What would Merle do to keep abreast with the latest trends in peri-operative nursing?

Correct Answer: B

Rationale: To keep abreast with the latest trends in peri-operative nursing, Merle should employ a combination of attending training and seminars, performing researches, and pursuing graduate studies. Attending training and seminars will expose Merle to new information, techniques, and best practices in peri-operative nursing. Performing researches will help Merle stay updated with current developments and evidence-based practices in the field. Pursuing graduate studies will provide Merle with advanced knowledge and skills, allowing for a deeper understanding of peri-operative nursing concepts and practices. By incorporating all of these strategies, Merle can ensure that he remains knowledgeable and competent in his role as a peri-operative nurse.

Correct Answer: C

Rationale: If the nurse notices a discrepancy between the patient's identification bracelet and the surgical consent form, the immediate action should be to inform the surgeon and anesthesia provider. It is crucial to address any discrepancies before proceeding with the surgical procedure to ensure patient safety and prevent any potential errors or complications. The surgical team needs to be made aware of the issue so that they can verify the correct patient information and ensure that all necessary steps are taken to proceed safely. Communication and collaboration among the healthcare team members are essential in such situations to prevent any harm to the patient.

Correct Answer: D

Rationale: In a patient with acute exacerbation of COPD who presents with hypercapnia and respiratory acidosis, the most appropriate ventilatory strategy is invasive mechanical ventilation with a lung protective strategy. This involves using lower tidal volumes and limiting plateau pressures to prevent ventilator-induced lung injury.

Correct Answer: D

Rationale: The principle of beneficence emphasizes the duty to do good and act in the best interest of others. By ensuring that all necessary supplies and medicines are available for the care of the community, Nurse Erica is practicing beneficence. She is fulfilling her obligation to promote the health and well-being of the community members by providing them with the resources they need for their care. This demonstrates her commitment to doing good and acting in a way that benefits those under her care, which aligns with the principle of beneficence in nursing practice.

Correct Answer: D

Rationale: Arterial blood gases (ABGs) do not directly assess the client's electrolyte and fluid balance. ABGs primarily evaluate the client's acid-base balance and oxygenation status by measuring levels of pH, partial pressure of carbon dioxide (PCO2), and bicarbonate (HCO3) in the arterial blood. While ABGs can provide some information about blood parameters, such as oxygen saturation, they do not comprehensively assess electrolyte levels or fluid balance. To specifically assess electrolytes and fluid balance, additional tests like basic metabolic panels or comprehensive metabolic panels would be required.

Correct Answer: C

Rationale: Nonverbal communication consists of gestures, facial expressions, body language, posture, tone of voice, touch, and eye contact, among other behaviors. Option C, words representing an object, refers to verbal communication rather than nonverbal communication. Nonverbal communication is the behavior that accompanies verbal communication, providing additional layers of meaning and adding context to the spoken words. Therefore, words representing an object are not indicators of nonverbal communication.

Correct Answer: D

Rationale: The most appropriate question to ask during the assessment of a newly admitted Person Who Uses Drugs (PWUDs) like Korino is to ask about the amount of drug used, its effects, and how long he has been using. This question provides valuable information for treatment planning and understanding the extent of Korino's drug use. By asking about the specific details of his drug use, the nurse can assess the severity of the addiction, potential health risks, and the duration of substance abuse. This information is crucial for developing an individualized treatment plan and providing appropriate care for Korino's needs. Asking open-ended questions about drug use also helps build rapport and trust between the nurse and the patient, which is essential for effective treatment.

Correct Answer: D

Rationale: Patients with hypothyroidism have a decreased ability to regulate their body temperature due to the reduced hormone levels. Exposure to cold temperatures can exacerbate this issue and lead to symptoms such as cold intolerance, feeling cold all the time, and potentially even hypothermia. It is important for patients with hypothyroidism to avoid prolonged exposure to cold temperatures to prevent any negative impact on their health.

Correct Answer: B

Rationale: Providing the patient with privacy and assurance of confidentiality is essential to create a safe and trusting environment for open communication. By assuring the patient that their information will be kept confidential, the nurse can help alleviate the patient's fears and encourage them to feel more comfortable discussing their personal health issues. Dismissing the patient's concerns (option A), ignoring their reluctance (option C), or telling them that their embarrassment is unnecessary (option D) are not effective approaches and may further hinder open communication. It is crucial for the nurse to create a supportive and nonjudgmental atmosphere to build trust with the patient and facilitate honest discussions about their health concerns.