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A nurse is caring for a patient who is admitted into the surgical ward and was diagnosed with perforated appendix and is shifted to operation room for appendectomy.
The nurse understands that this procedure is classified as:
A perforated appendix is a medical emergency requiring immediate surgical intervention to prevent complications such as peritonitis and sepsis. Therefore, an appendectomy in this context is classified as an emergent procedure. Emergent surgeries are those that need to be performed without delay to preserve the patient's life or health.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Lippincott Williams & Wilkins.
A nurse provides health instructions to a client with bipolar disorder who is recently started on Lamotrigine tablets.
Which instruction should the nurse give to the client in case skin rash develops?
Lamotrigine and Skin Rash:
Lamotrigine is an anticonvulsant and mood stabilizer used in bipolar disorder.
A serious side effect is a potentially life-threatening skin rash, including Stevens-Johnson syndrome.
Instructions for Rash Development:
Not to Worry: Incorrect as skin rash can indicate a serious reaction.
Continue Medication: Incorrect and dangerous, as the rash could worsen.
Report Immediately: Correct. Immediate reporting is crucial for assessment and potential discontinuation of the drug.
Reduce Dose: Incorrect as any rash should be evaluated by a physician immediately.
A nursing director wishes to improve the job performance of a group of medical orderlies who are ineffective in their job.
Using Herzberg's theory of motivation, what would be the most appropriate motivator?
Herzberg's two-factor theory of motivation distinguishes between hygiene factors and motivators. Hygiene factors (like pay, working conditions, and benefits) can prevent dissatisfaction but do not create long-term motivation. Motivators, on the other hand, are related to the nature of the work itself and include factors such as achievement, recognition, responsibility, and opportunities for growth. Offering opportunities for achievement and recognition is a motivator according to Herzberg's theory and would likely improve job performance by enhancing job satisfaction and intrinsic motivation.
A nurse participated in the implementation phase of a national measles vaccination campaign.
Which of the following represents the role of the nurse in this phase?
Implementation Phase in Vaccination Campaign:
During the implementation phase, the focus is on executing the vaccination plan, ensuring coverage, and monitoring progress.
Role of the Nurse:
Identifying Population at-risk: Typically part of the planning phase.
Setting Outreach Strategies: Also part of planning to ensure all populations are covered.
Reporting Vaccination Rates: This is part of the evaluation phase.
Monitoring Vaccination Rate and Surveillance: Involves actively overseeing the ongoing vaccination activities, ensuring proper documentation, and surveillance for adverse events or outbreaks, making it the correct answer.
World Health Organization (WHO) guidelines on Immunization
Centers for Disease Control and Prevention (CDC) on Vaccine Implementation
The nurse understands that caring for a woman with gestational diabetic complications is exhibited as an example of.
Caring for a woman with gestational diabetes complications falls under health restoration. Health restoration involves actions taken to return a patient to their previous state of health or to manage chronic conditions. This includes managing and treating complications to improve health outcomes. Health promotion focuses on preventing health problems through lifestyle changes, health maintenance involves ongoing monitoring and prevention of deterioration, and health rehabilitation focuses on helping patients recover functionality after severe illness or injury.
