Nokea
While Mrs. Mely is on TPN she suddenly complained of slight chest pain, dyspnea and appears cyanotic. You suspect that she is experiencing what possible IMMEDIATE complication?
- A. Sepsis due to IV 1ine
- B. Hyperglycemia.
- C. Air embolism
- D. Allergic reaction to TPN
Correct Answer: C
Rationale: The symptoms described in the scenario - chest pain, dyspnea, and cyanosis - are indicative of a potential air embolism. Air embolism occurs when air enters the bloodstream, leading to blockages in blood vessels and impeding oxygen delivery to tissues. In patients receiving Total Parenteral Nutrition (TPN) through intravenous lines, the risk of air embolism exists during line manipulations, disconnections, or improper priming of the tubing. The sudden onset of symptoms like chest pain and cyanosis in a patient on TPN should raise suspicion for an air embolism, as it requires immediate intervention to prevent further complications such as cardiac arrest or stroke.
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In planning for Jose's oxygen therapy, the nurse shall consider which of the following, EXCEPT
- A. need for a humidifier.
- B. length of tubing.
- C. determine the age of Jose.
- D. manner of administering oxygen, continuous or intermittent.
Correct Answer: C
Rationale: When planning for Jose's oxygen therapy, the nurse should consider the need for a humidifier to prevent drying of the mucous membranes, the appropriate length of tubing for mobility and safety reasons, and the manner of administering oxygen (continuous or intermittent) based on Jose's condition and oxygen requirements. However, determining Jose's age is not a relevant factor in planning for his oxygen therapy. The decision-making process should be based on his specific medical needs and condition rather than his age.
A postpartum client who experienced a third-degree perineal laceration expresses concerns about the healing process and potential complications. What nursing intervention should be prioritized to promote optimal wound healing?
- A. Providing perineal care using peri-bottles with warm water
- B. Instructing the client on proper peri-pad application to the incision
- C. Encouraging the use of sitz baths for pain relief and wound cleansing
- D. Monitoring the incision site for signs of infection or dehiscence
Correct Answer: D
Rationale: Third-degree perineal lacerations are significant injuries that require careful monitoring for signs of infection or wound dehiscence, which are potential complications that could hinder optimal wound healing. Signs of infection may include increased redness, warmth, swelling, pain, and purulent drainage from the wound site. Dehiscence refers to the separation of the wound edges, which can be a serious complication requiring immediate attention. By closely monitoring the incision site for these signs, the nurse can promptly intervene if any complications arise, ensuring proper healing and preventing further complications. While providing perineal care, proper application of peri-pads, and encouraging sitz baths are important for comfort and cleanliness, monitoring for complications takes priority in promoting optimal wound healing in this scenario.
The professional conduct. of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?
- A. Improving performance
- B. Patient care standards
- C. Organizationa l ethics
- D. Leadership and management
Correct Answer: B
Rationale: The professional conduct of doctors, nurses, and other healthcare providers in health facilities primarily aligns with patient care standards. This quality standard ensures that healthcare professionals prioritize the well-being, safety, and comfort of the patients they serve. Patient care standards encompass various aspects of healthcare delivery, including effective communication, compassionate treatment, adherence to medical protocols, and respect for patient rights and confidentiality. By upholding patient care standards, healthcare providers demonstrate their commitment to delivering quality care and maintaining the trust and confidence of their patients.
Which is the best strategy to control Incidence of Rabies in the community
- A. Impound dogs
- B. Kill stray dogs
- C. Responsible pet owner
- D. Fine the owner
Correct Answer: C
Rationale: The best strategy to control the incidence of rabies in the community is to promote responsible pet ownership. Responsible pet owners ensure that their pets are vaccinated against rabies, kept on a leash or within a confined area, and are not allowed to roam freely. By doing so, the chances of their pets contracting and spreading rabies are greatly reduced. This approach focuses on prevention rather than reactive measures such as impounding or killing dogs, which may not effectively tackle the root cause of the problem. Additionally, fining the owner may serve as a deterrent, but it does not address the overall issue of preventing rabies transmission. Encouraging responsible pet ownership is a sustainable and humane way to reduce the incidence of rabies in the community.
There are five criteria in prioritizing community health problems. If Nurse Maris is estimating the proportion of the population affected by the problem, she is using what criterion in prrioritization?
- A. Social concern
- B. Nature of the problem
- C. Magnitude of the problem
- D. Modifiability of the problem
Correct Answer: C
Rationale: When Nurse Maris is estimating the proportion of the population affected by the problem, she is assessing the magnitude of the problem. The magnitude criterion involves determining the extent of the issue within the community, such as the number of individuals affected or at risk. By understanding the magnitude of a health problem, nurses can better prioritize their efforts to address the most pressing issues that affect a large portion of the population. This criterion helps in identifying which health problems have the highest impact and require immediate attention in order to improve community health outcomes.