Which of the following conditions is a contraindication for a woman taking oral contraceptives?
Anonymous Quiz
7%
A. Dysmenorrhea.
11%
B. Menorrhagia.
76%
C. Thrombophlebitis.
6%
D. Toxic shock syndrome.
A patient is ordered a sleep medication at 10 PM. At the time of administration, the nurse finds the patient asleep. What is the appropriate nursing action?
Anonymous Quiz
10%
A. Wake the patient up and administer the medication.
2%
B. Discard the medicine and cancel the order.
5%
C. Leave it at the bedside for the patient to take later.
84%
D. Hold the medication, document the reason, and report it.
❤2
Digoxin should not be given to a patient who has which of the following?
Anonymous Quiz
15%
A. Tachycardia.
4%
B. Hypertension.
79%
C. Bradycardia.
2%
D. Tachypnea.
Atropine is indicated to:
Anonymous Quiz
20%
A. Decrease heart rate.
69%
B. Increase heart rate.
8%
C. Decrease respiratory rate.
3%
D. Increase blood pressure.
Which of the following is an example of an atypical antipsychotic drug?
Anonymous Quiz
14%
A. Haloperidol.
10%
B. Chlorpromazine.
74%
C. Clozapine.
3%
D. Thioridazine.
A patient is suspected of having acute appendicitis. What is the most common and comfortable position for this patient to lie in to relieve pain?
Anonymous Quiz
9%
A. Supine with legs straight.
86%
B. Side-lying with knees flexed toward the chest (fetal position).
1%
C. Prone position.
4%
D. High Fowler's position.
Anatomy & Medical-Legal Concepts
24. Malpractice vs. Negligence What is the difference between malpractice and negligence in nursing?
Malpractice is a specific type of professional negligence. It occurs when a licensed professional, like a nurse, fails to follow the professional standards of care, and this failure causes harm to the patient. It requires the professional to have owed a duty of care, breached that duty, and that the breach directly caused the patient's injury.
Negligence is a broader term. It refers to a general failure to exercise a reasonable standard of care that results in harm to another person. It does not necessarily involve a professional context. For example, a person who fails to clear an icy path in front of their house, and someone slips and falls, could be found negligent.
Confidentiality What does the principle of confidentiality in healthcare mean?
Confidentiality is the ethical and legal duty to protect a patient's personal and private information. This means that a nurse should not disclose a patient's information to anyone who is not directly involved in their care unless the patient has given consent or it is legally required. Breaching confidentiality is a serious offense that can lead to disciplinary action and legal penalties.
24. Malpractice vs. Negligence What is the difference between malpractice and negligence in nursing?
Malpractice is a specific type of professional negligence. It occurs when a licensed professional, like a nurse, fails to follow the professional standards of care, and this failure causes harm to the patient. It requires the professional to have owed a duty of care, breached that duty, and that the breach directly caused the patient's injury.
Negligence is a broader term. It refers to a general failure to exercise a reasonable standard of care that results in harm to another person. It does not necessarily involve a professional context. For example, a person who fails to clear an icy path in front of their house, and someone slips and falls, could be found negligent.
Confidentiality What does the principle of confidentiality in healthcare mean?
Confidentiality is the ethical and legal duty to protect a patient's personal and private information. This means that a nurse should not disclose a patient's information to anyone who is not directly involved in their care unless the patient has given consent or it is legally required. Breaching confidentiality is a serious offense that can lead to disciplinary action and legal penalties.
Types of Leadership
Demographic (Democratic) Leadership:
This style is characterized by leaders who involve team members in decision-making. They encourage participation and consensus-building, valuing the input of their subordinates. It is often seen in a collaborative environment where every member’s opinion is heard, and the final decision is a collective one. This approach promotes high morale and a sense of ownership among the team.
Autocratic (Authoritarian) Leadership: In this style, the leader holds all the decision-making power and dictates all work methods and processes. There is little to no input from team members. The leader makes decisions on their own and expects employees to follow instructions without questioning. This style is efficient in high-stress or emergency situations where quick decisions are necessary, but it can lead to low morale and a lack of creativity.
Laissez-Faire Leadership: This style is marked by a hands-off approach, where the leader provides little to no direction and allows team members to make their own decisions. The leader delegates tasks and provides the necessary resources, but the team is largely responsible for achieving the goals. This approach can be effective with highly skilled and motivated teams but can lead to a lack of productivity and coordination in other groups.
Demographic (Democratic) Leadership:
This style is characterized by leaders who involve team members in decision-making. They encourage participation and consensus-building, valuing the input of their subordinates. It is often seen in a collaborative environment where every member’s opinion is heard, and the final decision is a collective one. This approach promotes high morale and a sense of ownership among the team.
Autocratic (Authoritarian) Leadership: In this style, the leader holds all the decision-making power and dictates all work methods and processes. There is little to no input from team members. The leader makes decisions on their own and expects employees to follow instructions without questioning. This style is efficient in high-stress or emergency situations where quick decisions are necessary, but it can lead to low morale and a lack of creativity.
