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NEW QUESTION # 12
An ICU nurse suspects a healthcare provider is exhibiting unprofessional behavior that could harm a patient. What response by the nurse is BEST?
Answer: B
Explanation:
The nurse has a moral and professional duty to report unsafe practices that could potentially harm a patient. Confronting the healthcare provider directly may not effectively resolve the issue and could create conflict and does not fulfill the nurse's duty to report the behavior. Discussing the situation with a colleague also does not fulfill the nurse's duty to report the behavior. Ignoring the provider's behavior is inappropriate, as it does not ensure patient safety.
NEW QUESTION # 13
A 32-year-old woman was admitted to the cardiovascular ICU following a tricuspid valve replacement related to recurrent bacterial endocarditis. She has a self-reported history of opioid abuse, but she has been clean and sober for 4 years. She discussed her status with her physician prior to her surgery. When she arrives from the operating room, she is in a great deal of pain. Post-operative pain management orders are for acetaminophen only. When you ask the surgeon for an opioid for pain management, they state, "She is an addict. She doesn't need anything for pain." What should your FIRST response be?
Answer: D
Explanation:
Discussing the situation with the doctor privately and professionally will allow the doctor the opportunity to feel less threatened by your concerns. This provides the opportunity for both parties to express viewpoints, understand each other's perspectives, and build rapport, which will ultimately benefit the patient.
If after your private discussion, the doctor still refuses to appropriately treat the patient's pain, then it would be acceptable to report the doctor to your chain of command.
NEW QUESTION # 14
Which of the following would be considered a physiologic manifestation of anxiety?
Answer: A
Explanation:
Chest pain would be considered a physiologic manifestation of anxiety.
Fidgeting and crying would be a behavioral manifestation of anxiety. Apprehension would be a cognitive manifestation of anxiety.
NEW QUESTION # 15
The MOST common mechanism of injury to the chest is:
Answer: A
Explanation:
Thoracic trauma accounts for approximately 25% of all trauma-related deaths, and may include injuries created by fractured ribs, blunt cardiac injury, vascular injury, and contused or punctured lung tissue.
The most common mechanism of injury to the chest includes blunt trauma (caused by motor vehicle- related injuries), followed by penetrating chest trauma from gunshots and stabbings.
Dysrhythmias are common in patients with blunt cardiac injury. Improper CPR is not a common mechanism of injury to the chest.
NEW QUESTION # 16
The following is reported on a 39-year-old male with acute renal failure:
* PaCO2 35 mmHg
* HCO3 17 mEq/L
* pH 7.3
This acid-base imbalance is the result of the kidney's inability to excrete:
Answer: B
Explanation:
Renal failure patients often develop metabolic acidosis with a mild respiratory alkalosis compensation.
This acid-base imbalance is the result of the kidney's inability to excrete acid byproducts of cellular metabolism.
Patients with acute renal failure cannot filter waste products. Nurses should:
* Administer diuretics only when the patient is hypovolemic (mannitol or furosemide)
* Administer sodium bicarbonate when serum bicarbonate levels drop to < 15 mEq/L
* Modify dosing or eliminate certain medications and antibiotics
* Administer antihypertensive agents as needed
NEW QUESTION # 17
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