Nokea
Why is there an ethical dilemma?
- A. Because the law does not clearly state what is right from what is wrong
- B. Because morality is subjective and it differs from each individual
- C. Because the patient's right coincide with the nurse's responsibility
- D. Because the nurse lacks ethical knowledge to determine what action is correct and what action is unethical
Correct Answer: C
Rationale: The correct answer is C because an ethical dilemma arises when the patient's rights conflict with the nurse's responsibilities, requiring a careful balance to ensure ethical care delivery. Choices A and B are incorrect because ethical dilemmas are not solely about legal or subjective moral issues. Choice D is incorrect as nurses are generally equipped with ethical knowledge through education and training, and ethical dilemmas are more about conflicting values and responsibilities rather than a lack of knowledge.
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To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct Answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
Induction of vomiting is indicated for the accidental poisoning patient who has ingested.
- A. Rust remover C. toilet bowl cleaner
- B. Gasoline D. aspirin
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Nurse DMLM is correct in identifying the correct sequence of events during abdominal assessment if she identifies which of the following?
- A. Inspection, Auscultation, Percussion, Palpation
- B. Inspection, Percussion, Palpation, Auscultation
- C. Inspection, Palpation, Percussion, Auscultation
- D. Inspection, Auscultation, Palpation, Percussion
Correct Answer: D
Rationale: The correct sequence for abdominal assessment is Inspection, Auscultation, Percussion, Palpation. Start with Inspection to observe any visible abnormalities, followed by Auscultation to listen for bowel sounds, then Percussion to assess the density of underlying structures, and finally Palpation to feel for any tenderness or masses. Choices A, B, and C have the incorrect sequence of assessment techniques.
Mr. CKK is unconscious and was brought to the E.R. Who among the following can give consent for CKK's operation?
- A. Doctor
- B. Nurse
- C. Next of Kin
- D. The Patient
Correct Answer: A
Rationale: In the scenario described, when a patient is unconscious and unable to provide consent, the responsibility usually falls on the physician to make decisions regarding the patient's treatment, including obtaining consent for an operation. While nurses play a crucial role in patient care, they typically do not have the authority to provide consent for a major procedure. The next of kin may be consulted for input, but the ultimate decision-making authority lies with the physician. The patient, being unconscious, is unable to provide consent in this situation.
Which statement about essential nutrients should the nurse include?
- A. Fat-containing foods can help to decrease triglyceride levels.
- B. Animal sources of protein contain 20 essential amino acids.
- C. Carbohydrates are the primary source of fuel for muscles and the brain.
- D. High-fiber foods are a good source of energy.
Correct Answer: C
Rationale: The correct answer is C because carbohydrates are indeed the primary source of fuel for muscles and the brain. Choice A is incorrect because while certain fats are essential, they do not help decrease triglyceride levels. Choice B is incorrect because animal sources of protein do not contain all 20 essential amino acids. Choice D is incorrect because although high-fiber foods are important for digestion and overall health, they are not a direct source of energy.