In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?

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Question 1 of 5

In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?

Correct Answer: D

Rationale: Step-by-step rationale for choosing answer D as the correct option: 1. Respiratory rate assessment is crucial due to the risk of respiratory depression from Fentanyl. 2. Early detection of respiratory depression is vital to prevent adverse outcomes. 3. Monitoring respiratory rate allows timely intervention if abnormalities are detected. 4. This aligns with the nursing priority of ensuring patient safety and well-being. Summary: A: Instructing bed rest is not the priority as mobility is important post-surgery. B: Checking catheter drainage is important but not the priority over respiratory assessment. C: Administering analgesia is important but not as critical as monitoring respiratory rate.

Question 2 of 5

You will give health instructions to Carlo, a case of bronchial asthma. The health instruction will include the following, EXCEPT:

Correct Answer: D

Rationale: The correct answer is D: Practice respiratory isolation. This is the correct answer because respiratory isolation is not a standard health instruction for managing bronchial asthma. The other choices (A, B, C) are all essential instructions for managing asthma. Avoiding emotional stress and extreme temperatures can help prevent asthma attacks. Avoiding pollution like smoking can reduce exposure to irritants that can trigger asthma symptoms. Avoiding allergens like pollens, dust, and seafood can also help prevent asthma exacerbations. In summary, respiratory isolation is not a relevant or effective health instruction for managing bronchial asthma, unlike the other choices which are important for asthma management.

Question 3 of 5

In the OR, the nursing tandem for every surgery is:

Correct Answer: D

Rationale: Step 1: In the operating room (OR), the two main roles are scrub nurse and circulating nurse. Step 2: Scrub nurse assists the surgeon directly during the procedure. Step 3: Circulating nurse manages the overall OR environment and patient safety. Step 4: Together, they form a complete nursing tandem for every surgery. Step 5: Option D includes both roles, making it the correct answer. Summary: - Option A includes only the instrument technician and circulating nurse, missing the scrub nurse. - Option B includes additional roles like nurse anesthetist and nurse assistant, which are not part of the essential nursing tandem. - Option C includes scrub nurse and nurse anesthetist, missing the circulating nurse role essential for patient safety.

Question 4 of 5

What does a sample group represent?

Correct Answer: C

Rationale: The correct answer is C: General population. A sample group represents a subset of the general population that is used to draw conclusions about the population as a whole. The sample should be representative of the general population to ensure the validity of the study results. A: Control group refers to a group in an experiment that does not receive the experimental treatment. B: Study subjects are individuals participating in a study or experiment. D: Universe refers to the entire population being studied, which is broader than the sample group. Therefore, the correct answer is C as it best describes what a sample group represents in research studies.

Question 5 of 5

Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the side rails of the bed and unresponsive to shaking or shouting. Which is the nurse next action?

Correct Answer: A

Rationale: The correct answer is A: Call for help and note the time. In this scenario, the nurse should first ensure the client's safety by calling for assistance to manage the situation effectively. This step is crucial to provide timely and appropriate care for the unresponsive post-MI client. Clearing the airway (B) and administering physical interventions (C, D) should only be done after calling for help to ensure that the client receives necessary support and interventions promptly.

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