Nursing Elites

1. Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?

• A. Department of Interior and Local Government (DILG)
• B. Metro Manila Development Authority (MMDA)
• C. Records Management Archives Office (RMAO)
• D. Department of Health (DOH)

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

2. Which substance would most likely need to be restricted in patients with heart failure who use diuretics to help reduce fluid retention?

• A. potassium
• B. magnesium
• C. sodium
• D. chloride

Correct answer: C

Rationale: Sodium restriction is crucial in heart failure management to prevent fluid retention, which can worsen symptoms of heart failure.

3. Each is a portion of the alimentary canal, except one. Which is the exception?

• A. Oral cavity
• B. Pharynx
• C. Larynx
• D. Esophagus

Correct answer: C

Rationale: The correct answer is C, Larynx. The larynx is part of the respiratory system, responsible for voice production and breathing. The alimentary canal is involved in the digestive process and includes structures like the oral cavity (mouth), pharynx, and esophagus. Choices A, B, and D are parts of the alimentary canal, where digestion occurs, making them incorrect answers.

4. What are the responsibilities of a nurse towards a patient?

• A. A registered nurse is responsible for a group of patients from their admission to their discharge
• B. A registered nurse only provides care for the patient with the assistance of nursing aides
• C. A nurse's only responsibility is to perform administrative duties in a healthcare setting
• D. A nurse's only responsibility is to maintain hospital equipment

Correct answer: A

Rationale: A registered nurse is responsible for a group of patients from their admission to their discharge. This responsibility encompasses assessing patient needs, formulating care plans, administering medications, monitoring patient progress, and coordinating with other members of the healthcare team. Choice B is not entirely accurate because, even though nurses often work with nursing aides, the nurses themselves hold the ultimate responsibility for the overall care of the patient. Choices C and D are incorrect as they depict an incomplete and inaccurate representation of a nurse's role, which extends beyond administrative duties and equipment maintenance to primarily focus on direct patient care.

5. A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching?

• A. I will give my child strained carrots and mashed egg yolks.
• B. I will give my child rice cereal and crackers.
• C. I will give my child pureed liver and strained pears.
• D. I will give my child applesauce and green peas.

Correct answer: B

Rationale: Choice B, 'I will give my child rice cereal and crackers,' indicates a need for further teaching. Infants should not be given crackers at 8 months of age due to the risk of choking. Rice cereal is appropriate for infants, but it should be introduced carefully to avoid digestive issues. Choices A, C, and D are appropriate food choices for an 8-month-old infant, providing a variety of nutrients and textures suitable for their age and developmental stage.

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