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What is the appropriate ratio of chest compressions to rescue breaths for adult CPR?
- A. 15 compressions: 2 breaths
- B. 30 compressions: 2 breaths
- C. 30 compressions: 1 breath
- D. 15 compressions: 1 breath
Correct Answer: C
Rationale: The appropriate ratio of chest compressions to rescue breaths for adult CPR is 30 compressions to 2 breaths. This means that after every 30 chest compressions, two rescue breaths should be given. This ratio helps in maintaining oxygen circulation in the body while also ensuring that the heart is being effectively pumped to circulate blood. The emphasis on chest compressions is critical in maintaining blood flow to vital organs during cardiac arrest, while the rescue breaths help in providing oxygen to the patient's lungs. This ratio is recommended by organizations like the American Heart Association for performing high-quality adult CPR.
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Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
- A. Seek out the nursing supervisor in conflicting situations
- B. Work to understand the law as it applies to the client's clinical condition.
- C. Assess the client's point of view and prepare to articulate this point of view.
- D. Document all clinical changes in the medical record in a timely manner.
Correct Answer: C
Rationale: The practice of advocacy in nursing involves assessing the client's point of view and preparing to articulate this viewpoint. Advocacy requires that nurses actively listen to their patients, understand their perspectives, and ensure that their needs and wishes are communicated effectively within the healthcare team. By advocating for the client's point of view, nurses can help empower their patients to make informed decisions about their care and ensure that their best interests are always prioritized.
A patient expresses dissatisfaction with the care received during their hospital stay. What is the nurse's best response?
- A. Dismiss the patient's concerns and reassure them that the care provided was adequate.
- B. Listen actively to the patient's concerns, apologize for any shortcomings, and offer to address the issues.
- C. Ignore the patient's dissatisfaction and proceed with discharge procedures.
- D. Tell the patient that their concerns are unfounded and unwarranted.
Correct Answer: B
Rationale: The best response for a nurse when a patient expresses dissatisfaction with the care they received during their hospital stay is to listen actively to the patient's concerns, apologize for any shortcomings, and offer to address the issues. It is crucial for healthcare providers to acknowledge the patient's perspective, validate their feelings, and work towards resolving any issues that may have contributed to their dissatisfaction. This approach demonstrates empathy, professionalism, and a commitment to patient-centered care, fostering trust and effective communication between the patient and the healthcare team. Dismissing the patient's concerns (option A), ignoring their dissatisfaction (option C), or telling them that their concerns are unfounded (option D) can further escalate the situation and lead to a breakdown in the patient-provider relationship.
During the implementation process, the nurse should ensure a better assimilation of the teachings.
- A. serious lecturer
- B. conducive time and place
- C. Lecture to start at 11:00AM
- D. neophyte as sharer
Correct Answer: B
Rationale: Creating a conducive time and place for the teachings is crucial during the implementation process to ensure better assimilation by the staff. By choosing a suitable time that does not clash with other responsibilities and providing a comfortable environment for learning, the nurse can enhance the staff's understanding and retention of the teachings. This approach helps in engaging the staff effectively and facilitating a productive learning experience.
Patients like Emmy who have experienced delayed hypersensivity to latex FREQUENTLY complains of ______.
- A. flushing, bronchospasm
- B. urticaria, laryngeal edema
- C. rhinitis, conjunctivitis, blisters
- D. papules, vesicles, pruritus
Correct Answer: C
Rationale: Patients like Emmy who have experienced delayed hypersensitivity to latex typically present with symptoms such as rhinitis (runny or stuffy nose) and conjunctivitis (inflammation of the eyes). In addition, delayed hypersensitivity reactions often involve skin manifestations, such as blisters. These symptoms are reflective of the inflammatory response triggered by exposure to latex in individuals with delayed hypersensitivity. Symptoms like flushing, bronchospasm, urticaria, laryngeal edema, papules, vesicles, and pruritus are more commonly associated with immediate-type hypersensitivity reactions rather than delayed hypersensitivity reactions in latex-sensitive individuals.
The patient is shouting and cursing the nurse, the nurse slaps the patient. The nurse would be guilty of:
- A. Abuse
- B. Assault
- C. Battery
- D. Physical abuse
Correct Answer: C
Rationale: Battery is the intentional touching or use of force on another individual without their consent. In this scenario, the nurse's action of slapping the patient constitutes battery as it involves a deliberate physical contact without the patient's permission. This is different from assault, which involves the threat of harm, and abuse, which encompasses various forms of mistreatment. Ultimately, the nurse in this situation would be guilty of committing a battery by unlawfully striking the patient.