Nokea
Which of the following interventions is most appropriate for a patient with a tension pneumothorax?
- A. Needle decompression
- B. Chest tube insertion
- C. High-flow oxygen therapy
- D. Incentive spirometry
Correct Answer: A
Rationale: A tension pneumothorax is a life-threatening condition where air accumulates in the pleural space and cannot escape, causing increased pressure in the chest cavity. This can lead to compression of the lung and major blood vessels, leading to inadequate oxygenation and circulation.
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The PRIORITY nursing action of the nurse for Jose due for oxygen therapy is _____.
- A. attach the humidifier and connecting tubing to the oxygen de livery device.
- B. connect the flow meter to the pipe in oxygen outlet.
- C. turn on the oxygen
- D. check the flow.
Correct Answer: C
Rationale: The PRIORITY nursing action of the nurse for Jose due for oxygen therapy is to turn on the oxygen. Ensuring that the oxygen is turned on is the necessary first step before any other actions can be effective in delivering oxygen to the patient. Without oxygen being turned on, all other steps such as attaching the humidifier, connecting tubing, or adjusting the flow rate would be ineffective in providing the necessary oxygen therapy to the patient. Therefore, turning on the oxygen is the most crucial initial step to take in this situation to ensure that the patient receives the needed oxygen promptly and safely.
After the data analysis of their study, experiences of pregnant women in labor, they returned to the participants to determine the accuracy of the emerged themes. Which criteria of trustworthiness is the group doing?
- A. Confirmability
- B. Transferability
- C. Credibility
- D. Dependability
Correct Answer: A
Rationale: Confirmability is the criteria of trustworthiness that refers to the degree to which the findings of a study are based on the data itself and not on the biases, motivations, or interests of the researchers. In this scenario, returning to the participants to confirm the accuracy of the emerged themes is a way to ensure the confirmability of the study findings. By involving the participants in the validation process, the researchers are seeking to verify that the themes identified truly reflect the experiences of the pregnant women in labor as reported by the participants. This practice enhances the credibility and trustworthiness of the study's findings by confirming their alignment with the participants' perspectives and experiences.
A patient with a suspected spinal injury is found unconscious. Which of the following actions should be taken first?
- A. Move the patient to a flat surface.
- B. Perform a jaw thrust maneuver.
- C. Apply a cervical collar.
- D. Check for responsiveness.
Correct Answer: B
Rationale: When a patient with a suspected spinal injury is found unconscious, the priority action is to secure the airway without jeopardizing the cervical spine. A jaw thrust maneuver is the appropriate technique to open the airway in this situation because it allows for the maintenance of neutral alignment of the cervical spine while ensuring proper ventilation. Moving the patient to a flat surface or applying a cervical collar could potentially worsen the spinal injury if not done correctly, and checking for responsiveness should only be done after ensuring a patent airway. Therefore, the safest and most effective initial action is to perform a jaw thrust maneuver to establish a clear airway.
You accidentally touch Claudia's eyelid during eye drop instillation causing her to blink. What should have you done to prevent this from occurring?
- A. Touch the inner side of the medicine cap
- B. Tilt back Claudia's head slightly
- C. Hold the dropper close to the eye but do not allow the medication to fall into the cornea
- D. Have Claudia look up and focus on something
Correct Answer: B
Rationale: Tilt back Claudia's head slightly would have been the correct action to prevent her from blinking during eye drop instillation. By tilting her head back, you create a more stable position for instilling the eye drops, reducing the likelihood of accidental contact with her eyelid. Additionally, tilting the head back slightly helps in making it easier for the drops to enter the eye and stay within the conjunctival sac, improving the efficacy of the medication.
Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. which of the statement is NOT true?
- A. Infants and children often cannot be tested with the same materials and techniques as adults.
- B. Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults
- C. Some infants who appear visually impaired early in life wil1 not Show normal visual responses several weeks or months later
- D. Course of visual and cognitive development must be taken into account in evaluating infants and children's visual abilities
Correct Answer: E
Rationale: All of the statements (A-D) are true when discussing the testing of vision in infants and children separately from testing in adults. However, statement E is NOT true. The course of visual and cognitive development MUST be taken into account in evaluating infants and children's visual abilities. It is crucial to consider the stage of development a child is in when evaluating their vision, as their visual abilities can change rapidly during early childhood. Ignoring the course of development could lead to incorrect assessments and misunderstandings about the child's visual capabilities.