Nur

singQswi
thRat
ional
izat
ions

1.Awomani sadmi ttedtothehospit

al wi
th
arupturedect opicpregnancy.Alaparotomy
i
sschedul ed.Pr eoperati
vel
y,whichofthe 2.Johnisanur secaringforacli
entwitha
fol
l
owi nggoal sismosti mportantforthe di
gital
i
stherapy ,af
terafewmoment s,
John
nursetoi ncludeont hepati
ent'
splanofcare? i
sexhibit
ingasi gnsofdigit
ali
sTOXICITY.
A.Flui
dr epl acement whatshouldthenur sedof i
rst
?
B.Painrel i
ef A.Donot hi
ng
C.Emot ional suppor t B.Documentt hef i
ndings
D.Respirat orysuppor t C.Stoptheinf
usi on
D.Reportimmedi atel
ytothephysici
an
Answer
:A(
Flui
drepl
acement
)
Answer
:C
i
fgagami tkangABC( air
way,breathi
ng,
circul
ation).
.magkakamal ikadahil Rati
onale:Afterknowi ngnamay roong
mal amangangi sasagotmoayl ett
erD toxi
cit
ynanangy ayar
e,angsusunodmong
(respir
atorysupport)
,Opo, al
am natinna gagawinist oSTOPt heinf
usion, huwag
mahal agaangoxy gen,peroisasagotlang kangpumunt akayDocnghi ndi na-stopang
ponat inkunganot al
agaangkai langansa i
nfusion—why ?
??kasebakasi gawankani
tanongopr obl
ema.Int hi
scase, hi
ndipo Docatsabi hin:"alam monangangmay
nat i
nkailanganangoxy gen. toxi
cit
yhindi mopai ni
-st
opangi nfusion.
"
Again,NEVERDONOTHI NG- mer onat
Nagi nganswerpoangl etterA( fl
uid meronkat alagangdapatgawi n.
replacement )becausei fmayknowl edgeka
aboutect opic,maybl eedingpot ayoditona Rememberal sothatsal
ahatngpr ocedur
e
problem—kapagmaybl eedingsapr egnancy, angpinakahuli
monggagawinayang
deli
kadooal armi ngnapoagadi todahilsa documentati
on—sinceanghinahanapsa
ri
skf orshock( hypov olemi c).Tapus tanongayangunanggagawinngnur se.
i
magi ne,nag-rupturenapoy ungect opic
(i
bigsabi hinmayheav ybleedingna
nangy ay
aresal oob) ..tanong: pri
ori
tymo
parinbaangpai n(letterB)di to?sy empre 3.Thenurseiscari
ngforachil
daftera
hindi na,l
etterAf luidr eplacementesp. tonsi
ll
ect
omy .Thenursemonit
orsthechil
d,
bloodngpat ient.Masl ow'smet hodpoang knowingthatwhichfi
ndi
ngindi
catesthe
applicablesagani tongsi tuation. chil
disbl
eeding?
a.Complaint
sofdiscomfort si
gur
aduhi
nmonana-
int
indi
hanmot
alaga
b.Adecreasedpul
ser ate angt
anong.
c.Fr
equentswall
owi ng
d.Anel
ev ati
oni
nbl oodpressur
e

answer
:C 5.Apr egnantwomanwasschedul edfora
cl
inicv i
sitforultrasonogr aphy:Beinga
rati
o:Frequentswal
lowi
ngpost-op compi tentnur se–y ouar eawar ethatfora
tonsil
ectomyisasignofbl
eedi
ng—af t
er bettersoundwav et ransmi ssi
onofUTZ, y
ou
mongma- checknamaybleedi
ng, anong shouldi nstructthepr egnantwomant o
nextmonggagawi n??—>reportittothe a.Useant acidbef oret heprocedure
physici
an. b.fullthebladderaf tertheprocedure
c.i
ncr easef lui
di ntakebef oretheprocedure
d.alloft heabov e

4.Alloft
hef oll
owingpatienti
sconsi
der
ed answer
:C
highpri
ori
tyEXCEPT.
a.Immunocompr omised Tamaactuall
yyungful
lbl
adder,perokase
b.Hypoglycemic angnasabiayAFTERtheprocedurepa—
c.Ruptur
edappendi cit
is dapatpokaseBEFOREtheprocedure(exam
d.Fever24hr spost-
op tr
icks)
.

answer
:D

rati
o:Sincemayexceptsahul
i—ang 6.Whi choft hefoll
owi
ngposit
ioni
s
hinahanappotal
agaditoayanglowpr
ior
it
y. contraindicatedt oapat
ientwi
thDOB?
a.Orthopnei c
Tandaanmonaangf everpost-opaypwede b.Semi -fowler s
magingsignnamayinf
ection—per okapag c.Lyi
ngposi t i
on
angfeveraybef
ore48hrs,it
oayl owpri
ori
ty d.Highf owl ers
athi
ndipoitosi
gnngdehy drat
ion.
Answer
:C
-Angmgat aongimmunocompromiseday
atri
skpof orinf
ecti
on:si
l
aangmgat aong Dahi
lposagravi
tyatpr
essure,pwede
mayHI V/AIDS,nag-
undergongOrgan mahi
rapananglungsmag-expandng
tr
ansplantatangmganagt i
-t
akeng maayos—kayabawali
pahi
gaangptnamay
cort
icoster
oids. DOB.

