Tiêu đề RECALLS 13 - NP3 - SC ✅

D. She is having discomforts and crying because of abdominal distention” Situation 3 – Juaning, 58 year old is admitted for a suspected heart failure. He has shortness of breath, mild chest pain, tachypea and presence of crackles on the bases of both lungs. Your head nurse (HN) instructed you to prepare nitroglycerin to be administered by Intravenous route. You validated from your head nurse why such medication is going to be given to patient Juaning. 11. The HN as part of her teaching function provided you this APPROPRIATE response. This is to _______. A. “reduce after load” B. “increase preload” C. “increase after load” D. “reduce preload” 12. When doing a health teaching to a patient, the FIRST step is to determine ____________. A. readiness to learn B. adaptation to learning styles C. learning needs D. capacity to learn 13. You are assigned to do a health education class on Thursday morning with several patients for possible discharge. You have a diabetic patient for discharge. He is taking a medication Carvedilol. Which one of the following instructions must be EMPHASIZED during your discharge teaching? A. Observe skin care because the drug can decrease tissue perfusion B. Monitor blood sugar level because the drug can cause hyperglycemia C. Monitor pulse rate, sugar levels because the drug may mask hypoglycemia D. Check pulse rate every 6 hours because the drug can cause palpitation 14. You are teaching a group of patients who are undergoing hemodialysis regarding their dietary plan. You should explain to them that intake of protein is necessary because it __________. A. reduces demand for liver functioning B. increases nitrogenous waste products C. maintains osmotic pressure D. induces frequent urination 15. There is a doctor’s order for your patient with heart failure to be discharged after two days. The diet order is for him to limit his sodium intake to only 2 g. Identify which of the following breakfast selection should be included in your plan. A. Orange juice, bacon, fried egg, and steamed rice. B. Orange juice, fried salted fish, and steamed rice. C. Orange juice, toast bread, poached egg and jam. D. Orange juice, pouched egg, brown rice and ham. Situation 4 - Ms. Maribel is the Nurse director in a Level 3 private hospital in Metro Manila. In the past months she has been encountering staffing problems so she is worried that she cannot comply with the expectations of her stakeholders as a Premiere health institution in the country that can deliver Safe and Quality care. 16. In the Strategic plan process, which of the following questions is addressed to be able to arrive at a specific vision-mission in a nursing business plan? 1) What business are we in now? 2) What business do we want to be? 3) What do our customers expect of us now? 4) What will be the expectations of our customers in the future? 5) Who are our customers? A. 2, 3 & 4 B. 1,2,3,4 & 5 C. 1 & 2 D. 1, 3 & 4 17. The hallmark of Nursing shortage is BEST described as ___________. A. Predetermined standards of group of patients with the available nursing staff B. Situation related to recruitment and retention of nursing personnel C. Use of nursing models to forecast availability of nursing personnel D. Discrepancy between the supply and demand of nursing graduates 18. In the light of the brainstorming session of the team leaders, the issue of managing performance of personnel was raised into the discussion. Which of the following is the sequence in the performance appraisal? 1. Assess the institutional and personal goals 2. Assess progress of the staff 3. Evaluate progress 4. Establish objectives and time frame A. 4, 1, 2, & 3 B. 1, 3, 4 & 2 C. 2, 3, 1 & 4 D. 1, 4, 2 & 3 19. Prioritization and delegation of personnel can also be of help to the professional nurses in staffing problem. Cases have been raised by the team members such as; if you have a plan of care for a diabetic patient which of the following interventions can be delegated to the experienced nursing attendant? A. Discuss with the patient and family on insulin therapy B. Perform wound care for a diabetic foot C. Administer metformin for his diabetes D. Teach the patient to perform daily foot care 20. Likewise a clinical situation in the ward is when a patient is attached to a Naso-gastric tube (NGT), which of the following nursing measure can be delegated to a nursing attendant? A. Removing the nasogastric tube as ordered B. Performing oral care every 4 hours and PRN C. Securing the safety of the nasogastric tube with a tape D. Disconnect the suction to accompany patient to the toilet Situation 2 – Eddie Wao, 71 years old, a former car dealer has been chronically-ill due to Emphysema. He was in and out of the hospital for the past 2 years. He decided to have a living will so he asked his eldest daughter to contact their lawyer. 21. Which of the following conditions is APPROPRIATE to have a living will? When a patient is __________. A. on a stage of drowsiness and receiving sedatives B. incapacitated but conscious and in a terminal condition C. with family members who are around and can make decisions for him D. in a critical condition and receiving lifesaving drugs 22. Which of the following actions of the Nurse can be classified as intentional tort? A. Refusing a patient to sign a waiver so he can go home. B. Failure to instruct the nursing aid to put up the side rails of an older patient resulting to fall. C. Administering a blood transfusion to a wrong patient. D. Failure to report to the physicial the untoward reaction of a drug. 23. A Nurse is assigned in the ICU unit for almost 3 years and has attended several patients who have died under her shift. She was emotionally affected with this situation but remains to be silent every time she reports for duty. The BEST way for the Nurse to cope with this feeling is to ________. A. consult a psychologist regarding this feeling B. discuss this feeling with the other members of the staff C. neglect this behavior and go out with friends D. request the supervisor to transfer her to another unit 24. A patient is admitted in your unit because of rectal bleeding and need a blood transfusion. Being a Jehovah’s witness, he refused the order of the physician. The wife secretly talked with the Nurse and the physician to administer the blood transfusion after taking his sleeping pills. What is the BEST action of the health care professionals in this situation. 2 | Page