Nokea
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.
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A nurse is preparing to perform a urinary catheterization for a patient. What action should the nurse take to ensure proper insertion technique?
- A. Inserting the catheter without using sterile gloves
- B. Using aseptic technique and sterile equipment during catheter insertion
- C. Performing catheterization without using lubricating jelly
- D. Advancing the catheter rapidly to minimize patient discomfort
Correct Answer: B
Rationale: The correct action for the nurse to ensure proper insertion technique during a urinary catheterization is to use aseptic technique and sterile equipment. This is crucial in preventing infections and ensuring patient safety. Aseptic technique involves maintaining cleanliness and preventing the introduction of harmful microorganisms during invasive procedures like catheterization. Using sterile equipment helps minimize the risk of introducing bacteria into the urinary tract, which could lead to a urinary tract infection (UTI). Therefore, it is essential that the nurse follows strict infection control protocols and uses sterile equipment to maintain patient safety and well-being during the catheterization procedure.
After 3 years being assigned in the Operating Room, Merle in interested to actively join which appropriate professional organization?
- A. ORNAP
- B. NLGN
- C. ADPCN
- D. APO
Correct Answer: A
Rationale: ORNAP stands for Operating Room Nurses Association of the Philippines, which is an appropriate professional organization for Merle to actively join after 3 years of experience in the Operating Room. ORNAP is dedicated to promoting professional growth and development, advancing the standards of perioperative nursing practice, and providing a platform for networking and collaboration among operating room nurses in the Philippines. By becoming a member of ORNAP, Merle can stay updated on the latest trends and best practices in perioperative nursing, participate in continuing education opportunities, and connect with colleagues in the same field to enhance her skills and knowledge.
The BEST position for the patient to assume in case of shock is ______.
- A. modified Trendelenburg
- B. recumbent
- C. high Fowler's
- D. low Fowler's
Correct Answer: A
Rationale: The BEST position for a patient in shock is the modified Trendelenburg position. In this position, the patient's legs are elevated above the level of the heart to enhance blood flow back to the heart and vital organs. Placing the patient in the modified Trendelenburg position helps increase venous return, improves cardiac output, and promotes perfusion to vital organs, which can be crucial in managing shock. This position can help stabilize the patient's condition while awaiting further medical intervention.
Which BEST advice the nurse should give in case of dog bite
- A. Wash wound with garlic
- B. Do not feed the dog
- C. Bleed the bitten area
- D. Wash thoroughly with running water
Correct Answer: D
Rationale: When someone is bitten by a dog, the most important first aid step is to wash the wound thoroughly with running water. This helps to remove any dirt or bacteria from the wound, reducing the risk of infection. Washing the wound with garlic (choice A) is not recommended as it can irritate the skin and may not effectively clean the wound. Feeding the dog (choice B) is not relevant to treating the bite wound. Bleeding the bitten area (choice C) is also not necessary and can actually increase the risk of infection. Therefore, the best advice the nurse should give in case of a dog bite is to wash the wound thoroughly with running water.
Because Mr. Steve cannot pay for his medical bills, he is referred to the social worker. which of the following rights is applicable in this case the right to_______.
- A. Considerate and respectful care and respectful care irrespective of his socio-economics status.
- B. Expect reasonable continuity of care
- C. Examine and receive an explanation of his medical bills regardless of the source of payment
- D. Know what hospital rules and regulation apply to his conduct as a client.
Correct Answer: A
Rationale: The right to considerate and respectful care irrespective of socio-economic status is applicable in this case because Mr. Steve is facing financial difficulties in paying for his medical bills. This right ensures that all patients receive proper treatment and care regardless of their ability to pay. It emphasizes that every individual deserves to be treated with dignity and respect, regardless of their financial situation. In Mr. Steve's case, being referred to a social worker due to inability to pay should not impact the quality of care and respect he receives from healthcare providers.