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Which is the APPROPRIATE way to correct an error in the Nurses Notes?
- A. Take the whole page out and replace with a fresh one
- B. Draw a single 1ine across the error and initial it
- C. Use the sticky side of the plastic tape to erase the error
- D. Use a rubber eraser to erase an error.
Correct Answer: B
Rationale: The appropriate way to correct an error in the Nurses Notes is to draw a single line across the error and initial it. This method is recommended because it indicates that there was an error made, while still preserving the original information for audit and legal purposes. It shows transparency and accountability in documentation, as the original information remains visible. Taking the whole page out and replacing it with a fresh one can lead to discrepancies and potential legal issues if there are inconsistencies in the documentation. Using methods like using the sticky side of the plastic tape or a rubber eraser can make the documentation look unprofessional and raises questions about the accuracy and integrity of the notes.
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After positioning the patient for surgery, the nurse notices signs of pressure injury on the patient's heels. What should the nurse do?
- A. Apply pressure-relieving devices to the heels
- B. Document the findings in the patient's chart
- C. Reposition the patient to relieve pressure
- D. Notify the surgeon about the pressure injuries
Correct Answer: A
Rationale: Pressure injuries on the heels are a concern as they can develop quickly and lead to serious complications, especially in surgical patients who are immobile for extended periods. Applying pressure-relieving devices, such as heel protectors or foam dressings, can help alleviate the pressure on the affected areas and prevent further damage. These devices are designed to distribute pressure evenly and reduce the risk of pressure injuries. It is important for the nurse to address the issue promptly to prevent additional harm to the patient's skin integrity.
Nurses should have knowledge about professional organization. Which of t he following is the accredited professional organization of nurses?
- A. Maternal Child Nursing
- B. Philippine Nurses Association, Inc.
- C. National leaguue of Government Nurses of the Philippines
- D. Association Nursing Service Administrators of the Phiilippines
Correct Answer: B
Rationale: The Philippine Nurses Association, Inc. (PNA) is the accredited professional organization of nurses in the Philippines. PNA is recognized as the official organization of all registered nurses in the country, dedicated to fostering high standards of nursing practice, education, and professional growth. It plays a key role in advocating for the rights and welfare of nurses, as well as promoting the advancement of the nursing profession in the Philippines. Membership in the PNA provides nurses with access to valuable resources, networking opportunities, and support for continuous professional development.
A patient presents with a thyroid nodule and signs of compression such as difficulty swallowing and breathing. Fine-needle aspiration biopsy reveals a follicular pattern and colloid-filled spaces. Which endocrine disorder is most likely responsible for these symptoms?
- A. Hashimoto's thyroiditis
- B. Graves' disease
- C. Follicular adenoma
- D. Thyroid nodules
Correct Answer: C
Rationale: The patient's presentation of thyroid nodule with compression symptoms like difficulty swallowing and breathing, along with fine-needle aspiration biopsy showing a follicular pattern and colloid-filled spaces, is highly suggestive of a follicular adenoma. Follicular adenomas are benign thyroid tumors that can cause compression symptoms due to their growth and size, leading to pressure on surrounding structures in the neck area. The presence of colloid-filled spaces in the biopsy is characteristic of follicular adenomas.
A patient is prescribed a loop diuretic for the management of edema. Which electrolyte imbalance is most commonly associated with loop diuretic therapy?
- A. Hyponatremia
- B. Hypomagnesemia
- C. Hyperkalemia
- D. Hypocalcemia
Correct Answer: B
Rationale: Loop diuretics, such as furosemide, are potent diuretics commonly used to manage conditions like edema, heart failure, and hypertension. Loop diuretics work by inhibiting the reabsorption of sodium and chloride in the loop of Henle in the kidney, leading to increased diuresis. However, this mechanism of action can also lead to increased excretion of other electrolytes, such as magnesium.
A patient receiving palliative care for end-stage liver cancer experiences severe nausea and vomiting despite antiemetic therapy. What should the palliative nurse consider when addressing the patient's symptoms?
- A. Increase the dosage of the current antiemetic medication.
- B. Switch to a different antiemetic medication with a different mechanism of action.
- C. Discontinue antiemetic therapy and explore non-pharmacological interventions.
- D. Administer intravenous fluids to alleviate dehydration associated with vomiting.
Correct Answer: B
Rationale: When a patient receiving palliative care for end-stage cancer experiences severe nausea and vomiting despite current antiemetic therapy, the palliative nurse should consider switching to a different antiemetic medication with a different mechanism of action. This approach is based on the concept of individual variability in response to medications, as well as the potential development of tolerance to a particular drug. Switching to a different antiemetic with a new mechanism of action can provide the patient with a fresh chance at better symptom control by targeting different receptors or pathways involved in nausea and vomiting. It is important to consult the healthcare team and consider the patient's overall condition and medication history before making any changes in the treatment plan.