Nursing Elites

1. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

2. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

3. Which of the following strategies is NOT the BEST approach to addressing the nutrition problems of Filipinos related to Non-communicable diseases?

• A. Aim for ideal body weight
• B. Consider food preferences of family members
• C. Build healthy nutrition-related practices
• D. Choose food wisely

Correct answer: B

Rationale: While considering food preferences of family members is important for dietary adherence and satisfaction, it may not always align with the best strategies to address nutrition problems related to non-communicable diseases. It is crucial to focus on factors like ideal body weight, healthy nutrition-related practices, and making wise food choices to effectively combat such health issues.

4. Which of the following is a characteristic of a healthy work environment?

• A. High turnover rate and lack of communication
• B. Lack of teamwork and frequent conflicts
• C. Open communication and collaboration
• D. Micromanagement and strict hierarchy

Correct answer: C

Rationale: A healthy work environment is characterized by open communication and collaboration among team members. This fosters a positive atmosphere where ideas can be freely shared, conflicts resolved constructively, and teamwork thrives. High turnover rates, lack of communication, micromanagement, and strict hierarchy are detrimental to a healthy work environment as they can lead to low morale, decreased productivity, and a negative workplace culture.

5. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

Similar Questions