While preparing the operating room (OR) for a surgical procedure, the nurse notices a malfunctioning anesthesia machine. What is the nurse's priority action?
- A. Use an alternative anesthesia machine
- B. Document the malfunction in the equipment log
- C. Inform the anesthesia provider immediately
- D. Continue with the surgical procedure as scheduled
Correct Answer: C
Rationale: The nurse's priority action when noticing a malfunctioning anesthesia machine in the operating room should be to inform the anesthesia provider immediately. Anesthesia providers are responsible for administering anesthesia safely during surgical procedures, and they need to be made aware of any equipment issues promptly to ensure patient safety. Continuing with the surgical procedure using a malfunctioning anesthesia machine can pose serious risks to the patient's well-being. Using an alternative anesthesia machine may be an option, but informing the anesthesia provider first ensures that the appropriate action is taken to address the issue effectively. Documenting the malfunction in the equipment log is important for record-keeping purposes, but it should not take precedence over informing the anesthesia provider and taking immediate action to address the problem.
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A nurse ________.
- A. Has the freedom to do what he likes and responsibilities.
- B. Is obliged to avoid what is wrong and do what is good.
- C. Is a person capable of knowing what is right or wrong
- D. Should have a sense of accountability for his actions
Correct Answer: D
Rationale: A nurse should have a sense of accountability for his actions. This means taking responsibility for one's decisions and behaviors while working in the healthcare setting. Accountability ensures that the nurse is aware of the consequences of his actions and is willing to accept ownership and follow through on commitments. It is a critical aspect of nursing practice as it helps maintain professional standards, promote patient safety, and uphold trust and integrity within the profession. Nurses are entrusted with the well-being of their patients, so being accountable for their actions is essential in providing high-quality care and maintaining ethical standards.
The nurse explains to the mother that the uterus will return to its pre pregnancy state in _____ weeks.
- A. Six
- B. Three
- C. Four
- D. five
Correct Answer: C
Rationale: The nurse explains to the mother that the uterus will return to its pre-pregnancy state in about four to six weeks after giving birth. This timeframe is an average estimation of how long it takes for the uterus to shrink back to its normal size and position after going through the process of supporting and nourishing a developing fetus. The process of the uterus returning to its pre-pregnancy state is known as involution, where the uterus undergoes contractions to shed the excess lining and reduce in size. This period is crucial for the body to heal and recover from the changes that occurred during pregnancy and childbirth.
Which of the following substances has abnormal values EARLY in the course of multiple myeloma (MM)?
- A. Red blood cells
- B. White blood cells
- C. Immunoglobulins
- D. Platelets
Correct Answer: C
Rationale: In the early stages of multiple myeloma (MM), abnormal values are often seen in the levels of immunoglobulins. This is due to the abnormal proliferation of plasma cells in the bone marrow, leading to overproduction of monoclonal immunoglobulins (M proteins). These abnormal immunoglobulins can be detected in blood tests and are a key diagnostic feature of MM. Changes in red blood cells, white blood cells, and platelets are not typically early indicators of multiple myeloma.
Nurse Filomena organized a health fair in one of the communities she covers, which was well attended, with several SCREENING TESTS being given simultaneously. What would Nurse Filomena consider the purpose of the health fair?
- A. Community service
- B. Community bonding
- C. Multiphasic screening
- D. Case finding
Correct Answer: C
Rationale: Nurse Filomena would consider the purpose of the health fair to be multiphasic screening. A multiphasic screening event involves offering various health screening tests at the same time to individuals within the community. These screenings aim to detect a range of health conditions early on, ultimately promoting prevention and early intervention. By organizing a health fair with several screening tests being given simultaneously, Nurse Filomena's primary goal is likely to help identify health issues in the community proactively and provide education and resources for ongoing health promotion and disease prevention. While aspects of community service, community bonding, and case finding may also be outcomes of the health fair, the focus on conducting multiple screening tests aligns most closely with the concept of multiphasic screening as the primary purpose.
A nurse is preparing to assist with a bone marrow biopsy procedure for a patient. What action should the nurse prioritize to ensure patient comfort during the procedure?
- A. Administering intravenous sedation to the patient before the biopsy
- B. Providing distraction techniques such as music or relaxation exercises
- C. Applying a topical anesthetic cream to the biopsy site
- D. Allowing the patient to eat or drink up to one hour before the procedure
Correct Answer: C
Rationale: Prioritizing the application of a topical anesthetic cream to the biopsy site is essential to ensure patient comfort during the bone marrow biopsy procedure. This will help numb the area where the biopsy needle will be inserted, reducing the pain and discomfort experienced by the patient. Administering intravenous sedation may not always be needed for a bone marrow biopsy and should be decided by the healthcare provider based on the patient's individual needs. Providing distraction techniques such as music or relaxation exercises can be helpful, but they may not be as effective at reducing the physical discomfort caused by the procedure. Allowing the patient to eat or drink up to one hour before the procedure is important for other reasons, such as preventing potential complications during sedation or anesthesia, but it is not directly related to ensuring comfort during the biopsy itself.