Monday, 10 December 2018

Q. When planning care for a client with a head injury, which position should the nurse include in the care plan to enhance client outcomes?

A. Trendelenburg's
B. 30-degree head elevation
C. Flat
D. Side-lying



Correct Answer: B

Explanation: For clients with increased intracranial pressure (ICP), the head of the bed should be elevated to 30 degrees to promote venous outflow. Trendelenburg's position is contraindicated because it can raise ICP. Flat or neutral positioning is indicated when elevating the head of the bed would increase the risk of neck injury or airway obstruction. A side-lying position isn't specifically a therapeutic treatment for increased ICP.

Wednesday, 5 December 2018

A group of NICU nurses from Missouri has once again proven that nurses are the most amazing creatures on the planet by donating the money they received after their combo Mega Millions ticket turned out to be a winner.

Nursing Career, Nursing Certification, Nursing Responsibilities

And even more heartwarming? They donated the money to two co-workers, one who just lost her son and one whose husband was recently diagnosed with cancer.

Earlier this month, the entire country was captivated with the premise of winning the largest-ever lottery jackpot, set at 1.6 billion dollars, and co-workers around the nation joined in on “office pools” to enter. The NICU nurses at Mercy Children’s Hospital in Missouri were no exception, with 126 nurses pooling their money together to enter the Mega Millions. And not only did they end up scoring one of five $10,000 winning tickets in their state, but their winning ticket was only one number away from winning the entire jackpot.

“We never thought in a million years we would win anything at all and then we came one number away from winning $1.6 billion,” NICU nurse Stephanie Brinkman, who organized the lottery pool, told KMOV4 news station.

Selfless acts of kindness

Despite being so close to the big jackpot, after taxes, the grand total of the winning ticket came to $7,200. Split between all 126 nurses, each nurse would only receive $56. So, instead of each of them pocketing enough to buy a few pizzas for their family, they once again decided to pool their resources together—this time, to make a difference for two people who really needed it. The nurses decided to keep the lottery winnings together and donate it all instead of keeping any small amount of money for themselves.

While their winnings may not have been a billion dollars, it was still enough to make a big difference and Brinkman was able to present a check to two of their co-workers, fellow nurse Gretchen Post and hospital neonatologist Casey Orellana.

The neonatologist’s husband, Phil, was recently diagnosed with sarcoma cancer, which has spread to his lungs, a news article described, and with him requiring care, along with the couple’s two young children, Orellana has been forced to drop her work hours by half. She told the news outlet that on the day the nurses gave her the check, she had been worrying about how she was going to pay for medication for her husband and that the gesture “touched her heart.”

The rest of the money went to Post, who lost her 17-year-old son, Jack, the youngest of her three children, to suicide on October 23rd. Jack died the night of the Mega Millions drawing and Post told her co-workers that the money will be used to pay for his funeral. “Jack always had a smile on his face. He did not lead anyone on that this would happen,” his grieving mother described.

Mercy Hospital is obviously very proud of its NICU nurses, who demonstrated the selfless giving and kind-hearted compassion that drives so much of the work they do each and every day and sent out a Tweet praising the staff:

“When it comes to incredible #nurses, we hit the jackpot!” the hospital wrote.

Praises for compassion

Those who read the story on Twitter couldn’t help but agree with the hospital, praising the nurses for not only the work they do daily in caring for the tiniest of patients but in showing the world the spirit of the season at the end of a very long year. Comments poured in in response to the tweet, saying:

◈ “What wonderful folks you are! Thank you for reminding me that there is still good in this world. My thoughts & prayers to Gretchen Post on the loss of her son, Jack. And to Casey & Phil Orellana, praying for your full & speedy recovery. God Bless! XOXO”
◈ “Wow! Grateful hearts, compassion for others. Nurses you are our role models. Thank you for this beautiful story at Christmas time too!”
◈ “You gals are AWESOME!!! I mean seriously, you dedicate your life to helping your fellow human beings and then you go one step further. There is so much good out there, I wish we heard more of it.”

We would have to say we agree and may we all be inspired by their act of giving this holiday season, billion-dollar lottery winners or not. 
Q. A man of Chinese descent is admitted to the hospital with multiple injuries after a motor vehicle accident. His pain is not under control. The client states, "If I could be with my people, I could receive acupuncture for this pain." The nurse should understand that acupuncture in the Asian culture is based on the theory that it:

A. Purges evil spirits.
B. Promotes tranquility.
C. Restores the balance of energy.
D. Blocks nerve pathways to the brain.

