Nokea
While patient Sarah is confined in the hospital, the safety measure to be observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of________.
- A. aging process
- B. osteoporosis
- C. change in vision
- D. hematologic condition
Correct Answer: B
Rationale: The correct answer is B: osteoporosis. Osteoporosis is a condition characterized by weakened bones, making individuals more susceptible to fractures, especially with minor trauma or falls. In the context of a patient prone to fractures, nurses should be particularly cautious about fall prevention.
A: The aging process alone does not necessarily lead to an increased risk of fractures. While aging is a risk factor for osteoporosis, it is not the direct cause of fractures in this case.
C: Changes in vision can contribute to an increased risk of falls, but it is not the primary reason for the patient being prone to fractures in this scenario.
D: Hematologic conditions may affect bone health, but they are not typically the primary cause of increased fracture risk in patients.
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A postpartum client presents with persistent, severe perineal pain and swelling following a vaginal delivery. On assessment, the nurse notes ecchymosis and tenderness of the perineum. Which nursing action is most appropriate?
- A. Applying ice packs to the perineum for pain relief
- B. Encouraging the client to sit on a donut cushion
- C. Notifying the healthcare provider immediately
- D. Administering additional analgesic medication
Correct Answer: C
Rationale: The most appropriate nursing action in this situation is to notify the healthcare provider immediately. The client presenting with persistent, severe perineal pain and swelling, along with ecchymosis and tenderness of the perineum, could be indicative of complications such as a perineal hematoma. A perineal hematoma is a collection of blood in the perineal tissues and can be a serious postpartum complication requiring prompt medical attention. Therefore, it is crucial to alert the healthcare provider so that appropriate assessment, management, and treatment can be initiated promptly. Applying ice packs or encouraging the client to sit on a donut cushion may not be sufficient in this situation, and administering additional analgesic medication should be done only after the healthcare provider has assessed and determined the cause of the symptoms.
The Nurse asks Baste, who is being admitted in a district hospital with uncontrolled diabetes mellitus, about his employment status. She knows that _____.
- A. A person's compliance is affected by one's affected economic status
- B. Baste's employment will cause complication to his diabetes
- C. External variables have little effected on compliance
- D. Diabetes mellitus will affect his client's work condition
Correct Answer: A
Rationale: Rationale: A person's compliance with diabetes management can be influenced by economic status, as financial concerns can impact access to medications, healthy food, and healthcare. This can affect treatment adherence and overall health outcomes. Choice A is correct because addressing economic factors is important in promoting compliance. Choices B, C, and D are incorrect as they do not directly address the relationship between economic status and compliance with diabetes management.
Sensitivity is the ability of a screening test to accurately identify what aspect of the screening?
- A. Persons with symptoms of the disease.
- B. Persons who have the disease.
- C. Persons who do not have the disease.
- D. Persons who now have a diagnosis of disease.
Correct Answer: B
Rationale: The correct answer is B: Persons who have the disease. Sensitivity measures how well a test correctly identifies individuals who have the disease (true positives). It is essential in determining the test's ability to detect the presence of the disease accurately. Choices A, C, and D are incorrect because sensitivity focuses on correctly identifying individuals who have the disease, not those with symptoms, those without the disease, or those with a diagnosis of the disease.
A nurse is conducting an admission assessment for a newly admitted patient. What aspect of cultural competence should the nurse prioritize during the assessment?
- A. Assuming that the patient shares the nurse's cultural beliefs
- B. Asking the patient about their cultural background and preferences
- C. Avoiding discussions about cultural differences to prevent discomfort
- D. Disregarding the patient's cultural practices and beliefs
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Asking the patient about their cultural background and preferences shows respect for their individuality and acknowledges the importance of cultural competence in providing person-centered care.
2. It allows the nurse to gain valuable insights into the patient's beliefs, values, and practices, enabling them to deliver culturally appropriate care.
3. By prioritizing this aspect, the nurse can establish rapport, build trust, and enhance communication with the patient, leading to better outcomes.
4. Choices A, C, and D are incorrect as they either involve assumptions, avoidance, or disregard for the patient's cultural background, which can lead to misunderstandings, discomfort, and ineffective care.
Nurse Merry 's application to Canada has finally been approved and she was advised to depart in three months But, she is also enrolled in the graduate school and ambivalent to go because of this engagement plus the fact that her mother has just been discharged from the hospital. Which of the following actions is BEST?
- A. Tell family that the. money spent in graduate school can be easily earned in Canada
- B. Inform the agency that she could go anytime as they wish.
- C. Tell the recruiter to give her more time to settle her personal affairs.
- D. Share to friends this is her escape from her sad life with her family.
Correct Answer: C
Rationale: The correct answer is C. Nurse Merry should tell the recruiter to give her more time to settle her personal affairs before departing to Canada. This is the best action because it shows responsibility and consideration for her current commitments and family situation. By requesting more time, she can prioritize her mother's recovery and complete her graduate studies, demonstrating good decision-making skills and care for her loved ones.
Option A is incorrect because it dismisses the importance of family and personal obligations. Option B is incorrect as it shows a lack of planning and responsibility. Option D is incorrect as it suggests running away from problems instead of addressing them responsibly.