Which is the BEST strategy that Nurse should employ to give feedback on patients evaluation of health services?
- A. Put the evaluation at supervisors office
- B. Send letter to all
- C. Conduct staff meeting
- D. Through bulletin board
Correct Answer: C
Rationale: Conducting a staff meeting is the best strategy for Nurse Nena to give feedback on patients' evaluation of health services. This option allows for direct communication and interaction with the team, ensuring that feedback is effectively conveyed, discussed, and understood by all members. Staff meetings provide a platform for open dialogue, clarification of any concerns, and collaborative problem-solving. It also promotes team cohesion and shared accountability in improving health services based on patients' feedback. This approach encourages active participation and engagement from all team members, fostering a more effective and comprehensive response to the evaluations received.
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Which of the following structures is responsible for producing digestive enzymes and bicarbonate-rich pancreatic juice, which are essential for the digestion of carbohydrates, fats, and proteins in the small intestine?
- A. Liver
- B. Gallbladder
- C. Pancreas
- D. Spleen
Correct Answer: C
Rationale: The pancreas is the structure responsible for producing digestive enzymes and bicarbonate-rich pancreatic juice. These enzymes aid in the breakdown of carbohydrates, fats, and proteins in the small intestine to facilitate the absorption of nutrients. The pancreas plays a crucial role in the process of digestion, making it an essential organ in the digestive system. The liver is primarily involved in producing bile to aid in the digestion of fats, the gallbladder stores bile produced by the liver, and the spleen is involved in filtering the blood and storing blood cells.
A patient with a history of Hodgkin lymphoma presents with fever, chills, and generalized malaise. Laboratory tests reveal pancytopenia, circulating Reed-Sternberg cells, and bone marrow involvement. Which of the following conditions is most likely to cause these findings?
- A. Autoimmune hemolytic anemia (AIHA)
- B. Myelodysplastic syndrome (MDS)
- C. Aplastic anemia
- D. Paraneoplastic syndrome
Correct Answer: D
Rationale: The patient is presenting with symptoms and laboratory findings consistent with a paraneoplastic syndrome related to Hodgkin lymphoma. In this case, the fever, chills, generalized malaise, pancytopenia, circulating Reed-Sternberg cells, and bone marrow involvement are all indicative of a paraneoplastic syndrome associated with Hodgkin lymphoma. Paraneoplastic syndromes are a group of disorders that are triggered by an abnormal immune response to a neoplasm, such as Hodgkin lymphoma, leading to various systemic manifestations.
Which communication technique should Nurse Cris employ in order to successfully capture the details of the meeting?
- A. Summarizing
- B. Restating
- C. Reassuring
- D. Validating
Correct Answer: A
Rationale: Nurse Cris should employ the communication technique of summarizing to successfully capture the details of the meeting. Summarizing involves condensing the information provided into a concise and organized form, which would help Nurse Cris remember and retain the key points discussed during the meeting. By summarizing the details, Nurse Cris can ensure that no important information is missed and can also confirm understanding by reflecting back the main points discussed. This technique promotes effective communication by enhancing clarity and reinforcing comprehension.
Simple hysterectomy involves the removal of which structure(s)?
- A. uterus only
- B. uterus and fallopian tubes
- C. uterus and cervix
- D. uterus, ovaries, and fallopian tubes
Correct Answer: C
Rationale: A simple hysterectomy involves the removal of the uterus and cervix. It does not involve the removal of the fallopian tubes or ovaries. In some cases, the fallopian tubes may be removed along with the uterus, but this would be specified as a different type of hysterectomy (such as a total hysterectomy or a radical hysterectomy). The removal of the ovaries, if necessary, would be indicated as an oophorectomy.
A postpartum client expresses concerns about breastfeeding and worries about inadequate milk supply. What nursing intervention should be prioritized to address the client's concerns?
- A. Assessing the infant's latch and feeding effectiveness
- B. Recommending supplemental formula feedings to ensure adequate nutrition
- C. Educating the client about techniques to increase milk production
- D. Referring the client to a lactation consultant for assistance
Correct Answer: A
Rationale: Assessing the infant's latch and feeding effectiveness should be prioritized as the initial nursing intervention to address the client's concerns about inadequate milk supply. Poor latch can lead to ineffective milk removal, which may result in decreased milk production. By ensuring the infant is latching correctly and effectively transferring milk, the client's milk supply can be optimized. Education about techniques to increase milk production can be provided following the assessment of feeding effectiveness. Referring to a lactation consultant may be necessary for further evaluation and support if issues persist despite correcting the latch. Supplemental formula feedings should be recommended as a last resort after all other interventions have been attempted and if there are concerns about inadequate nutrition for the infant.