Correct Answer: C

Explanation: Acupuncture, like acumassage and acupressure, is performed in certain Asian cultures to restore the energy balance within the body. Pressure, massage, and fine needles are applied to energy pathways to help restore the body's balance. Acupuncture is not based on a belief in purging evil spirits. Although pain relief through acupuncture can promote tranquility, acupuncture is performed to restore energy balance. In the Western world, many researchers think that the gate-control theory of pain may explain the success of acupuncture, acumassage, and acupressure.

Tuesday, 4 December 2018

Q. A nurse is caring for a client who has a tracheostomy and temperature of 103° F (39.4° C). Which intervention will most likely lower the client's arterial blood oxygen saturation?

A. Endotracheal suctioning
B. Encouragement of coughing
C. Use of a cooling blanket
D. Incentive spirometry



Correct Answer: A

Explanation: Endotracheal suctioning removes secretions as well as gases from the airway and lowers the arterial oxygen saturation (SaO2) level. Coughing and using an incentive spirometer improve oxygenation and should raise or maintain oxygen saturation. Because of superficial vasoconstriction, using a cooling blanket can lower peripheral oxygen saturation readings, but SaO2 levels wouldn't be affected.

Monday, 3 December 2018

Q. A nurse is caring for a client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?

A. Sit with the client for a few minutes.
B. Administer an analgesic.
C. Inform the nurse manager.
D. Call the physician immediately.



Correct Answer: D

Explanation: The nurse should notify the physician immediately because the headache may be an indication that the aneurysm is leaking. Sitting with the client is appropriate but only after the physician has been notified of the change in the client's condition. The physician will decide whether or not administration of an analgesic is indicated. Informing the nurse manager isn't necessary.

Friday, 30 November 2018

Q. An anxious young adult is brought to the interviewing room of a crisis shelter, sobbing and saying that she thinks she is pregnant but does not know what to do. Which of the following nursing interventions is most appropriate at this time?

A. Ask the client about the type of things that she had thought of doing.
B. Give the client some ideas about what to expect to happen next.
C. Recommend a pregnancy test after acknowledging the client's distress.
D. Question the client about her feelings and possible parental reactions.

Correct Answer: C

Explanation: Before any interventions can occur, knowing whether the client is pregnant is crucial in formulating a plan of care. Asking the client about what things she had thought about doing, giving the client some ideas about what to expect next, and questioning the client about her feelings and possible parental reactions would be appropriate after it is determined that the client is pregnant.

Thursday, 29 November 2018

Q. A client who took an overdose of Tylenol in a suicide attempt is transferred overnight to the psychiatric inpatient unit from the intensive care unit. The night shift nurse called the primary health care provider on call to obtain initial prescriptions. The primary health care provider prescribes the typical routine medications for clients on this unit: Milk of Magnesia, Maalox and Tylenol as needed. Prior to implementing the prescriptions, the nurse should?

A. Ask the primary health care provider about holding all the client's PM prescriptions.
B. Question the primary health care provider about the Tylenol prescription.
C. Request a prescription for a medication to relieve agitation.
D. Suggest the primary health care provider write a prescription for intravenous fluids.

Correct Answer: B

Explanation: The nurse should question the Tylenol order because the client overdosed on Tylenol, and that analgesic would be contraindicated as putting further stress on the liver. There is no need to hold the PM Milk of Magnesia or Maalox. There is no indication that the client is agitated or needs medication for agitation. There is little likelihood that the client needs an IV after being transferred out of an intensive care unit, as the client will be able to take oral fluids.

Wednesday, 28 November 2018

Q. A 10-year-old child diagnosed with acute glomerulonephritis is admitted to the pediatric unit. The nurse should ensure that which action is a part of the child's care?

A. Taking vital signs every 4 hours and obtaining daily weight
B. Obtaining a blood sample for electrolyte analysis every morning
C. Checking every urine specimen for protein and specific gravity
D. Ensuring that the child has accurate intake and output and eats a high-protein diet

Correct Answer: A

Explanation: Because major complications — such as hypertensive encephalopathy, acute renal failure, and cardiac decompensation — can occur, monitoring vital signs (including blood pressure) is an important measure for a child with acute glomerulonephritis. Obtaining daily weight and monitoring intake and output also provide evidence of the child's fluid balance status. Sodium and water restrictions may be ordered depending on the severity of the edema and the extent of impaired renal function. Typically, protein intake remains normal for the child's age and is only increased if the child is losing large amounts of protein in the urine. Checking urine specimens for protein and specific gravity and daily monitoring of serum electrolyte levels may be done, but their frequency is determined by the child's status. These actions are less important nursing measures in this situation.

Facebook

Google+

Twitter

Popular Posts

Total Pageviews