Nursing Elites

1. The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?

• A. Document the seizure
• B. Perform neurologic checks
• C. Take the patient's vital signs
• D. Restrain the patient for protection

Correct answer: C

Rationale: After a patient with migraine headaches has a seizure, it is important to assess their vital signs to monitor their condition. This task can be safely delegated to a nursing assistant as it falls within their scope of practice. Documenting the seizure and performing neurologic checks require a higher level of training and should be done by a nurse or healthcare provider. Restraint should never be used as a first-line intervention after a seizure unless there is an immediate threat to the patient's safety, and it should be done following proper protocols and with appropriate training.

2. An experienced healthcare professional instructs a new colleague on caring for a patient with dyspnea due to a pulmonary fungal infection. Which action by the new colleague indicates a need for further teaching?

• A. Listening to the patient's lung sounds several times during the shift
• B. Placing the patient in droplet precautions and in a private hospital room
• C. Increasing the oxygen flow rate to maintain oxygen saturation above 90%
• D. Monitoring the patient's serology results to identify the specific infecting organism

Correct answer: B

Rationale: The correct answer is placing the patient in droplet precautions and in a private hospital room. Fungal infections are not transmitted from person to person, so isolation procedures like droplet precautions are unnecessary. Listening to the patient's lung sounds, increasing the oxygen flow rate, and monitoring serology results are all appropriate actions in caring for a patient with dyspnea caused by a pulmonary fungal infection.

3. After a symptom is recognized, the first effort at treatment is often self-treatment. Which of the following statements is true about self-treatment?

• A. "Not recognized as valuable by most health care providers."?
• B. "Usually ineffective and may delay more effective treatment."?
• C. "Always less expensive than biomedical alternatives."?
• D. "Influenced by the accessibility of over-the-counter medicines."?

Correct answer: D

Rationale: After a symptom is identified, the first effort at treatment is often self-treatment. The availability of over-the-counter medications, the relatively high literacy level of Americans, and the influence of the internet and mass media in communicating health-related information to the general population have contributed to the high percentage of cases of self-treatment. Health care providers are recognizing the value of a wide variety of alternative, complementary, and traditional interventions. Many self-treatments, such as over-the-counter medications, are effective. Self-treatment is not always less expensive. Choice A is incorrect as health care providers are recognizing the value of self-treatment. Choice B is incorrect because self-treatment can be effective in many cases. Choice C is incorrect as self-treatment is not always less expensive; it depends on the specific treatment being used.

4. The healthcare provider is preparing to perform a physical assessment. Which statement is true about the inspection phase of the physical assessment?

• A. Usually yields little information
• B. Takes time and reveals a surprising amount of information
• C. May be somewhat uncomfortable for the expert practitioner
• D. Requires a thorough examination of the patient's body before proceeding with palpation

Correct answer: B

Rationale: During the inspection phase of a physical assessment, it is essential to take time as it can reveal a significant amount of information. Initially, it may feel uncomfortable for the examiner to focus solely on observing the patient without immediate action. Rushing through inspection is not recommended as it can lead to missing important cues. Train yourself to be thorough during inspection by observing carefully and taking the time needed to gather essential data. Choices A, C, and D are incorrect because inspection typically provides valuable information, may feel uncomfortable at first but is necessary for a comprehensive assessment, and does not involve a quick glance but requires a focused and detailed observation.

5. What is the first aid for frostbite?

• A. Running cold water over the affected area. Warm or hot water will shock the area and cause more tissue damage.
• B. Run warm water over the area to rapidly rewarm the affected area.
• C. Run hot water over the area to warm the area as quickly as possible.
• D. Cover the area with a blanket, using a heating pad if the blanket isn't warm enough.

Correct answer: A

Rationale: First aid for frostbite involves running cold water over the affected area. It is important to avoid warm or hot water as it can shock the area and cause further tissue damage. Warm water should not be used to rapidly rewarm the affected area. Similarly, hot water should also be avoided as it can warm the area too quickly and potentially cause harm. Covering the area with a blanket and using a heating pad may not be effective and can even lead to more damage. Seeking medical assistance is crucial if the tissue appears necrotic to prevent further complications.

Similar Questions