Nokea
Patient Hydee asks how she could Distinguish between true and false labor? Which is NOT included among the factors in which the nurse should base her answer from?
- A. Contractions
- B. Cervical by vaginal examination
- C. Vital signs
- D. Engagement of fetus
Correct Answer: D
Rationale: The engagement of the fetus refers to the baby's head moving down into the mother's pelvis in preparation for birth. This factor is not typically used to distinguish between true and false labor because it is a sign of progress in labor rather than a defining characteristic of true labor. In contrast, the factors that are commonly used to differentiate between true and false labor include contractions (e.g., regularity, intensity, duration), cervical changes observed through vaginal examination (e.g., effacement and dilation), and monitoring vital signs.
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A patient is prescribed a proton pump inhibitor (PPI) for the treatment of gastroesophageal reflux disease (GERD). Which instruction should the nurse include in patient education about PPI therapy?
- A. "Take the medication with antacids for enhanced effectiveness."
- B. "Avoid consuming citrus fruits while on PPI therapy."
- C. "Take the medication 30 minutes before meals."
- D. "Report any signs of gastrointestinal bleeding promptly."
Correct Answer: C
Rationale: Patients prescribed proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD) should be instructed to take the medication 30 minutes before meals. This is because PPIs work best when taken on an empty stomach, allowing them to inhibit the gastric proton pump effectively and reduce acid production in anticipation of food intake. Taking the medication before meals ensures optimal absorption and effectiveness in controlling symptoms of GERD.
Nurse Gina has also to consider in terms of financial status most of the elderly are
- A. Sufficient
- B. disoriented
- C. Dependent to others financially
- D. Have pension
Correct Answer: C
Rationale: Nurse Gina has to consider that most of the elderly are dependent on others financially. This is an important factor to take into account when planning and providing care for elderly patients. Many elderly individuals rely on financial assistance from family members, government programs, or retirement funds. Understanding the financial status of elderly patients helps nurses like Gina provide adequate care and support to meet their needs effectively. This can involve coordinating with social services or financial assistance programs to ensure that the patients' financial concerns are addressed along with their healthcare needs.
Who should be involved in quality improvement measures?
- A. Everyone
- B. Professional staff
- C. Management staff
- D. Consumers
Correct Answer: A
Rationale: Quality improvement measures are most effective when everyone within an organization is involved. This includes not only professional and management staff but also consumers or customers who are directly impacted by the products or services being provided. By involving everyone, a more comprehensive and diverse perspective can be gained, leading to better identification of areas for improvement and more successful implementation of quality improvement initiatives. Additionally, by involving all stakeholders, there is a greater buy-in and commitment to the process, increasing the likelihood of sustainable improvements being made.
On which occasion would a nurse can be charged with negligence?
- A. Giving the patient the wrong medication.
- B. Giving competent care.
- C. Following standards of care.
- D. Communicating with another health team.
Correct Answer: A
Rationale: A nurse can be charged with negligence when they give the patient the wrong medication. Negligence in healthcare typically refers to a situation where a healthcare provider fails to provide a standard level of care, resulting in harm to the patient. Giving the wrong medication can lead to serious consequences for the patient, including adverse reactions, worsening of the condition, or even death. It is a clear violation of the duty of care that a nurse owes to their patients, and such a mistake can have legal and professional repercussions for the nurse.
The nurse should always keep which of these drugs at the bedsides of a client with myasthenia gravis
- A. Atropine
- B. Inderal
- C. Tensilon
- D. Neostigmine
Correct Answer: C
Rationale: The nurse should always keep Tensilon (Edrophonium) at the bedside of a client with myasthenia gravis. Tensilon is a fast-acting cholinesterase inhibitor that can be used for the diagnosis and emergency treatment of myasthenia crisis. It helps improve muscle strength temporarily by increasing the levels of acetylcholine at the neuromuscular junction. Administering Tensilon can help differentiate between a myasthenic crisis (marked improvement in muscle strength) and a cholinergic crisis (no improvement or worsening of muscle weakness). Keeping Tensilon at the bedside allows for prompt administration in case of a myasthenic crisis.