note:samganagkamali
dit
o—becaref
ulsa Per
omagandaanglyi
ngposi
ti
onsamay
susunod,huwagma-t
emptsachoi
ces.
. mgashock—gi
nagami
tdi
npoanglyi
ng
posi
ti
onf
orphy
sical
assessment
. madalimol angdi nmakukuhaang
pali
wanagnai t
o..epinephr ineist he
hormoner esponsiblef orthef i
ghtorf light
acti
oninourbody ..napakar amingepekt o
7.At y
peofper sonali
tydi
sorderwhich netosaat i
ngkat awanper of orthistopic..
featur
esexcessiveemot i
onali
tyand angepekt ongepi nephr i
nesaai r wayi sto
attent
ionseekingthatoft
enleadstosoci
all
y widenit.
.imagine, angB- blockerisbi na-
i
nappr opri
atebehavi
orinordertoget bl
ockny asi epi
nephr ine..anokay a
attent
ion. mangy ayaresaai r
way ??
---Yes,itwill
a.Antisoci
al constr
ict
..
b.Bipolar
c.Histri
onic Thisist hereasonkungbaki thindii
to
d.Narcissi
stic pwedesamaymgaast hma,COPDorot her
respir
at or
y-r
el at
eddi
sor dser
s.Butthat
Answer
:C doesn'tmeanALLB- blockersayhindi
pwedesaast hma.Becauset herear
esome
Rememberthekeyword"ATTENTI
ON B-blockersnapupwedesaast hma.plsdo
SEEKER". somer esearchaboutthisinfo.
Hindi
popersonal
it
ydisor
derangbi
pol
ar
kundimooddisor
der. A.Fever:
importantthi
ngaboutfeverishi
ndi
syayungpriori
tyi
nthef i
rst24hrspost-
op..
becausefevercanalsobeasi gnofDHN..
anghigh-
prior
it
yisinfect
ionandinfxnonly
8.Amal epati
entistaki
ngmet oprol
ol(
B- occursaft
er48hr s,
NEVERPI CKFEVERI N
bl
ocker)foratreatmentofHTN.Beinga THE1st48hr s..
competentHCPy ouareawarethatyouwi
ll
notal
lowt hepttotakethi
sdrugifhehas B.Allergytoseafood: isasagotmol angit
o
A)Fever kapagangpi nag-uusapanayCor onar
y
B)All
ergytoseafoods angiography .
.sapr ocedurenay anay
C)Asthma may roongDYEnagi nagami t
..whichi
s
D)Drycough madeupofI ODINE..andsi ncemar aming
i
odinesaseaf oodshi ndipwedesa
Answer
:C(
ast
hma) procedur e nait
oangmayal ler
gysa
IODINE/ SEAFOODS. .
Rati
onal
e:Angact ionB-blockerdrugsisto
bl
ockthebeta-adrenergicreceptors(i
t D.DryCough:angdrycoughayisasamga
dependskungB1B2orBot h)upanghi ndi si
de-eff
ect
sngACEi nhibi
tor
snagamot( f
or
umipekt
oangadr energichor monel i
ke hypert
ensi
on).
.si
ncemaypasy entena
epi
nephri
ne/adrenali
ne..ifyouknowt he gr
abeangdr ycough,hi
ndinanagbibi
gayng
eff
ectsoftheepinephrineinsidethebody ACEIangphysici
an,ARBs(Angi
otensi
n
Recept
orBlocker
s)nal
angangbinibi
gay Remembert his.
.pwedengi bahinni
kasewalai
tongSEnadr ycoughremember si
r/maam angmgat erm..tul
adnal angdito.
.
alsot
hatACEIisthefi
rstl
i
nedrugforHTN. si
nabinati
nna" int
ernal
"angbr achy,per
o
walangint
ernalsaquestion,tandaanmona
synonymlangangi nter
nalsai nside.

9.Acl i
entunderl
ithi
um medi
cati
onreduce
hisdiet
arysalti
ntake.Whi
chofthe
fol
lowingisexpectedtoshowinhi
sblood
work?

A.Decreasedli
thium l
ev el
B.Incr
easedlit
hium l
ev el
C.Incr
easedthendecr easeint
henext
resul
toftheli
thi
um bloodwor k
D.Nosignifi
cantchangesAnswer:

Answer
:B

Rati
o: al
waysremembernakapag
nagkulangangsalt/sodium ngcli
entna
nagtit
akengl i
thi
um aymal akiangchance
netomagkar oonngt oxi
city
.Angsaltdietpo
sali
thium aynormal l
ang..hindi
pwedemag
-i
ncreaseomag- decrease.

10.Aty peofradi
ati
ontherapyusedtotr
eat
cancer.Itpl
acesradi
oacti
vesourcesi
nside
thepatientt
okill
cancercell
sandshri
nk
tumors.

a.Brachyther apy
b.Teletherapy
c.Radiother apy
d.noneoft heabove

Answer
:A(
Brachy
ther
apy
)