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NEW QUESTION # 59
What is the maximum duration for therapeutic bath effects for a 45-year-old patient with perineum irritation?
Answer: D
Explanation:
The maximum duration for the therapeutic effects of a bath, especially for conditions like perineum irritation, is generally 15 minutes. This duration is sufficient to provide relief and ensure the therapeutic benefits without causing skin maceration or other complications. Shorter durations may not provide adequate relief, and significantly longer baths can lead to issues like skin breakdown.
NEW QUESTION # 60
A client with major depressive disorder is placed on phenelzine 15 mg BID. The nurse discussed with the client the dietary restrictions to follow while taking this medication.
Which of the following instructions MUST be included in teaching?
Answer: B
Explanation:
Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat major depressive disorder. Patients taking MAOIs must avoid foods high in tyramine to prevent hypertensive crises. Parmesan cheese, beef liver, and raisins are high in tyramine and should be avoided. Garlic, fish, egg yolks, milk, peanuts, tomatoes, black beans, and pears do not typically contain high levels of tyramine and are generally safe to consume while taking MAOIs. The dietary restrictions are crucial to preventing dangerous interactions and maintaining patient safety.
NEW QUESTION # 61
A staff nurse was entering patient's clinical notes in the computer, and had to leave to attend an immediate call without completion of recording. Another nurse used the account of the previous nurse to enter her notes.
Which of the following BEST describes the ethical issue that was committed?
Answer: C
Explanation:
The situation describes a breach of confidentiality, which occurs when private patient information is accessed or disclosed without proper authorization.
* Negligence: This refers to the failure to provide the standard of care that a reasonably prudent person would provide in a similar situation, but it doesn't specifically address unauthorized access to patient information.
* Malpractice: This is a type of negligence by a professional, which results in harm to the patient, and usually involves direct patient care rather than record-keeping issues.
* Breach of Privacy: This involves the inappropriate disclosure of private information. In this case, using someone else's account does not directly disclose patient information to unauthorized parties.
* Breach of Confidentiality: This specifically addresses the unauthorized access or use of patient information, which is exactly what happened when another nurse used the first nurse's account to enter notes.
References:
* Health Insurance Portability and Accountability Act (HIPAA) Guidelines
* American Nurses Association (ANA): Code of Ethics for Nurses with Interpretive Statements
NEW QUESTION # 62
A nurse is preparing a care plan for a patient with kidney failure on maintaining optimal sleep and comfort level.
Which of the following sleep disorders require priority intervention?
Answer: B
Explanation:
* Sleep Disorders in Kidney Failure:
* Patients with kidney failure often experience various sleep disturbances due to factors like uremic toxins, restless legs syndrome, and sleep apnea.
* Priority Intervention:
* Somnolence and Parasomnia:These are conditions where patients may feel drowsy or experience abnormal behaviors during sleep, but they are not as immediately concerning.
* Hypersomnia:Excessive sleepiness can significantly impact daily functioning and quality of life, making it a priority for intervention.
* Somnambulism:Sleepwalking can pose safety risks but is less common and usually less impactful than hypersomnia in kidney failure patients.
References:
* National Kidney Foundation (NKF)
* American Academy of Sleep Medicine (AASM)
NEW QUESTION # 63
A nurse found two different readings while measuring a blood pressure for a client at primary health care.
According to the guideline of National Non-communicable Disease (NCD) screening program, which of the following is the BEST nurse's action?
Answer: A
Explanation:
* Guideline for Accurate Blood Pressure Measurement:
* Ensuring accurate and reliable blood pressure readings is crucial in diagnosing and managing hypertension.
* Action Steps:
* Record the average of two readings:Ensures a more accurate representation of the patient's blood pressure by minimizing potential anomalies from a single reading.
* Highest reading or laying down:These methods may lead to inconsistent or inaccurate results.
* Re-measure and average:This method is recommended to ensure reliability and accuracy by averaging out any potential anomalies in the readings.
References:
* American Heart Association (AHA) guidelines on Blood Pressure Measurement
* National Institutes of Health (NIH) on Hypertension Management
NEW QUESTION # 64
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