Nokea
When Nurse Sarah distributed a Patient satisfaction' survey form to be filled by the consumer upon discharge in a hospital setting is in compliance to what quality standards?
- A. Organizational structure and professional ethics.
- B. Identification of Patient right and welfare.
- C. Improving performance, of health care personnel.
- D. Human resource management and staffing pattern.
Correct Answer: B
Rationale: When Nurse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon discharge in a hospital setting, it aligns with the quality standard of identifying Patient rights and welfare. Patient satisfaction surveys aim to gather feedback from patients about their experiences with the health care services provided. By distributing such surveys, the hospital is demonstrating its commitment to ensuring the rights and welfare of patients by seeking their feedback, understanding their concerns, and incorporating their suggestions for improvement. This initiative helps in enhancing the quality of care provided to patients and ultimately contributes to improving overall patient outcomes and satisfaction.
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When communicating with a patient from a different cultural background, what should the nurse prioritize?
- A. Ignoring cultural differences to avoid making the patient uncomfortable.
- B. Using medical jargon to ensure clarity and precision.
- C. Recognizing and respecting the patient's cultural beliefs and practices.
- D. Minimizing the time spent communicating with the patient.
Correct Answer: C
Rationale: When communicating with a patient from a different cultural background, the nurse should prioritize recognizing and respecting the patient's cultural beliefs and practices. This is essential in providing culturally competent care, fostering trust and rapport with the patient, and ultimately improving health outcomes. By acknowledging and understanding the cultural context of the patient, the nurse can adapt communication strategies, address the patient's needs effectively, and avoid misunderstandings or misinterpretations. Building a culturally sensitive approach can enhance the quality of care and strengthen the therapeutic relationship between the nurse and patient.
Endocrine changes often result in a bulimic patient. Which of the following would be an expected change in Sherry?
- A. Delayed Thyroid Stimulating Hormone response to Hormone Replacement Therapy
- B. Increased production of Follicle Stimulating Hormone
- C. Hypopituitarism
- D. Decreased Adrenocorticotropic Hormone in response to cortisone
Correct Answer: C
Rationale: Endocrine changes in a bulimic patient, such as Sherry, can lead to disruptions in the pituitary gland's function. Hypopituitarism refers to a disorder in which the pituitary gland does not produce one or more of its hormones adequately. This can result in hormonal imbalances and have various effects on the body's functions. In Sherry's case, developing hypopituitarism would be an expected change due to the endocrine disruptions associated with bulimia. It is important for healthcare providers to monitor and address these endocrine changes in bulimic patients to prevent further complications.
A patient with asthma experiences nocturnal cough, wheezing, and chest tightness several times per week. Which of the following medications is most appropriate for long-term control of asthma symptoms and prevention of exacerbations?
- A. Fluticasone/salmeterol (Advair)
- B. Albuterol (salbutamol)
- C. Ipratropium bromide (Atrovent)
- D. Prednisone
Correct Answer: A
Rationale: Fluticasone/salmeterol (Advair) is a combination medication consisting of an inhaled corticosteroid (fluticasone) and a long-acting beta-agonist (salmeterol). This combination medication is recommended for long-term control of asthma symptoms and for the prevention of exacerbations. Fluticasone reduces airway inflammation, while salmeterol helps to relax the muscles of the airways, improving breathing. Using this combination medication regularly can help manage asthma symptoms and reduce the risk of asthma attacks. It is not appropriate to use short-acting beta-agonists like albuterol (salbutamol) on a long-term basis for asthma control. Ipratropium bromide (Atrovent) is an anticholinergic bronchodilator that is more commonly used for chronic obstructive pulmonary disease (COPD
A nurse is caring for a patient with limited English proficiency. What action should the nurse take to ensure effective communication with the patient?
- A. Speak loudly and slowly to help the patient understand
- B. Use medical jargon to convey information more efficiently
- C. Obtain interpreter services or language assistance as needed
- D. Ignore the patient's language barriers and focus on nonverbal communication
Correct Answer: C
Rationale: The nurse should obtain interpreter services or language assistance as needed to ensure effective communication with a patient who has limited English proficiency. Using an interpreter will facilitate clear and accurate communication between the nurse and the patient, enabling the patient to fully understand their care, treatment, and any instructions provided. Speaking loudly or slowly, using medical jargon, or ignoring the language barriers are not effective strategies for communicating with a patient who has limited English proficiency. Utilizing interpreter services demonstrates respect for the patient's language and cultural needs, which is essential for providing high-quality care.
Corticosteroids are one of the main therapies for nephrotic syndrome. Which of the following COMMON side effects should the nurse watch for?
- A. Loss of appetite
- B. Increase in body hair
- C. Loss of weight
- D. Lowering of blood pressure
Correct Answer: A
Rationale: Corticosteroids, commonly used in the treatment of nephrotic syndrome, can cause various side effects. One of the common side effects of corticosteroids is a loss of appetite. Patients receiving corticosteroid therapy may experience a decreased desire to eat, leading to reduced food intake. Monitoring for changes in appetite is important as a decrease in food intake can impact overall nutrition and may affect the patient's response to treatment. It is essential for the nurse to watch for this side effect to address any potential nutritional concerns and collaborate with the healthcare team to optimize the patient's care.