Nokea
You cannot open Claudia's eyes due to dried crust. Which of the following actions would you do?
- A. Apply the eye drops the next day
- B. Apply eye ointment to soften the crust
- C. Instill eye drops
- D. Place a warm wet wash cloth over her eyes for at least three minutes
Correct Answer: D
Rationale: The best course of action in this scenario is to place a warm wet washcloth over Claudia's eyes for at least three minutes. This will help soften and loosen the dried crust, making it easier to gently clean her eyes and open them. Applying eye drops or ointment may not be effective if the crust is blocking her eyes completely. By using a warm wet washcloth, you can improve the ability to clean her eyes effectively and without causing discomfort.
You may also like to solve these questions
If transient discoloration of Baby Sharon's skin is noted while under phototherapy, what is this phenomenon called?
- A. Cyanosis
- B. Hyperbilirubinemia
- C. Jaundice
- D. Bronze baby syndrome
Correct Answer: D
Rationale: Bronze baby syndrome is the term used to describe the transient discoloration of a baby's skin while undergoing phototherapy treatment for jaundice. This phenomenon typically occurs in preterm infants and is believed to be caused by the breakdown of bilirubin into colored pigments during phototherapy. The discoloration can range from a bronze or brownish color to a grayish-green hue. One key characteristic of bronze baby syndrome is that the discoloration is reversible once phototherapy is complete and does not indicate any underlying health concerns. It is important for healthcare providers to be aware of this phenomenon to avoid unnecessary interventions or alarm to the caregivers.
Which model of nursing is focused on the task-oriented approach to client care?
- A. Total patient care
- B. Modular
- C. Functiona l
- D. Primary care nursing
Correct Answer: A
Rationale: Total patient care model of nursing is focused on the task-oriented approach to client care. In this model, the nurse is responsible for all aspects of care for a group of patients during their shift. It involves providing direct care, coordinating with other healthcare team members, and overseeing the patients' overall well-being. This approach emphasizes a comprehensive and holistic view of the patient's needs, where the nurse is actively involved in all aspects of care delivery.
While preparing the operating room (OR) for a surgical procedure, the nurse notices that the surgical instrument tray is incomplete. What should the nurse do?
- A. Proceed with the procedure using the available instruments
- B. Document the missing instruments in the surgical count log
- C. Inform the sterile processing department and request additional instruments
- D. Borrow the missing instruments from another OR Professionalism and Fundamentals of Nursing
Correct Answer: C
Rationale: It is crucial to have a complete set of surgical instruments for any surgical procedure to ensure patient safety and the success of the surgery. If the nurse notices that the surgical instrument tray is incomplete, the best course of action is to inform the sterile processing department immediately. By doing so, the missing instruments can be promptly provided, ensuring that the surgical team has all the necessary tools for the procedure. Proceeding with the procedure using incomplete instruments can compromise patient safety and the quality of care provided. Documenting the missing instruments in the surgical count log is important for record-keeping purposes but should not delay the immediate action of requesting additional instruments. Borrowing instruments from another OR is not recommended as it can create confusion, potential cross-contamination, and disrupt the workflow of another surgical team.
A patient presents with recurrent episodes of postnasal drip, chronic cough, and halitosis. Nasal endoscopy reveals a foul-smelling, yellowish discharge draining from the middle meatus. Which of the following conditions is most likely responsible for this presentation?
- A. Chronic rhinosinusitis with nasal polyps
- B. Allergic rhinitis
- C. Nasal vestibulitis
- D. Adenoid hypertrophy
Correct Answer: A
Rationale: The patient's presentation of recurrent episodes of postnasal drip, chronic cough, halitosis, and foul-smelling, yellowish discharge from the middle meatus is highly suggestive of chronic rhinosinusitis. The presence of nasal polyps further supports this diagnosis. Chronic rhinosinusitis with nasal polyps is characterized by inflammation of the paranasal sinuses, leading to symptoms such as nasal congestion, postnasal drip, cough, and a reduced sense of smell. The yellowish discharge and foul odor are typical findings in cases of chronic rhinosinusitis with secondary bacterial infection. Nasal endoscopy may reveal edematous nasal mucosa and polyps obstructing the middle meatus, contributing to the symptoms described by the patient. Management typically involves a combination of medical therapies such as intranasal corticosteroids, saline irrigation, and antibiotics, and in some cases, surgical intervention
Elmo asks the nurse to explain his condition (BPH) Which statements are CORRECT explanations by the nurse? I It blocks the urethra. II It obstructs the bladder. III. It spreads to other parts of the body. IV. It leads to urinary retention
- A. I and IV
- B. I, II and III
- C. II, III, and IV
- D. I and III
Correct Answer: A
Rationale: I. It blocks the urethra: Benign Prostatic Hyperplasia (BPH) is a condition in which the prostate gland enlarges and can squeeze the urethra, leading to urinary symptoms such as difficulty urinating. This statement correctly explains one of the effects of BPH on the urinary system.