NP4

58問 • 1年前

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A parent comes to the emergency department with a toddler because the toddler drank cleaning fluid that was under the sink. What information should the nurse ask i n i t i a l l y ?

Do you have the cleaning fluid with you?

A patient who has been waiting in the ED to be seen brings a handbag up to the nurses' desk and say this was left in the waiting room but she did not see who left it. The nurse should initially:

open the handbag and look inside with another amployee.

Registered nurses derive their legal right to practice fron:

the Philippine Nursing Act of 2002

Which of the following is a good example of how the “utilitarian” principle is applied?

Using limited societal financial resources on programs that will positively affect the largest number of people posaible and have the lowest possible negative outcomes

You are working in the pulmonary clinic of the Out Patient Department. A. 40 year old female office worker is confirmed to have active pulmonary tuberculosis. She complained of fatigue, anorexia, productive cough with blood tinged sputum. Which of the following confirmed the diagnosis fo the patient's active pulmonary tuberculosis?

Chest X-ray

If the patient wishes to go back to work, which of the following will be the bania for resumption of work?

Results of 3 sputum cultures are negative

According to the Department of Hoalth (DOH), cervical cancer has been ranked second as the most common kind of cancer among women. Because of this, May has been tagged as the Cervical Cancer Awareness Month. The activition that the DOH will provide will be focusing on primary pravention of cervical cancer. The nurse understands that this will include which of the following:

Promotion of a healthy lifestyle, Avoidance of risky sexual behavior

According to the Department of Hoalth (DOH), cervical cancer has been ranked second as the most common kind of cancer among women. Because of this, May has been tagged as the Cervical Cancer Awareness Month. Due to its ease and low-cost, Visual inspection with acetic avid or vinegar is fact becoming an alternative for Pap smear in early detection of pre-cancerous cervical lesions. Which of the ff is least required of the nurse to perform VIA among female members of the Brgy who are at risk?

Direct contact with a higher level facility for sophisticated diagnostic technology

According to the Department of Hoalth (DOH), cervical cancer has been ranked second as the most common kind of cancer among women. Because of this, May has been tagged as the Cervical Cancer Awareness Month. One of the activities is free screening using "vieual inspection with acetic acid (VIA) or vinegar." Which of the following statement about VIA is INCORRECT?

VIA is a treatment procedure for cervical cancer recognized by the DOH.

During the free consultation event, the nurse met Patricia who has cervical cancer. While waiting f o r h e r turn, she asks the nurse that if she can have a mammogran while undergoing a treatmant regimen using radiation therapy. What will be your BEST response?

"Being treated for one kind of cancer does not prevent the development of another type of cancer. So, you can have the mammogram"

Due to her chemotherapy-induced nausea and vomiting, the patient experiences dehydration. All of the following are expected manifestations of dehydration, EXCEPT:

engorged neck veins

The nurse is unable to flush the patient;s central venous access device and suspects occlusion. The best nursing intervention would be to:

instruct patient to reposition, raise arm, and cough

Intravenous potassium chloride (KC1) 60 mEq is prescribed for treatment of a patient with severe HYPOKALEMIA. Which action should the nurse take?

Infuse the KCL at a rate of 20 mEq/hour

Nurses are exposed to numerous work-related stressors such as radiation used among cancer patients. In fact, nurses are increasingly caring for more patients who are receiving such treatment modalities that raise new concerns in relation to safety. The incorrect rationale for the effectiveness of radiation therapy is its ability to:

disrupt mitosis by allowing dividing calls.

Patients undergoing head and neck radiation may face the additional challenge of radiation-induced parotid gland dysfunction leading to inflammation of the oral mucosa. The nurse anticipates which drug to be prescribed to prevent the patient from having (mucositis)?

Amifostine

In the event of accidental dialodgement of the radium implant in the vagina, the nurse should implement all of the following actions, EXCEPT:

keep the dislodged source in a lead container and discard immediately

What does the dialysate for PD routinely contain?

Dextrose in higher concentration than in the blood

To be able to detect possible organ perforation, which of the following will the nurse teach the mother of the child to report?

Changes in the color of the return dialysate

When the nurse is taking a history for another patient who is a possible recipient for a kidney tr an s pl an t ，which info about the patient indicates that the patient is not an appropriate candidate for transplantation?

The patient has metastatic lung cancer.

Upon orientation

You are a staff nurse at a medical-surgical unit is under performance appraisal by his immediate superior, While on duty, he was told that he will be evaluated in his efforts to utilize principles of total quality management Giovanni evaluated the patient's complaints and performed a head to toe assessment. When the physician came, he suspected pulmonary embolism. Which of the following data about the patient would have LEAST predisposed the said condition?

Post-chemotherapy

Fair prioritization of tasks and patients was included in the performance appraisal. While Giovanni was in the nurse's station, which patient should Giovanni attend to FIRST?

An ambulatory patient approaches in the nurse'a station and asks for a glass of water.

You are working in the pediatric clinic, and a child presents with symptoms that are suspicious of acute phase of Kawasaki disease Kawasaki is what type of disease?

