Title RECALLS 13 - NP2 - SC ✅

3 | Page 31. What is the GTPAL for Mrs. Jaclyn? A. G = 1, T = 1 , P = 1, A = 0, L = 1 B. G = 2, T = 0 , P = 0, A = 0, L = 1 C. G = 3, T = 2 , P = 0, A = 0, L = 1 D. G = 2, T = 1 , P = 0, A = 0, L = 1 32. What is the expected change in the hemotologic system that occurs during the END of the first trimester of pregnancy that Nurse Jubel should recognize? A. An increase in hematocrit B. A decrease in WBC’s C. An increase in blood volume D. A decrease in sedimentation rate 33. Mrs. Jaclyn asks about the functions of placenta. Which of the following items should Nurse Jubel include in the teaching plan? 1) The placenta filters the fetal urine. 2) Fetal and maternal blood mix in the placenta to exchange nutrients. 3) The placenta filters the alcohol from the mother’s blood. 4) Substances are exchanged by the placenta without mixing the maternal and fetal blood. 5) Fetal respiration, nutrition and excretion are carried out by the placenta. A. 1, 2, 3 B. 4, 5 C. 3, 4, 5 D. 1, 2 34. Mrs. Jaclyn asks “When will be my expected date of delivery (EDD)?” Based on her knowledge of Naegeles’ Rule, which should be the CORRECT answer of Nurse Margie? A. November 14, 2017 B. October 14, 2017 C. October 19, 2017 D. November 19, 2017 35. Nurse Jubel Explained the chronological order of the growth and development of the fetus as it occurs in pregnancy which is the following __________. A. Ovum, zygote, morula, embryo, fetus, infant B. Morula, zygote, ovum, fetus, embryo, infant C. Morula, ovum, embryo, zygote, fetus, infant D. Zygote, ovum, morula, embryo, fetus, infant Situation 8- Nurse Korinna attends to Patient Cha Hin who is three months pregnant when a pelvic sonogram was conducted on her revealing the fetus’ weak cardiac pulsation. Nurse Korinna advised the patient to have a follow up visit to their clinic after a week but it was only after two weeks that the patient returned when she started to suffer from severe abdominal pains. Upon examination, the doctor found out that there was a dead fetus in her womb. The patient underwent hysterectomy and as a result, she had no more chance to bear a child. 36. Cha Hin filed legal charges against all people concerned regarding the outcome of the procedure done to redress the damages caused by the procedure. Who among the following will be accountable to the patient? A. None, all members of the health care team performed their professional duties on the patient. B. Only Dr. A but not the nurse because the latter was just following orders from the physician. C. Dr. A and the nurse because of their failure to perform their perspective duties with diligence and care. D. Dr. A and the hospital administrator because of command responsibilities on the treatment and care to the patient. 37. Under the situation, if the physician and the nurse are liable over the consequence of the treatment and care of the patient, what applicable legal doctrine will this be? A. Respondeat Superior B. Captain of Ship Doctrine C. Patient’s Proximate Negligence D. Res Ipsa Loquitor 38. If the nurse is called to testify on the alleged surgical procedure performed to the patient to determine whether there was lack of necessary care and diligence, the nurse should testify only on matters which are ________. A. Within her personal knowledge B. Documented in the chart C. Advised by her lawyer D. Being asked by the court 39. Medical records have legal implications. In as much as the nurse failed to chart the discharge instructions, what principle in records management was violated? A. “If it was not documented, it was not done.” B. “Completion of chart should be within 48 hours.” C. “No document, no discharge.” D. “Not all documented data are true.” 40. Hospital A practices clinical pharmacy. Physician writes the order of medications, pharmacist prepares it and the nurse administers it. Who then will be liable for any drug overdose administered intravenously by the nurse? A. Pharmacist B. Nurse and Physician C. Nurse D. nurse and pharmacist Situation 9- Joseph, 3 years old, who underwent ventricular septal defect repair, is placed on a maintenance dosage of digoxin (Lanoxin) elixir. Nurse Hannah, complete with the knowledge of the disease, is assigned to him. 41. The dosage is 0.07 mg/kg/day, and the client’s weight is 7.2 kg. The physician orders the Digoxin to be given twice daily. How much Digoxin should Nurse Hannah prepare to administer at each dose? A. 2.5 mg B. 0.5 mg C. 0.37 mg D. 0.25 mg 42. Nurse Rita provides home care instructions to the parents of Joseph regarding the procedure for the administration of digoxin (Lanoxin). Which statement, if made by the parent, indicated the need for further instructions? A. “If the child vomits after medication administration, I will repeat the dose.” B. “If more than one dose is missed, I will call the physician.” C. “I will take the child’s pulse before administering the medication.” D. “I will not mix the medication with any food and drinks.” 43. Which of the following instructions about ORAL pediatric medications is TRUE as these interfere with milk and milk products or food eaten by young children? Oral medication should be given_____________. A. With meals always B. On an empty stomach C. ½ hour after meals D. With the night time formula 44. Joseph has a blood pressure of 92/78; resting pulse of 60; respirations 28 and a potassium level of 4.8 mEg/L. He is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity? A. Vomiting B. Lethargy C. Bradycardia D. Irritability 45. Considering Joseph’s age, which of the following is the BEST approach by the nurse when administering medication? A. “You will feel better if you take your medication.” B. “Would you like to take your medicine from a spoon or a cup?” C. “Do you want to take this pretty red medicine?” D. This is your medicine and you must take it all right now.” Situation 10- Hani, a 5- year- old child, is admitted to the hospital for abdominal pain. The mother reports that the child has been pale, tires easily and has hematomas in the arms and legs. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed on the child because acute lymphocytic leukemia is suspected. 46. Which of the following procedures will confirm this diagnosis?