30 Questions
Which nursing diagnosis is the MOST appropriate for a patient with Ulcerative Colitis experiencing large volume of stools?
Risk for Deficient Fluid Volume R/T abnormal fluid loss
Which of the following findings would the nurse likely find during the comprehensive assessment of Ms. Betsy, who is presenting with Cholelithiasis?
Severe abdominal pain radiating to the right upper quadrant
During the admission interview of a patient complaining of biliary colic, which of the following questions would the nurse APPROPRIATELY ask?
When do you feel the pain, is it after a heavy meal?
What is the most likely cause of Ms. Betsy's Cholelithiasis, based on the information provided?
Eating fatty prepared foods
What is the most appropriate next step in the management of Ms. Betsy's Cholelithiasis, based on the information provided?
Admit the patient for further work-up and possible surgery
Which of the following physical examination findings would the nurse be most likely to observe in Ms. Betsy, who is presenting with Cholelithiasis?
Abdominal tenderness and guarding
Which statement accurately describes the Fishbone diagram?
It is a tool used to identify root causes of a problem through a visual representation.
What is the correct sequence of steps in the quality improvement process?
- State the problem, 2. Evaluate QI outcomes, 3. Identify and select strategies, 4. Implement solution on a small scale, 5. Expand scope of QI throughout the organization
Which statement about the Gantt chart is incorrect?
It is used to track and monitor individual tasks within a project.
Which of the following is NOT a purpose of client satisfaction surveys in the context of public health?
To directly address and resolve the health problems presented by clients.
Which of the following statements about the Fishbone diagram is correct?
It is a visual representation that organizes potential causes into categories to identify root causes.
What is an incorrect statement about the Gantt chart?
It tracks and monitors the progress of individual tasks within a project.
At what age will a patient typically start drinking from a cup?
9 months
What is the definitive sign that labor is about to begin?
Initiation of uterine contractions
During true labor contractions, where does the discomfort typically begin?
In the lower back and abdomen, radiating over the entire abdomen
Based on the vaginal exam data of '75%, 7cm, 0', what does this indicate?
The cervical dilation is 75% complete
With a cervical dilation of 7cm, approximately what fraction of the cervix's original length remains?
1/4 of the original length
When are the membranes (amniotic sac) most likely to rupture during labor?
During the perineal phase as the baby's head crowns
Which of the following statements about healthy food is correct according to the text?
It should be prepared from high monosaturated oils like olive oil
Which of the following is NOT recommended for foot infection prevention in patients?
Using tight stockings when ambulating
What should be the first strategy for the nurse in charge of the Central Supply Room (CSR) to distribute supplies equitably?
Determine the daily consumption of supplies
How many days prior to consumption should the nurse managing the CSR requisition supplies and materials?
30 days
During rainy days, when there are more pediatric patients aged 0-6 years old hospitalized due to respiratory and gastrointestinal diseases, what size of cannula should the nurse order for intravenous therapy?
A small-bore cannula suitable for pediatric patients
Which combination of statements from the text is correct regarding healthy food preparation?
1, 2, and 3 only
Which of the following drugs is NOT an anticholinergic agent used to reduce oral and respiratory secretions?
Ranitidine
For a surgical procedure involving the lower abdomen, perineum, and lower extremities, which type of anesthesia would the surgeon likely order?
Spinal anesthesia
According to the World Health Organization's surgical safety checklist, which of the following is NOT included in the sign-out area?
The nurse confirming the name of the procedure recorded and how the specimen is labeled.
When a patient refuses to undergo insertion of a pacemaker despite having a third-degree AV block, and the health team respects this decision, which bioethical principle is being upheld?
Autonomy
Which of the following statements about anticholinergic drugs is correct?
They are used to reduce oral and respiratory secretions before surgery.
According to the World Health Organization's surgical safety checklist, which of the following is NOT part of the sign-out area?
Confirming the details of how the surgical specimen has been labeled and recorded.
Study Notes
Age and Development
- A child typically starts drinking from a cup at around 12 months old.
Labor and Delivery
- The definitive sign that labor is about to begin is the initiation of contractions.
- During true labor, discomfort usually begins in the lower back, abdomen, and then radiates over the entire abdomen.
- When the cervix is 75% effaced, 7cm dilated, and 0 station, it means the acceleration phase of the first stage of labor is about to begin.
- The membranes are most likely to rupture during the perineal phase of the second stage of labor as the head of the body crowns.
Supply Management
- To distribute supplies equitably, one should first collect data on daily consumption of supplies.
- It is best to requisition supplies 30 days prior to their consumption.
Pediatric Care
- For pediatric patients who need intravenous therapy, a size 24 cannula is often used.
- For patients with ulcerative colitis, a nursing diagnosis of risk for deficient fluid volume due to abnormal fluid loss is suitable.
Abdominal Pain
- When a patient complains of biliary colic, the nurse should ask questions like "When do you feel the pain? Is it after a heavy meal?"
- During a comprehensive assessment, the nurse may find jaundice and facial grimaces in a patient with cholelithiasis.
Quality Improvement
- The Fishbone diagram is a cause-and-effect diagram used in quality improvement.
- The Gantt chart is useful for planning and scheduling projects, but it does not help assess how long a project should take.
Nursing Process
- The correct sequence in the quality improvement process is to identify and select strategies, implement a solution in a small scale, evaluate QI outcomes, expand the scope of QI throughout the organization, and state the problem.
Client Satisfaction
- Client satisfaction surveys are not used to directly address the health problems presented.
Medication Administration
- Anticholinergic drugs like atropine sulfate, glycopyrrolate, and scopolamine are administered to reduce oral and respiratory secretions before surgery.
Anesthesia
- Epidural anesthesia is often used for surgeries of the lower abdomen, perineum, and lower extremities.
Surgical Safety
- The sign-out area of the surgical safety checklist includes verbal confirmation of the patient, site, and procedure to be done, and confirmation of instruments, sponge, and needle counts.
Bioethics
- When a patient refuses a life-sustaining treatment, the bioethical principle of autonomy is respected.
Test your knowledge on Quality Improvement tools like the Fishbone diagram and Gantt chart. Identify key characteristics and uses of these tools in problem-solving and project planning.
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