You are caring for Conrad who has a brain tumor and increased Intracranial Pressure (ICP). Which intervention should you include in your plan to reduce ICP?
- A. Administer bowel softener
- B. Position Conrad with his head turned toward the side of the tumor
- C. Provide sensory stimulation
- D. Encourage coughing and deep breathing
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which nursing diagnosis is a priority for clients with Borderline personality disorder?
- A. Risk for injury
- B. Ineffective individual coping
- C. Altered thought process
- D. Sensory perceptual alteration
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. What will you do first?
- A. Write an incident report and refer the matter to the nursing director
- B. Keep your findings to yourself
- C. Report the matter to your supervisor
- D. Find out from the endorsement any patient who might have been given narcotics
Correct Answer: C
Rationale: In this situation, the first step should be to report the matter to your supervisor. It is essential to notify the appropriate authority immediately to address the discrepancy in the narcotics cabinet. Choice A is not the first step as reporting to the nursing director should follow after informing the supervisor. Keeping the findings to yourself (Choice B) is not appropriate as it may jeopardize patient safety and is against ethical standards. While finding out which patient received narcotics (Choice D) is important, it is not the immediate action to take in this scenario.
Which of the following is a normal finding during assessment of a Chest tube in a 3 way bottle system?
- A. There is a continuous bubbling in the drainage bottle
- B. There is an intermittent bubbling in the suction control bottle
- C. The water fluctuates during inhalation of the patient
- D. There is 3 cm of water left in the water seal bottle
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
To prevent injury and strain on the muscles, the nurse should observe proper body mechanics. Among the following, which is a principle of proper body mechanics?
- A. Broaden the space between the feet
- B. Push instead of pull
- C. Move the object away from the body when lifting
- D. Bend at the waist, not on the knees
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are doing bed bath to the client when suddenly, The nursing assistant rushed to the room and tell you that the client from the other room was in Pain. The best intervention in such case is:
- A. Raise the side rails, cover the client and put the call bell within reach and then attend to the client in pain to give the
- B. Tell the nursing assistant to give the pain medication to the client complaining of pain
- C. Tell the nursing assistant to go the client¢â‚¬â„¢s room and tell the client to wait
- D. Finish the bed bath quickly then rush to the client in Pain
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.