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With diagnosis of hemorrhagic stroke, the nurse teaches the caregiver that with position of the bed should be in what position?
- A. High-Fowler's
- B. Prone
- C. Fowler
- D. Flat
Correct Answer: A
Rationale: For a patient diagnosed with a hemorrhagic stroke, the caregiver should ensure that the bed is positioned in a High-Fowler's position. This position involves elevating the head of the bed between 60 to 90 degrees. Elevating the head of the bed helps to reduce intracranial pressure and promote optimal cerebral perfusion. It also assists in maintaining proper ventilation and oxygenation, which are essential for the patient's recovery. It is important to avoid positioning the patient flat or in a prone position as these may exacerbate the condition and lead to further complications.
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The nurse would determine that her teaching goal one the use of a decongestant nasal spray has been met when the client says ______..
- A. "The spray should be used round-the-clock at equally spaced intervals"
- B. "Nasal sprays must be combined with an oral antihistamine to achieve relief"
- C. "Overuse can result in nosebleeds and mucosal ulceration"
- D. "Rebound rhinitis (rhinitis medicamentosa) is common with continued use"
Correct Answer: A
Rationale: The correct statement that indicates the teaching goal has been met is when the client says, "The spray should be used round-the-clock at equally spaced intervals." This statement shows an understanding of how to properly use the decongestant nasal spray as instructed by the nurse. Using the spray round-the-clock at equally spaced intervals helps maintain consistent relief from congestion without the risk of overuse or rebound effects. This response indicates that the client has grasped the correct usage instructions for the decongestant nasal spray, which is the goal of the teaching.
A patient presents with a thyroid nodule and signs of hyperthyroidism. Fine-needle aspiration biopsy reveals spindle-shaped cells and psammoma bodies. Which endocrine disorder is most likely responsible for these symptoms?
- A. Hashimoto's thyroiditis
- B. Graves' disease
- C. Follicular thyroid carcinoma
- D. Papillary thyroid carcinoma
Correct Answer: C
Rationale: The presence of spindle-shaped cells and psammoma bodies on fine-needle aspiration biopsy is characteristic of follicular thyroid carcinoma. This type of thyroid cancer can present as a thyroid nodule associated with signs of hyperthyroidism due to the release of thyroid hormones from the cancerous thyroid cells. Hashimoto's thyroiditis is an autoimmune condition that typically presents with hypothyroidism, while Graves' disease is another autoimmune disorder that results in hyperthyroidism but is not associated with the presence of spindle-shaped cells and psammoma bodies in this context. Papillary thyroid carcinoma may also present with thyroid nodules, but it is more commonly associated with papillary structures and nuclear features rather than spindle-shaped cells seen in follicular thyroid carcinoma.
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.
The nurse researcher is planning a research study that will use human subjects and their choice to participate in a specific treatment. The ethical principle that describes a prospective subject's freedom to choose whether or not to participate in the research study is what?
- A. Justice
- B. Confidentiality
- C. Beneficence
- D. Respect for persons
Correct Answer: D
Rationale: Respect for persons is an ethical principle that emphasizes the autonomy and freedom of individuals to make their own decisions regarding participation in research studies. In the context of human subjects research, this principle requires that individuals have the right to choose whether or not to participate in a study, without any coercion or manipulation. The principle of respect for persons also includes the concept of informed consent, where individuals must be provided with all necessary information about the study in order to make an informed decision about participation. Overall, respecting the autonomy and choices of individuals is a fundamental aspect of ethical research conduct.
During a support group meeting, Nurse Donato, in a teasing manner, has made several provocative remarks about your appearance and behavior as a group leader. Select your MOST appropriate response.
- A. "Donato, see me after this meeting"
- B. "Donato, you are excused from the group"
- C. "What do you think Donato is trying to tell us?"
- D. "Donato, what are you saying is inappropriate"
Correct Answer: D
Rationale: Choosing option D, "Donato, what you are saying is inappropriate," is the most appropriate response in this situation. It directly addresses Nurse Donato's behavior without escalating the situation or being overly confrontational. By calmly pointing out that the remarks are inappropriate, you are setting a boundary and letting Nurse Donato know that such behavior is not acceptable in a professional setting. This response also signals to the rest of the group that you are aware of the inappropriate comments and are taking action to address them. It is important to address such behavior professionally and assertively to maintain a respectful and supportive environment during the support group meeting.