Nội dung text RECALLS 1 (NP5) SC
C. Maintaining Bianca in a supine position to prevent unnecessary nerve stimulation D. Transferring Bianca to a bedside chair three times a day to prevent posture hypotension Situation 6- Jennylyn Abad, 40-years old woman, has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation. 26. Which of the following is common sign/symptom of rheumatoid arthritis? A. Presence of crepitus over joints B. Symptoms aggravated by humidity C. Deformity and displacement of proximal joints D. Presence of Heberden’s nodes 27. Which of the following would NOT be a common laboratory findings in rheumatoid arthritis? A. Low hemoglobin B. Positive RA factor C. Positive Lupus Erythematosus (LE) prep D. Increase white blood count 28. Jennylyn has been taking steroids for the last five years to control her arthritis. Which of the following is a common side effects of steroid therapy? A. Hyponatremia B. Hyperkalemia C. Increase blood glucose D. Protein anabolism 29. Which of the following diet is best suited to decrease the side effects of Jennylyn’s steroid therapy? A. Normal carbohydrate, high protein, high potassium B. Low carbohydrate, high protein, high potassium C. Low carbohydrate, high protein, low potassium D. High carbohydrate, low protein, low potassium 30. Jennylyn was on Ibuprofen which has been stopped when the steroid therapy was started. Which was the main reason for stopping the Ibuprofen once the steroid therapy was started? A. The two drugs taken together increase the risk of GI bleeding B. The Ibuprofen would interfere with the action of the steroid C. The Ibuprofen was not needed with the steroid D. The two drugs together would cause severe liver damage Situation 7- You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of the patients with varied musculo-skeletal conditions. 31. which of the following inflammatory conditions commonly occurs in the shoulder? 1. Bursitis 2. Carpal Tunnel Syndrome 3. Tendonitis 4. Dupuytrens A. 1 and 2 B. 2 and 3 C. 3 and 4 D. 1 and 3 32. Which of the following is NOT considered a conservative treatment for inflammatory conditions of the shoulder? A. Non-steroid Anti-inflammatory Drugs B. Intermittent ice and heat application to the joint C. Laser photo-therapy D. Resting of the extremity 33. Impaired movement of the rotator cuff of the shoulder is generally termed as Impingement Syndrome. Edema, which is an early manifestation of this syndrome, is due to ________. A. Acute trauma of the shoulder B. Muscle spasm C. Hemorrhage of the structures involved D. Atrophy due to disuse 34. For a persistent shoulder pain and weakness, this usual treatment modality performed is _______. A. Pulse-magnetic field B. Laser photo-therapy C. Radio-frequency ablation D. Arthroscopic Synovectomy 35. One of the most common foot problems is Callus. This condition precedes the formation of a Callus _____. A. External pressure on the foot B. Faulty foot mechanics C. Flexion deformity of the interphalangeal joint D. Penetrating nail plate in the surrounding skin of the foot Situation 8- You are a staff nurse working in a hospital and encounter situations with ethico-moral implications. 36. Which of the following nursing actions will you do if the patient is unconscious and unable to make decisions? This fact should be: A. Reported to the nurse supervisor B. Reported to the attending physician C. Documented in the patient’s chart D. Reported to the police 37. A patient came in from prison for emergency treatment. Which of the following precautionary measures will you institute to ensure the safety of the hospital staff and the other patients? A. Provide the same assessment and care to the client B. Use restraints C. Lock the ER door against entry if security is in question D. Never release the hand or ankle restraint 38. In using restraints to patients, which of the following guidelines will you follow? A. Apply restraints because the patient needs it B. Apply restraints according to the hospital policy C. Restraint is the most effective nursing intervention to minimize aggressive behavior D. Maintain respect for the client when applying restraints 39. You have observed that a group of students are implementing their research project on the effect of hot and cold application to febrile patients without informing the participants properly. What ethical principle was violated by the students? A. Nonmaleficence B. Autonomy C. Justice D. Respect for person 40. A researcher should pay particular attention in protecting the rights of certain vulnerable groups. Which of the following is NOT considered vulnerable? A. Prisoners B. Children C. Mentally-challenged persons D. Postpartum mother with normal delivery Situation 9- You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look 3 | Page