Tiêu đề RECALLS 13 - NP2 - SC ✅

2 | Page 14. What is the nursing diagnosis for a child with severe edema caused from nephrotic syndrome? It is risk for_________. A. Impaired skin integrity B. Constipation C. Ineffective thermoregulation D. Imbalanced nutrition more than body requirements 15. What will be the APPROPRIATE recommend diet for Tonton? A. High iron, no protein B. High calorie, high protein C. High sodium, high protein D. Low sodium, moderate protein Situation 4- Nurse Shir works in the research unit of the Prinsesa Urduja Women’s Clinic. In the close monitoring of their patients using oral contraceptives (OC), she noted several cases of myocardial infarction (MI). 16. To establish the relationship between MI and OC, Nurse Shir should make a research proposal for which of the following STUDY design? A. Retrospective B. Prospective cohort C. incidence D. cross- sectional 17. Since OCs are categorized into 1 st , 2 nd and 3 rd generations, Nurse Shir decided to study not only the relationship of MI and OC but also which of the three generations of OCs will have the highest risk for MI. Hence, which of the following groups will she include in her study? A. Those who do not take OC, and those who take OC from 1 st , 2 nd , ad 3 rd OCs. B. All those who take OC and those who do not. C. Those who take 1 st OC 2 nd OC and 3 rd OC. D. Those with MI and those with no MI. 18. Statistical analyses revealed the odds ratio for MI among women who used any type of OC, as compared with non- users, was .99. What does this mean? A. Accept the null hypothesis; there is no significant relationship between MI and OC. B. The study focused on the three groups: 1 st OC users with MI, 2 nd OC users with MI and 3 rd OC users with MI. C. There is a relationship between MI and OC and the risk of MI among users of any type of oral contraceptive is twice that of non users. D. The odds of getting MI among OC users and those who are not users is 1:2 19. Which of the following is the independent variable of the study? A. Highest risk B. Three generation of OC C. OC D. MI 20. Identify the groups in the study that will validate the occurrence of the MI among OC users. A. Old cases of MI B. Prevalence of MI C. old and new cases of MI D. incidence of MI Situation 5- Sugar, G2 P3, is a Type I diabetes mellitus (DM) since she was 10 years old. She is in her first trimester of pregnancy. Insu Ling is her nurse. 21. What could be the MOST possible effect of DM to Sugar? She can have ______. A. Ketoacidosis B. Hyperinsulinism C. Hyperglycemia D. Hypoglycemia 22. Which of the following would require an increased dose of medication once Sugar is in the second half of pregnancy? A. Insulin B. Pancreatic enzymes C. estrogenic hormone D. antihypertensives 23. What is the route of administration for insulin during pregnancy? A. Intravenous B. Subcutaneous C. oral D. shot with flex pen 24. Considering Sugar’s condition, Nurse Insu Ling will anticipate what effect to the fetus? The condition will be_______. A. Large for gestational age B. Macrosomia C. Intrauterine growth retardation (IUGR) D. Meningomyelocele 25. On the first postpartum day, which of the following requirements for insulin will be anticipated by the nurse to be ordered by the physician? A. Remain unchanged B. Decrease sharply and suddenly C. Increase rapidly D. Decrease slowly and steady Situation 6- Mrs. Pugita, gravida 3 para 3003, is admitted to the postpartal unit after an uncomplicated labor and vaginal delivery. She opted to breastfeed her baby. Nurse Jasmin is around to take care of her. 26. The first day after delivery, Mr. Pugita tells the nurse that his wife has been talking constantly about her recent delivery experience. He asks if this is a sign of postpartal blues. What should be the BEST response of the nurse? A. “Do you feel uncomfortable about her talking on her delivery experience?” B. “Yes, it’s clear sign of post-partum blues. She may need a psychiatric evalution.” C. “This is a normal reaction. It allows her to accept the reality of the birth of your baby.” D. “No, you should divert her attention away from her delivery.” 27. Later that day, Mrs. Pugita tells Nurse Jasmin that she has urinated four times within the last hour but only in small amounts. What should be the INITIAL ACTION of the nurse? A. Explain that this is normal during the first 24 hours after delivery. B. Palpate Mrs.Alim’s fundus to assess uterine consistency and location. C. Catheterize Mrs.Alim immediately to expel any retained urine. D. Begin measuring and recording and recording Mrs.Alim’s intake and output. 28. Which assessment finding is MOST indicative that Mrs. Pugita is developing puerperal infection? A. Increased pulse rate B. Foul- smelling lochia C. Elevated body temperature D. A white blood cell count of 25,000/mcg 29. Mrs. Pugita asks Nurse Jasmin when her menstrual period will return. The nurse answers that a breastfeeding patient typically resumes menstruating in about____________. A. 8 to 12 weeks B. 3 to 6 months C. 4 to 6 months D. 4 to 6 weeks 30. Mrs. Pugita complains of pain due to breast engorgement. What will the nurse do to encourage her to continue breastfeeding? A. Let her continue breastfeeding on schedule. B. Put hot compress over the breast for 15 minutes before breastfeeding. C. Put cold compress over the breast for 15 minutes before breastfeeding. D. Let her continue breastfeeding on demand. Situation 7- Nurse Jubel is collecting data from a newly admitted patient, Mrs. Jaclyn, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. She also revealed that she does not have a history of abortion nor fetal demise. Her last menstrual period began February 7, 2017 and ended February 12, 2017.
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?