What is the FIRST step in the qualitative research process?
- A. Data analysis
- B. Review of literature
- C. Sample
- D. Study design
Correct Answer: B
Rationale: The first step in the qualitative research process is typically conducting a review of existing literature on the topic of interest. This involves exploring existing research studies, theories, and findings related to the area being studied. By reviewing the literature, researchers can gain a better understanding of the current knowledge and identify gaps in the existing research that their study can address. This step helps researchers define the research question, refine the study design, and establish a strong theoretical framework for the study.
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Which of the following is not a characteristic of quality improvement that the medical director is interested in?
- A. The leader is the empowerer
- B. Problem-solving is by everyone
- C. The employees are treated as customers
- D. Reacts to correct or bad situation
Correct Answer: D
Rationale: Quality improvement focuses on proactive measures rather than reactive responses. The medical director would be more interested in establishing processes and systems that prevent issues from occurring in the first place, rather than just reacting to problems as they arise. Continuous improvement involves identifying problems, analyzing root causes, and implementing long-term solutions to prevent the issues from recurring. Therefore, reacting to correct or bad situations is not a characteristic of quality improvement that the medical director would prioritize.
The group used an audio recorder to capture what transpired during the interview. After the transcription, which of the following action is APPROPRIATE for the group to do with the audiotape?
- A. Keep the audiotape in a vault and dispose of it a year after.
- B. Submit the audiotape to their research adviser.
- C. Throw it in the trash bin immediately after it was used.
- D. Post the recording on their university research website for others to listen.
Correct Answer: B
Rationale: Submitting the audiotape to their research adviser is the appropriate action for the group to take after transcription. It is important to maintain the audiotape as a research record for verification purposes, especially if any discrepancies arise during the analysis of the transcript. The research adviser can provide guidance on how to securely store or handle the audiotape in compliance with research ethics and data protection guidelines. This ensures the integrity of the research process and supports transparency in the event of any future inquiries or validation requirements. Keeping a record of the audiotape and following proper protocols for its handling is essential in conducting ethical and reliable research.
To remove the ingested poisonous substance, the physician ordered a gastric lavage. What is the role of the nurse immediately prior to the procedure?
- A. Get the right size of the nasogastric tube
- B. Remind parents to be careful next time
- C. Obtain an informed consent immediately
- D. Tell the parent that they are negligent
Correct Answer: A
Rationale: Prior to a gastric lavage procedure, it is essential for the nurse to ensure the correct size of the nasogastric tube is selected. The appropriate size of the tube will allow for effective removal of the ingested poisonous substance during the procedure. Proper sizing also helps in preventing complications such as injury to the gastrointestinal tract or inadequate removal of the substance. This step is crucial for the safe and successful completion of gastric lavage. Reminding parents to be careful, obtaining informed consent immediately, or accusing them of negligence are not immediate responsibilities of the nurse in this context.
A patient with a spinal cord injury at the level of T6 presents with hypotension, bradycardia, and diaphoresis following a sudden change in position from supine to sitting. Which condition is the patient most likely experiencing?
- A. Autonomic dysreflexia
- B. Neurogenic shock
- C. Spinal shock
- D. Orthostatic hypotension
Correct Answer: A
Rationale: The patient is most likely experiencing autonomic dysreflexia. Autonomic dysreflexia is a potentially life-threatening condition that can occur in individuals with spinal cord injuries at the level of T6 or above. It is characterized by a sudden onset of severe hypertension, bradycardia, diaphoresis, flushing, and headache in response to a noxious stimulus below the level of injury. The sudden change in position from supine to sitting likely triggered autonomic dysreflexia in this patient.
A patient with a history of chronic kidney disease presents with pruritus, pale skin, and easy bruising. Laboratory findings reveal anemia, thrombocytopenia, and elevated blood urea nitrogen (BUN) and creatinine levels. Which of the following conditions is most likely?
- A. Uremic encephalopathy
- B. Uremic pericarditis
- C. Uremic bleeding diathesis
- D. Uremic neuropathy
Correct Answer: C
Rationale: The given patient with chronic kidney disease (CKD) is likely experiencing uremic bleeding diathesis. Uremic bleeding diathesis is a complication of CKD characterized by abnormal platelet function, leading to a tendency for bleeding. The presence of anemia, thrombocytopenia (low platelet count), pale skin, easy bruising, and elevated blood urea nitrogen (BUN) and creatinine levels are all consistent with uremic bleeding diathesis.