Nokea
Which statement is incorrect regarding an informed consent signed by a patient?
- A. The nurse is responsible for obtaining the consent for surgery
- B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
- C. The nurse can witness the client signing the consent form
- D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained
Correct Answer: A
Rationale: The correct answer is A because it is incorrect to state that the nurse is responsible for obtaining the consent for surgery. Informed consent for surgery is typically obtained by the physician performing the procedure, not the nurse. Nurses can assist in the process by providing information and clarifying details, but ultimately it is the physician's responsibility to ensure the patient understands the procedure and consents to it.
Choice B is correct as minors under 18 years of age generally require a parent or legal guardian to sign a consent form on their behalf. Choice C is correct as nurses can witness the client signing the consent form as a part of the process. Choice D is also correct as it is indeed the nurse's responsibility to ensure the patient has been educated by the physician before obtaining informed consent.
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Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?
- A. Ringer's lactate
- B. Normal saline
- C. Dextrose
- D. Blood
Correct Answer: A
Rationale: The correct answer is A: Ringer's lactate. Ringer's lactate is used in managing GIT loss and burns due to its balanced electrolyte composition, which closely resembles the electrolyte content of plasma. It helps replace lost fluids and maintain electrolyte balance. Normal saline (B) lacks bicarbonate and may lead to metabolic acidosis. Dextrose (C) provides energy but does not address fluid and electrolyte losses. Blood (D) is not typically used for fluid resuscitation in these cases unless there is severe hemorrhage.
What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
- A. Bronchoscopy
- B. Tracheostomy
- C. Thoracentesis
- D. Underwater seal drainage
Correct Answer: B
Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.
What is a primary objective of public health?
- A. Lowering the prevalence of chronic diseases
- B. Eliminating health disparities among populations
- C. Delivering health education
- D. Extending life expectancy
Correct Answer: B
Rationale: The correct answer is B: Eliminating health disparities among populations. This is the primary objective of public health as it focuses on ensuring that all individuals have equal access to healthcare and resources to achieve optimal health outcomes. By addressing disparities, public health aims to promote health equity and reduce inequalities in health status. Lowering chronic diseases (A) and extending life expectancy (D) are important goals but not the primary objective. Delivering health education (C) is a strategy within public health but not the main objective.
What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct Answer: A
Rationale: The correct answer is A: Grouping and crossmatching. This procedure involves determining the patient's blood type (grouping) and testing for compatibility with the donor blood (crossmatching). It ensures that the recipient receives compatible blood, minimizing the risk of transfusion reactions.
B: Complete blood count is not specific to detecting incompatibilities for transfusions.
C: D-dimer test is used to detect blood clotting disorders, not blood transfusion incompatibilities.
D: Blood clotting test assesses the ability of blood to clot, not compatibility for transfusions.
What is the goal of Healthy People 2020?
- A. To improve the quality and years of healthy life
- B. To reduce health disparities among different populations
- C. To promote healthy behaviors across the lifespan
- D. To achieve health equity and eliminate health disparities
Correct Answer: D
Rationale: The correct answer is D: To achieve health equity and eliminate health disparities. This is the goal of Healthy People 2020 as it aims to ensure that everyone has the opportunity to achieve their highest level of health. Health equity involves providing opportunities for all individuals to reach their full health potential, regardless of their social or economic status. By eliminating health disparities, the goal is to address the root causes of health inequities and promote fairness in health outcomes.
Choice A is incorrect as it focuses solely on improving the quality and years of healthy life without addressing disparities. Choice B is incorrect as it specifically mentions reducing health disparities but does not mention achieving health equity. Choice C is incorrect as it emphasizes promoting healthy behaviors but does not encompass the broader goal of health equity and eliminating disparities.