the brain. The symptoms of a TIA typically last for a short period of time, usually less than 1 hour. In some cases, the symptoms may last up to 24 hours but generally resolve within a shorter time frame. It is important for healthcare providers to recognize the symptoms of a TIA promptly and assess the patient for appropriate management to prevent the risk of a full-blown stroke.
It is important that Nurse Chona records accurately the restless caused by pain and that of hypoxia. Which of the following should be recorded as the restlessness caused by pain?
- A. Difficulty of breathing.
- B. Increased respiratory rate and blood pressure.
- C. Increased heart rate.
- D. Increased perspiration and change of position.
Correct Answer: D
Rationale: Restlessness caused by pain often manifests as increased perspiration and constant change of position. When a person is in pain, they may become sweaty or clammy due to increased sympathetic nervous system activity. Additionally, they may constantly shift or fidget in an attempt to find a more comfortable position that can alleviate the pain they are experiencing. Therefore, it is crucial for Nurse Chona to accurately document these behaviors as signs of pain-related restlessness. Difficulty of breathing (Option A), increased respiratory rate and blood pressure (Option B), and increased heart rate (Option C) are more indicative of hypoxia or respiratory distress rather than pain-related restlessness.
After administering anesthesia to the patient, the nurse notices a sudden drop in blood pressure. What is the nurse's priority action?
- A. Administer vasopressors to increase blood pressure
- B. Assess the patient's airway, breathing, and circulation
- C. Document the blood pressure readings in the anesthesia record
- D. Notify the anesthesiologist immediately
Correct Answer: B
Rationale: The nurse's priority action after noticing a sudden drop in blood pressure after administering anesthesia is to assess the patient's airway, breathing, and circulation (ABCs). This is crucial to determine the immediate cause of the sudden drop in blood pressure and to ensure the patient's safety and stability. Assessment of the ABCs will help identify any potential airway obstruction, respiratory distress, or circulatory issues that may be contributing to the drop in blood pressure. Once the assessment is done, appropriate interventions can be initiated to stabilize the patient's condition. Administering vasopressors, documenting the blood pressure readings, and notifying the anesthesiologist are important actions but assessing the ABCs takes precedence in this situation to ensure the patient's immediate needs are addressed.