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Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient Ellie with oxytocin drip?
- A. Know, how to recognize potential adverse reactions:
- B. Administer oxytocin drug with caution
- C. Monitor patient closely when infusing oxytocin
- D. Inform patient about potential complications.
Correct Answer: D
Rationale: While all of the nursing measures listed are important considerations when managing a patient receiving oxytocin drip, the nurse would least consider informing the patient about potential complications. The reason for this is that it is the responsibility of the healthcare provider (such as the physician or advanced practice nurse) to inform the patient about potential complications of a medication or treatment. Nurses are instrumental in providing education and support to patients, but in the case of informing patients about potential complications, this task typically falls under the purview of the prescribing provider. The primary focus of the nurse in this situation would be to assess, administer, monitor, and educate the patient as appropriate, ensuring safe and effective care delivery.
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Who among the passengers will take PRIORITY for the rescue team to transport to the hospital?
- A. Student with Colle's fracture.
- B. Jay with lacerations
- C. Pregnant women
- D. Conductor with broken leg
Correct Answer: C
Rationale: In emergency situations, pregnant women are typically given priority when it comes to transportation to the hospital. This is because they have unique medical needs and potential complications that require immediate attention. It is important to ensure the well-being of both the mother and the unborn child. Additionally, the health and safety of the unborn child are critical considerations in determining priority for medical treatment and transport. Therefore, the pregnant woman should be the priority for the rescue team to transport to the hospital.
Which of the following clinical findings is most consistent with a diagnosis of pneumonia?
- A. Inspiratory crackles and dullness to percussion
- B. Hemoptysis and pleuritic chest pain
- C. Clubbing of the fingers and cyanosis
- D. Decreased breath sounds and tracheal deviation
Correct Answer: A
Rationale: The clinical findings of inspiratory crackles (also known as rales) and dullness to percussion are most consistent with a diagnosis of pneumonia. Inspiratory crackles are abnormal lung sounds heard on auscultation and are typically due to the presence of fluid or mucus in the alveoli. Dullness to percussion can indicate consolidation of lung tissue, which is a common finding in pneumonia where the alveolar spaces are filled with inflammatory exudate. These findings suggest localized lung pathology and are commonly observed in patients with pneumonia. Hemoptysis and pleuritic chest pain (Choice B) are more suggestive of pulmonary embolism or pleurisy. Clubbing of the fingers and cyanosis (Choice C) are signs of chronic hypoxemia and are not specific to pneumonia. Decreased breath sounds and tracheal deviation (Choice D) are more indicative of conditions such as a pneumoth
Aside from atttending seminars which of the following informal continuing education programss should the nurse engaged herself EXCEPT:
- A. Attendding professional conventions
- B. Webinars
- C. Symposium
- D. Doing reseach as academic requirement
Correct Answer: D
Rationale: While attending professional conventions, webinars, and symposiums are all valuable informal continuing education programs that can help nurses stay updated with the latest trends and developments in the field, doing research as an academic requirement is not typically considered an informal continuing education activity. Research is a formal process that involves structured methodologies and academic rigor. While research may be a valuable activity for professional growth, it is not usually classified under informal continuing education programs that nurses engage in to supplement their knowledge and skills.
A patient with a history of type 2 diabetes mellitus is prescribed insulin glargine (Lantus) once daily. Which statement indicates understanding of insulin glargine administration?
- A. "I will inject insulin glargine 30 minutes before meals."
- B. "I will shake the insulin vial vigorously before drawing the dose."
- C. "I will rotate injection sites within the same body region."
- D. "I will administer insulin glargine with a rapid-acting insulin."
Correct Answer: C
Rationale: Insulin glargine (Lantus) is a long-acting insulin that is typically administered once daily at the same time each day to help maintain a steady level of insulin in the body. It is important to rotate injection sites within the same body region (such as the abdomen, thigh, or upper arm) to prevent lipodystrophy (lumpiness or dents in the skin) and to ensure consistent absorption of the insulin. Proper rotation of injection sites helps to prevent tissue damage and ensures optimal insulin absorption, improving the effectiveness of insulin therapy. It is not necessary to inject insulin glargine before meals, vigorously shake the vial, or administer it with a rapid-acting insulin.
Nurse Jen, distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the quality standards.
- A. human resource
- B. patient care
- C. organizational structure
- D. legal -ethical
Correct Answer: B
Rationale: The distribution of patient satisfaction forms by Nurse Jen directly relates to patient care. By collecting feedback from admitted patients, the hospital can assess the quality of care being provided and identify areas for improvement. This initiative falls under patient care as it focuses on enhancing the overall experience and well-being of the patients, aligning with quality standards that prioritize patient satisfaction and outcomes.