Laissez-Faire Leadership: This style is marked by a hands-off approach, where the leader provides little to no direction and allows team members to make their own decisions. The leader delegates tasks and provides the necessary resources, but the team is largely responsible for achieving the goals. This approach can be effective with highly skilled and motivated teams but can lead to a lack of productivity and coordination in other groups.
Calculations & Dosage
Drug Calculation 1 A patient has an order for 0.25 mg of Drug (X). The available supply is 0.125 mg per tablet. How many tablets should the nurse administer? Answer: The nurse should administer two tablets.
Calculation: 0.25 mg (ordered dose) / 0.125 mg (available dose per tablet) = 2 tablets.
Drug Calculation 2 A doctor orders Paracetamol 1g QID (four times a day). The pharmacy supplies 250 mg tablets. What is the correct nursing action? Answer: Give the patient four 250 mg tablets.
Calculation: 1g = 1000 mg. The ordered dose is 1000 mg. The available tablets are 250 mg each. 1000 mg / 250 mg = 4 tablets.
Drug Calculation 3 A patient weighs 67 kg. A medication is ordered at a dose of 0.03 mg/kg. What is the correct dose for this patient? Answer: The correct dose is 2.01 mg.
Calculation: 0.03 mg/kg * 67 kg = 2.01 mg.
Drug Calculation 1 A patient has an order for 0.25 mg of Drug (X). The available supply is 0.125 mg per tablet. How many tablets should the nurse administer? Answer: The nurse should administer two tablets.
Calculation: 0.25 mg (ordered dose) / 0.125 mg (available dose per tablet) = 2 tablets.
Drug Calculation 2 A doctor orders Paracetamol 1g QID (four times a day). The pharmacy supplies 250 mg tablets. What is the correct nursing action? Answer: Give the patient four 250 mg tablets.
Calculation: 1g = 1000 mg. The ordered dose is 1000 mg. The available tablets are 250 mg each. 1000 mg / 250 mg = 4 tablets.
Drug Calculation 3 A patient weighs 67 kg. A medication is ordered at a dose of 0.03 mg/kg. What is the correct dose for this patient? Answer: The correct dose is 2.01 mg.
Calculation: 0.03 mg/kg * 67 kg = 2.01 mg.
Which type of vaccine is the Hepatitis A and B vaccine?
Anonymous Quiz
29%
A. Live attenuated.
50%
B. Inactivated (killed).
4%
C. Subunit.
17%
D. Recombinant.
How can a nurse check for jaundice in a patient with dark skin?
Anonymous Quiz
2%
A. Palpate the patient's liver.
9%
B. Check the soles of their feet and palms of their hands.
85%
C. Check the hard palate and sclera (the whites of the eyes).
4%
D. Check the nail beds.
A patient complains of fatigue, a smooth and reddened tongue, and numbness in the feet and legs. A nurse suspects pernicious anemia. Which test would most likely be ordered?
Anonymous Quiz
21%
A. Schilling test.
63%
B. Vitamin B12 levels.
6%
C. Folic acid levels.
10%
D. Erythropoietin levels.
❤2
A nurse is preparing a patient for an appendectomy. The patient is placed on the operating table in which of the following positions?
Anonymous Quiz
6%
A. Prone
15%
B. Lateral
69%
C. Supine
11%
D. Trendelenburg
❤2
A nurse is examining a patient with a pressure ulcer. The skin is intact but appears reddened and does not blanch when touched. This indicates which stage of pressure ulcer?
Anonymous Quiz
83%
A. Stage 1
10%
B. Stage 2
3%
C. Stage 3
3%
D. Stage 4
A patient is admitted to the emergency department with a severe headache, nausea, and photophobia. The doctor suspects a subarachnoid hemorrhage. Which of the following diagnostic procedures is most l
Anonymous Quiz
60%
A. CT scan
28%
B. MRI
5%
C. EEG
7%
D. X-Ray
❤2
A patient is recovering after a hemorrhoidectomy. What is the most important discharge instruction for the nurse to give the patient to prevent complications?
Anonymous Quiz
16%
A. Eat a low-fiber diet to avoid straining.
7%
B. Use a hot water bottle on the wound for pain.
69%
C. Avoid heavy lifting for at least 6 weeks.
8%
D. Use a donut cushion to sit on.
A patient with thalassemia is receiving frequent blood transfusions. The nurse understands that which of the following should be avoided to prevent a complication of the disease?
Anonymous Quiz
11%
A. Bed rest
18%
B. Blood transfusions
59%
C. Iron supplements
12%
D. Keeping the patient dry
❤1
A nurse is assessing a postpartum mother on her second day after a normal vaginal delivery. The nurse observes lochia serosa. What is the correct nursing interpretation?
Anonymous Quiz
43%
A. The lochia is normal and expected at this stage.
43%
B. The lochia is not normal for this stage and requires further assessment.
6%
C. The mother is at risk for hemorrhage.
8%
D. This type of lochia indicates a postpartum infection.
❤3