Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:

Correct Answer: D

Rationale: In this scenario, option D is the correct answer because sitting on the edge of the bed with feet supported and arms and head on a padded overhead table is not a suitable position for thoracentesis. This position does not provide proper support for Mrs. Pichay during the procedure and may lead to discomfort or complications. Option A is incorrect as straddling a chair with arms and head resting on the back of the chair can provide adequate support and positioning during thoracentesis. Option B, lying on the unaffected side with the bed elevated 30-40 degrees, is also a suitable position as it allows for proper access to the thoracic cavity. Option C, lying prone with the head of the bed lowered 15-30 degrees, is not ideal for thoracentesis as it may hinder proper access to the thoracic area. It is important in pharmacology to understand patient positioning during procedures to ensure safety, comfort, and effectiveness. Proper positioning can impact the success of the procedure and patient outcomes.

Correct Answer: B

Rationale: In this scenario, the correct answer is to choose option B, which is to call security to report the incident. This is the most appropriate action to take because patient safety and security are of utmost importance in a healthcare setting. By alerting security, you can ensure that the patient who left without notice is located and brought back to the facility promptly. Option A, making an incident report, is not the immediate action to take in this situation. While it is important to document the incident, the priority should be on the patient's safety and well-being first. Waiting for 2 hours before reporting, as mentioned in option C, can lead to unnecessary delays in addressing the situation, potentially putting the patient at risk. Reporting the incident to your supervisor, as in option D, is also not the most urgent step to take initially. From an educational perspective, this question assesses the student's ability to prioritize patient safety and security in a clinical setting. It emphasizes the importance of prompt action in ensuring the well-being of patients under your care. By choosing option B, students demonstrate their understanding of the immediate actions required in a critical situation involving a patient's unanticipated departure.

Correct Answer: A

Rationale: In the context of handling fires, the mnemonic RACE stands for Rescue, Alarm, Contain, and Extinguish/Evacuate. The correct answer, A) Run, aligns with the first step in the RACE mnemonic. In a fire emergency, it is crucial for individuals to first ensure their safety by evacuating the area. Running to safety is paramount to prevent harm. The incorrect options are B) Race, C) Rescue, and D) Remove. Option B) Race is incorrect because it does not emphasize the immediate need to evacuate and seek safety in a fire situation. Racing can lead to panic and disorganization rather than a calm and orderly evacuation. Option C) Rescue is incorrect because while rescuing others is important in a fire emergency, individuals must prioritize their own safety first before attempting to rescue others. Evacuating oneself is the initial step to prevent injuries. Option D) Remove is incorrect as it does not directly address the immediate action needed in a fire scenario, which is to evacuate quickly to safety. Removing items or belongings can delay evacuation and increase the risk of harm. Educationally, understanding mnemonic devices like RACE is crucial in emergency situations as they provide a structured approach to handling crises. By following such mnemonics, individuals can react swiftly and effectively in high-stress situations like fires, potentially saving lives.

Correct Answer: B

Rationale: In administering a blood transfusion, the correct needle gauge to use is option B) 22. The rationale behind this is that a larger gauge needle, such as an 18 gauge (option A), can cause hemolysis or damage to the blood cells due to the force required to push the blood through a smaller opening. On the other hand, a smaller gauge needle, like 23 or 24 (options C and D), may be too small and cause clotting or slow the transfusion process. Educationally, understanding the appropriate needle gauge for blood transfusions is crucial for nurses and healthcare providers to ensure patient safety and the effectiveness of the procedure. Using the correct gauge needle helps to maintain the integrity of the blood product and prevent complications such as hemolysis or clotting. This knowledge is essential in providing quality patient care and preventing adverse events during blood transfusion procedures.

Correct Answer: A

Rationale: The correct answer is option A) An airway and rebreathing tube. After a thyroidectomy, there is a risk of airway compromise due to potential swelling or bleeding in the neck area. Having an airway and rebreathing tube at the bedside is essential to maintain a patent airway and ensure adequate oxygenation in case of respiratory distress. This emergency equipment can be quickly utilized by the nurse to support Leda's respiratory function and prevent complications such as airway obstruction. Option B) A tracheostomy set and oxygen is not the most appropriate choice in this scenario because a tracheostomy is a more invasive procedure and is usually not necessary immediately following a thyroidectomy unless there is a severe respiratory emergency that cannot be managed with simpler measures like an airway and rebreathing tube. Option C) A crush cart with bed board is not relevant to the immediate post-thyroidectomy care. A crush cart typically contains medications and supplies for managing cardiac emergencies, not for airway management following a thyroidectomy. Option D) Two ampules of sodium bicarbonate is also not necessary for emergency management after a thyroidectomy. Sodium bicarbonate is primarily used to correct metabolic acidosis and is not indicated as a routine emergency measure following thyroid surgery. In an educational context, it is crucial for nurses to be prepared for potential post-operative complications and emergencies after surgical procedures like thyroidectomy. Understanding the specific equipment needed for airway management and respiratory support in these situations is essential to provide safe and effective care to patients. By recognizing the correct emergency equipment and its role in managing potential airway issues, nurses can act promptly and decisively to ensure the best outcomes for their patients.