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When patient record reach the Medical Records, the assigned staff will _____.
- A. store the charts in their respective shelves
- B. separate the medico-legal charts
- C. check the completeness of the charting of the doctors and nurses
- D. bind the chart immediately
Correct Answer: C
Rationale: The correct answer is C because checking the completeness of the charting by doctors and nurses ensures that all necessary information is accurately documented, facilitating proper patient care and treatment. This step helps identify any missing or incorrect information that may impact patient safety.
A: Storing the charts in respective shelves is a routine task that does not involve verifying the accuracy or completeness of the information.
B: Separating medico-legal charts is important but does not directly address the completeness of charting by doctors and nurses.
D: Binding the charts immediately is not necessary before ensuring the completeness and accuracy of the information documented.
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A nurse is preparing to perform a chest tube insertion for a patient with a pneumothorax. What action should the nurse prioritize to ensure proper placement of the chest tube?
- A. Positioning the patient in a semi-Fowler's position with arms elevated
- B. Marking the insertion site with a pen to guide tube placement
- C. Administering analgesia to the patient before the procedure
- D. Confirming the insertion site and direction using imaging guidance
Correct Answer: D
Rationale: The correct answer is D because confirming the insertion site and direction using imaging guidance ensures precise placement of the chest tube, minimizing the risk of complications. Imaging guidance allows the nurse to visualize the exact location of the pneumothorax and guide the tube insertion accurately.
A: Positioning the patient in a semi-Fowler's position with arms elevated may be beneficial for comfort but does not directly ensure proper chest tube placement.
B: Marking the insertion site with a pen may help as a reference point but does not guarantee accurate placement.
C: Administering analgesia is important for the patient's comfort but does not impact the placement of the chest tube.
In summary, choice D is the most critical step to ensure the chest tube is correctly placed and effectively treats the pneumothorax.
Bel1le has a difficulty tolerating frustration The GOAL Of the nurse is to assist Belle to ________.
- A. increase her self-esteem
- B. recognize her need
- C. cope with anxiety
- D. mobilize her resources
Correct Answer: C
Rationale: The correct answer is C: cope with anxiety. The nurse's goal is to address Belle's difficulty tolerating frustration, which likely leads to anxiety. By helping Belle develop coping strategies for managing her anxiety, the nurse can assist her in handling frustration more effectively. Options A, B, and D are incorrect because increasing self-esteem, recognizing needs, and mobilizing resources may be important aspects of Belle's overall care but are not directly related to addressing her difficulty with frustration and anxiety. Focusing on coping with anxiety directly targets the root issue and is the most appropriate goal in this context.
A postpartum client presents with severe abdominal pain, nausea, and vomiting. Which nursing action is most appropriate?
- A. Administering antiemetic medication as ordered
- B. Encouraging the client to drink clear fluids
- C. Assessing for signs of peritonitis or surgical abdomen
- D. Providing a heating pad to alleviate abdominal discomfort
Correct Answer: C
Rationale: In a postpartum client who presents with severe abdominal pain, nausea, and vomiting, it is crucial to assess for signs of peritonitis or surgical abdomen. These signs may include rebound tenderness, guarding, rigidity, and fever. Peritonitis is a serious condition that may require immediate surgical intervention. Administering antiemetic medication, encouraging clear fluids, or providing a heating pad may not address the underlying cause of the symptoms and delay appropriate treatment. Assessing for signs of peritonitis or surgical abdomen is crucial for prompt identification and management of the client's condition.
A patient presents with chest pain, dyspnea, and hemoptysis. A ventilation-perfusion (V/Q) scan reveals a mismatched defect. Which cardiovascular disorder is most likely responsible for these symptoms?
- A. Pulmonary embolism
- B. Pericarditis
- C. Acute myocardial infarction
- D. Aortic dissection
Correct Answer: A
Rationale: The correct answer is A: Pulmonary embolism. This is the most likely cause of the symptoms based on the presentation of chest pain, dyspnea, hemoptysis, and a mismatched defect on the V/Q scan. A pulmonary embolism occurs when a blood clot travels to the lungs, causing a blockage in the pulmonary artery. This can lead to symptoms like chest pain, shortness of breath, and coughing up blood. The V/Q scan showing a mismatched defect indicates a ventilation-perfusion mismatch, which is a classic finding in pulmonary embolism. Pericarditis (B), acute myocardial infarction (C), and aortic dissection (D) typically present with different sets of symptoms and do not match the V/Q scan findings in this case.
Which of the following is an example of a PRIMARY) source in a research study?
- A. A textbook of medical-surgical nursing
- B. A doctoral dissertation that critiques all research in the area of attention deficit disorder
- C. A published commentary on the findings of another study
- D. A journal article about a study that used large, previously unpublished databases generated
Correct Answer: D
Rationale: The correct answer is D because a journal article about a study using large, previously unpublished databases is a primary source as it presents original research findings firsthand. It contributes new knowledge to the field. A textbook (A) compiles existing information, not original research. A doctoral dissertation (B) critiques research but is not a primary source. A published commentary (C) interprets others' findings, making it a secondary source.