There are pre operative medications given to the patient. Which of the following druugs are given in order to decrease intra-operative anesthetic requirements and pain?

Correct Answer: B

Rationale: Acetaminophen (Tylenol) is given pre-operatively to decrease intra-operative anesthetic requirements and post-operative pain. It is a common analgesic that can help reduce the amount of intra-operative anesthesia needed and provide some pain relief during the surgery. Unlike drugs like Celebrex, Ibuprofen, and Demerol, Acetaminophen does not have anti-inflammatory properties, but it is effective in managing pain and can contribute to overall pain control before, during, and after surgery. This makes it a preferred choice for pre-operative medication in order to decrease the need for higher doses of anesthetics and reduce post-operative pain levels.

Correct Answer: D

Rationale: Alzheimer's disease is the most common form of dementia. Dementia is a general term for a decline in mental ability that becomes severe enough to interfere with daily life. It can affect memory, thinking skills, and the ability to perform everyday tasks. Alzheimer's disease specifically is a progressive brain disorder that slowly destroys memory and thinking skills and eventually impairs the ability to carry out simple tasks. Therefore, the provided condition of having difficulty in processing stimuli and new information aligns with the symptoms commonly seen in individuals with Alzheimer's disease.

Correct Answer: B

Rationale: Providing means to evaluate services is the most appropriate measure to ensure patient satisfaction with the delivery of health services. This can be done through patient surveys, feedback forms, or other evaluation methods. By systematically collecting and analyzing feedback from patients, healthcare providers can assess the quality of their services, identify areas for improvement, and address any concerns or issues raised by patients. This proactive approach allows for continuous monitoring and improvement of the healthcare services provided, leading to enhanced patient satisfaction and overall quality of care.

Correct Answer: C

Rationale: Republic Act 9173, also known as the Philippine Nursing Act of 2002, mandates the compulsory immunization of children below 8 years. This law ensures that young children receive necessary vaccines to protect them from preventable diseases and promote public health. RA 9173 is a significant legislation that highlights the importance of immunization in safeguarding the well-being of children in the Philippines.

Correct Answer: A

Rationale: The nurse should prioritize adjusting the irrigation flow rate based on the patient's urine output to prevent complications during continuous bladder irrigation (CBI). Proper adjustment of the irrigation flow rate helps maintain adequate bladder drainage while preventing bladder distention, clot formation, and potential irrigation fluid overload. Monitoring the patient's urine output and adjusting the flow rate accordingly ensures optimal functioning of the CBI system and enhances patient safety. This proactive approach minimizes the risk of complications and promotes effective postoperative care following urological surgery.

Correct Answer: B

Rationale: Guillain-Barré Syndrome (GBS) is characterized by ascending motor weakness, starting typically in the lower extremities and progressing upwards. Patients with GBS often verbalize the early onset of symptoms as weakness starting in the legs and potentially spreading to involve the arms and sometimes the face. Therefore, the common verbalization of the patient with GBS regarding the early onset of symptoms is ascending motor weakness. Acute hemiplegia (choice A) and acute hemiparesis (choice D) involve weakness or paralysis typically limited to one side of the body, which is not a characteristic presentation of GBS. Weakness of the four lower extremities (choice C) is also not a typical description in GBS as the weakness usually starts distally and progresses proximally.

Correct Answer: C

Rationale: False imprisonment is the act of improperly restraining another individual against their will. In this scenario, the nurse's threat of putting the client into seclusion and administering an injection to restrain them for inappropriate behavior constitutes false imprisonment. The client is being restricted in their movement without valid reason or proper procedure. This type of action is not acceptable in healthcare settings and violates the client's rights. It is important for healthcare professionals to use appropriate de-escalation techniques and interventions to manage challenging behaviors without resorting to threats of physical restraint.

Correct Answer: B

Rationale: In a patient experiencing an acute asthma exacerbation with severe respiratory distress and hypoxemia, the most appropriate intervention is to initiate non-invasive positive pressure ventilation (NIPPV). NIPPV can help improve ventilation, decrease work of breathing, and correct hypoxemia by providing positive pressure to keep the airways open, reduce air trapping, and increase the elimination of carbon dioxide. This intervention can help improve oxygenation and reduce the need for invasive mechanical ventilation in patients with severe asthma exacerbations. Administering high-flow oxygen via nasal cannula alone may not provide enough support for patients with severe respiratory distress. Nebulized albuterol/ipratropium combination therapy and intravenous corticosteroid therapy are also important treatments for asthma exacerbations but are not the first-line interventions for patients with severe respiratory distress and hypoxemia.

Correct Answer: C

Rationale: Verbal abuse is the most common form of abuse experienced by nurses in their workplace. This may include insults, yelling, threats, or intimidation directed towards the nurse. Verbal abuse can have a significant impact on the nurse's mental and emotional well-being, leading to stress, anxiety, and burnout. It is important for healthcare institutions to address and prevent verbal abuse to create a safe and respectful work environment for nurses and other healthcare professionals.