Death in clients with ALS occurs within two to three years and is attributable to ____.

Correct Answer: C

Rationale: In clients with ALS (Amyotrophic Lateral Sclerosis), death typically occurs within two to three years of diagnosis. This is often due to progressive weakness and degeneration of the muscles involved in breathing, leading to respiratory failure. As the disease advances, the muscles responsible for breathing become increasingly compromised, eventually resulting in the inability to breathe effectively without mechanical ventilation support. Other complications such as aspiration pneumonia and malnutrition may also contribute to the decline in health. Therefore, respiratory failure is the primary cause of death in clients with ALS.

Correct Answer: D

Rationale: Fidelity is a principle of ethics that relates to being faithful or loyal to one's commitments and responsibilities. When Nurse Pat promises to assist the post-surgical patient with ambulation after carrying out the physician's order, she is demonstrating fidelity by honoring her commitment to the patient. This principle highlights the importance of keeping promises, being reliable, and maintaining trust in the nurse-patient relationship.

Correct Answer: C

Rationale: Maintaining patient confidentiality is a foundational principle in healthcare ethics. Nurses are obligated to keep all information about patients confidential, which means not disclosing any patient-related information to unauthorized individuals. This includes refraining from discussing patient cases with others who are not directly involved in the care of the patient. Sharing patient information without consent can be a breach of trust and privacy, which can have legal and ethical implications. Therefore, in order to uphold the principle of confidentiality, nurses must keep all matters about the patient as a secret.

Correct Answer: C

Rationale: The diagnosis of contact latex allergy is primarily based on the patient's history of exposure to latex-containing products and the development of symptoms upon contact with latex. To confirm the diagnosis, skin patch testing is performed. Skin patch testing exposes the skin to small amounts of latex allergens to observe for any localized allergic reaction, such as redness, swelling, or itchiness. This test helps determine if the individual has developed a delayed-type hypersensitivity reaction to latex. Latex-specific IgE testing (choice A) and finding IgE in serum (choice B) are methods used in diagnosing immediate-type latex allergy but are not sufficient for confirming contact latex allergy specifically. ELISA (choice D) is a type of laboratory technique used for various purposes, including measuring the levels of specific substances in the blood, but it is not typically used as a diagnostic tool for contact latex allergy.

Correct Answer: D

Rationale: Incident reports (IR) are filed in the Records Section of the hospital. It is important for incident reports to be kept in the Records Section for various reasons. By being filed in the hospital's official records, incident reports are included in the hospital's documentation of events, which is crucial for legal and quality improvement purposes. Placing IRs in the Records Section ensures that they are accessible to relevant personnel who may need to refer to them in the future for investigations, audits, or further actions related to the incidents. Keeping incident reports in a centralized location like the Records Section also helps in standardizing the process of documenting and tracking incidents, maintaining consistency and accountability within the healthcare facility.