A head nurse of an intensive care unit wants to ensure that the staff are performing Basic Life Support (BLS) based on latest American Heart Association's guidelines.What will be the head nurse's BEST action?
Answer(s): B
Ensuring that staff perform Basic Life Support (BLS) according to the latest American Heart Association (AHA) guidelines involves several strategies, but performing regular mock drills is the best approach.Reviewing the BLS Policy Periodically: While this is important, it alone does not ensure that staff are up-to-date or proficient in BLS techniques.Performing Regular Mocks on BLS in the Unit: Regular mock drills provide hands-on practice and allow staff to apply the latest guidelines in a simulated environment. This helps in retaining skills and identifying any gaps in knowledge or performance.Sending Staff to Renew BLS Certification Every Three Years: Certification renewal is necessary, but practical skills can degrade over time if not regularly practiced. Monitoring the Staff Performing BLS During the Actual Scene: This is reactive rather than proactive and does not provide an opportunity for practice and improvement without the pressure of a real-life situation.
American Heart Association (AHA): Guidelines for CPR and ECC National Institutes of Health (NIH): Effective Training Strategies in Healthcare
A nursing instructor teaching a group of nursing students about the recommended diet for a patient with a myocardial infarction.Which of the following points will be included in the teaching?
Answer(s): A
When teaching nursing students about the recommended diet for a patient with a myocardial infarction, it's crucial to emphasize a diet low in fat and cholesterol. This helps in reducing the risk of further cardiovascular complications.Low Fat and Cholesterol: Foods low in saturated fat and cholesterol are recommended to prevent the build-up of plaque in the arteries and reduce the risk of another heart attack. Avoiding Red Meat: High intake of red meat is discouraged because it is often high in saturated fat and cholesterol.Dark Chocolate Intake: While some dark chocolate in moderation can have health benefits due to its antioxidant properties, the emphasis should be on a balanced diet. Protein and Carbohydrates: Protein is essential for recovery, but the focus should be on lean sources. Carbohydrates should come from whole grains and other healthy sources rather than simple sugars.
American Heart Association (AHA): Dietary Recommendations for Cardiovascular Health National Institutes of Health (NIH): Heart-Healthy Eating
A nurse is performing a chest physical assessment on a client with asthma. Which of the following lung sounds the nurse expects to hear?
Answer(s): C
In a chest physical assessment of a client with asthma, the nurse expects to hear wheezes. Wheezes: These are high-pitched, musical sounds heard during expiration (and sometimes inspiration) caused by narrowing or obstruction of the airways. Stridor: This is a high-pitched sound usually heard on inspiration, typically associated with upper airway obstruction, not asthma.Crackles: These are popping sounds heard during inspiration, often associated with conditions like pneumonia or heart failure, not typical for asthma.Diminished Lung Sounds: This can occur in severe asthma but is less common compared to wheezes.
American Thoracic Society: Asthma Diagnosis and Monitoring National Institute of Allergy and Infectious Diseases (NIAID): Asthma Symptoms and Diagnosis
A nurse is aiming to utilize an evidence based process to improve pain management for patients with cancer.The initial step the nurse should start with is:
The initial step in an evidence-based process to improve pain management for patients with cancer is to write an answerable question.Writing an Answerable Question : This is often done using the PICO (Patient/Problem, Intervention,Comparison, Outcome) format to clearly define the clinical issue and guide the research. Selecting the Study Design: This comes after formulating the question and involves choosing an appropriate methodology to answer it.Obtaining Ethical Approval: This is essential for conducting research but comes after defining the question and designing the study.Formulating Hypothesis Statement: This is part of the research design and planning, following the creation of an answerable question.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice.National Institutes of Health (NIH): Evidence-Based Practice Resources
A mother of a newborn is diagnosed with breast cancer, the surgeon recommended to carry out an emergency operation.According to Freud's theory, which stage of newborn development is being affected?
According to Freud's theory of psychosexual development, the stage affected in a newborn is the oral stage.Oral Stage: This stage occurs from birth to about 18 months of age, where the infant's pleasure centers on the mouth through activities like sucking and biting. Anal Stage: This stage follows the oral stage, from 18 months to 3 years, focusing on bowel and bladder control.Phallic Stage: This occurs from 3 to 6 years, focusing on the genitals and the differences between males and females.Latent Stage: This stage occurs from 6 years to puberty, characterized by dormant sexual feelings and a focus on social and intellectual skills.
Freud, S. (1905). Three Essays on the Theory of Sexuality. National Institutes of Health (NIH): Child Development Theories
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