Nursing Practice I – Set A

Attend to client first before equipment. A, C, and D are basis for establishing priorities in client care.

This is not appropriate nursing action when taking oral temperature. Thermometer with pear-shaped or rounded bulb is used for rectal temperature taking.

Priorities may vary from individual to individual, according to stage of growth and development, life situations and other factors.

The primary respiratory center is the medulla oblongata. It contains the central chemoreceptors that are stimulated by high levels of carbon dioxide in the blood.

Heat and acetic acid test is done to determine presence of albumin in the urine.

Walter Cannon advocates that health is the ability to maintain dynamic equilibrium (homeostasis).

A person entering a health care system most likely would experience alteration in body image.

When pouring sterile solution, hold the bottle 6 inches above receptacle on the sterile field. Cap of the bottle should be placed with underside lid up, on a flat surface. Excess solution should not be returned to the bottle because this is considered contaminated. The bottle of the sterile solution should be placed outside the sterile field because the outside part of the bottle is nonsterile. Remember, sterile field or object should come in contact with sterile objects only, to maintain sterility.

All workers in government, both national and local, are subject to Civil Service Rules. They cannot be terminated because they enjoy security of tenure. It is unlawful to reduce the benefits that are being received by employees.

The client with leukemia has low resistance to infection. Protecting him from infection by implementing reverse or protective isolation technique meets his need for safety and security.

It is clear that the scalding was due to the improper use of the hot water bag. In the three other cases, negligence still has to be proved.

Benner identified 5 stages of skills acquisition – novice, advanced beginner, competent, proficient, and expert. This framework was used by the PRC-BON Core committee chaired by Mrs. Grace Valderrama in their paper on Credentialing in the practice of nursing specialties.

Ignoring signs and symptoms of a disease is not a sick role behavior. Sick role emphasizes that the person; is not held responsible for his condition; is excused from social roles; is obliged to get well as soon as possible; is obliged to seek for competent help, such as seeking advice of health professionals for validation of real illness, explanation of symptoms and reassurance or prediction of outcome.

Adreno-cortical response involves the release of aldosterone that leads to retention of sodium and water. This results to decreased urine output.

Philosophy is inquiry into the nature of things based on logical reasoning rather than empirical methods. Marriner-Tomey considers the “products” of the following theorists as philosophies-Nightingale, Widenbach, Henderson, Abdellah, Hall, Watson and Benner.

Synphathetic response stimulation decreased body heat production is an incorrect statement about body temperature. Sympathetic nervous system release norepinephrine which increases metabolic rate, thereby increase body heat production.

Diffusion is the exchange of gases from an area of higher pressure to an area of lower pressure.

During the GAS stage of alarm, fight or flight response is activated.

This is an inappropriate nursing action. For routine urinalysis, 30-50 mls. Of urine specimen is required to yield accurate results.

The municipal Mayor has the power to choose nursing personnel in his municipality.

When removing gloves, it is inappropriate to remove mask and gown first before gloves. Appropriate nursing actions are: wash gloved hands first, peel off gloves inside out, use glove-to-glove, skin-to-skin technique. Remove gloves first, followed by the mask, gown, cap, and shoe cover.

The scope of practice includes teaching students in nursing education programs and undertaking research, He/she can do both quantitative and qualitative studies.

Active listening on what the patient says will be most helpful in assessing the degree of distress and discomfort he is expressing. Only the patient will be able to describe his distress and discomfort, because these are subjective data.

When collecting urine specimen from a client with indwelling urethral catheter, collect urine specimen by using sterile needle and syringe to aspirate urine specimen from the drainage port.

A faculty member should have a master’s degree in nursing, education or allied medical and health sciences. A faculty should have at least one year of clinical practice in a field of specialization (Section 27).