Idiopathic

After the diagnosis was confirmed, the mother of the child approaches the nurse and asks the nurse why the doctor told her that her child's condition can lead to a heart attack. Knowing the pathophysiology of the Kawasaki disease, the nurse best explains to the mother this can happen due to the:

prolonged presence of large aneurysms in the coronary arteries leading to impeded blood flow and tissue ischemia

The nurse knows the standard treatment for Kawasaki disease in the administration of high dose of intravenous immunoglobulin (IVIG) for at least:

One week

As a response to the child's condition, the nurse focuses her nursing care plan towards palliative care. The nurse renders all of the following interventions, EXCEPT:

active range of motion during bathing

One important responsibility of nurses is to do client teachings about normal bodily functions and prepare their Clients and their families in dealing with invasive and non-invasive procedures. A patient with a respiratory condition asks "How does air get into my lungs?" The nurse bases her answer on her knowledge that air moves into the lungs because of

decrease in intrathoracic pressure relative to pressure at the airway.

A P wave on an ECG represents an impulse arising at the

SA node and depolarizing the atria

In preparing a patient for a colonoscopy, the nurse explains that:

sedation may be used during the procedure

The nurse is caring for a patient scheduled for an endometrial biopsy who is having difficulty becoming pregnant. The nurse explains to the woman that:

common changes in endometrial cells in relation to progesterone levela will be assessed.

A 2-month-old fomerly healthy infant born at term is seen in the urgent care clinto with intercostal retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal. secretions, and a pulse oximeter reading of 88% in room air. The diagnosis of bronchiolitis is made, and a bronchodilator is administered. Bronchiolitis is known to be caused by which viral agent?

Raspiratory syncytial virus

As an infectious disease, bronchiolitia can be transmitted via:

direct contact with secretions.

The parents of the child asks the nurse about the difference of their child's condition from children with asthma. As a response, the nurse identifies the difference of bronchiolitis from asthma, by saying that bronchiolitis is:

rarely triggered by danders, cold air or exercise.

The infant has abundant nasal secretions and the nurse knows that the patient will benefit from periodic nasopharyngeal or nasal suctioning and increasing fluid intake. During the acute phase of bronchiolitis, the nurse best administers fluids which which route?

Intravenous

Since the child has a communicable disease, the nurse uses all necessary precautions to prevent inadvertent transmission of the virus. In caring for thie patient with bronchiolitia, the nurse does all of the following, ЕХСЕРТ :

donning goggles & sterile gloves when suctioning.

What factor qualifies nursing to be defined as a profession?.

Existence of a substantial body of nursing knowledge

The question that is being focused on during the implementation of the scientific process is referred to as

hypothesis

A theory meets the criteria of fruitfulness when it:

generates new directions for future research.

The primary benefit nursing theories have provided the profession is to:

guide the nursing process in the effective delivery of nursing care.

When explaining respiratory failure to the patient's family, what should the nurse use as an accurate description?

Inadequate gas exchange to meet the metabolic needs of the body

The 02 delivery system chosen for the patient in acute respiratory failure should

maintain the Pa02 at greater than or equal to 60 m Hg at the lowest 02 concentration possible.

After endotrachel intubation and mechanical ventilation have been started, a patient in respiratory failure becomes very agitated and is breathing asynchronously with the ventilator. What is it most important for the nurse to do first?

Evaluate the patient's pain level, ABGs, and electrolyte values.

What is the primary reason that hemodynamic monitoring is instituted in severe respiratory failure?

To evaluate cardiac status and blood flow to tissues

Which diagnostic test is most useful in differentiating dyspnea related to pulmonary effects of heart failure from dyspnea related to pulmonary disease?

B-type natriuretic peptide (BNP) levels

The nurse admitted a 5-year old for induction chemo because of acute lymphocytic leukemia. The nurse understands that induction chemo is intended to achieve which of the ff?

Cause clinical disappearance of leukemic cells

Which classification of chemotherapy drugs is cell cycle (phase-nonspecific, breaks the DNA helix which interferes with DNA replication and crosses the blood-brain barrier?

Nitrosureas

During initial chemo, the pt with leukemia develops Hyperkalemia and hyperuricemia. The nurse recognizes these symptoms as an oncologic emergency and anticipates that the priority treatment will be to

increase urine output with hydration therapy.

Wise, et a l (2000) compared the results of continuous 48 hour intake and output records with daily weights for a total of 73 selected clients. Their findings suggested that even when compliance with recording is optimal, it in an unreliable measure of fluid balance. Which of the following methodology was MOST LIKELY utilized by the researchers?

chart review

While interviewing the client' a relatives, the nurse identifies which of the following data as most predisposing of stroke?

The client had a TIA one year ago.

If the client has been started on thrombolytic therapy, what medicinal plant should the nurse make sure that the patient avoid?

Bawang

When the staff nurse prepares medications for patients, she observes precautionary measures againet medication error. If you were the staff nurse, which of the following will you consider as a risk for medication error when transcribing physician's order?

There are variations in the use of abbreviations for medical prescriptions.

What is a primary reason that the normal immune response fails to contain the HIV infection?

CD4+ T cells become infacted with HIV and are destroyed.

Another patient comes to the clinic and requests testing for HIV infection. Before administering testing, is most important for the nurse to do?

Determine when the patient thinks exposure to HIV occurred

Antiretroviral drugs are used to

decrease viral RNA levels

Which strategy can the nurse teach the patient to eliminate t h e risk of HIV transmission?

Using sterile equipment to inject drugs

Apersonal deciaion to withhold information is considered the right to

privacy.

The most effective way to assess the accuracy of information obtained from the Internet is to:

research several different sources while comparing the information for similarities .

To best ensure effective use of point-of-care advance technologies in the future:

potential clients must be well educated concerning the use and reliability of health care technologies

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS