FREE Nursing Acceleration Challenge Questions and Answers

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A patient has experienced 48 hours of acute vomiting and watery diarrhea. Which electrolyte imbalance is most likely to happen when vomiting and diarrhea are persistent?

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Hyponatremia is the electrolyte imbalance that is most prone to happen when vomiting and diarrhea are continuous. Because the fluids in the stomach and intestines are so abundant in salt, nausea and diarrhea can cause sodium levels to drop. A sodium level of less than 135 mEq/L is considered hyponatremia. Dry mucous membranes, orthostatic hypotension, tachycardia, and poor skin turgor are symptoms of this kind of hyponatremia brought on by hypovolemia. The patient could seem frightened, disoriented, lethargic, or feeble.

What is the main responsibility of young adults, according to Erikson?

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Erikson claims that intimacy rather than solitude is the main responsibility of young adults. The young adult should have a strong sense of self and be ready to create close relationships with others. The young adult may become isolated if they retreat from people after being disappointed or rejected in attempts to build intimacy. Young adults who are ill or going through stressful times often require other people's support and intimacy more than usual.

Who should bring up organ donation with the family if a patient is confirmed brain dead following a motorbike accident?

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A professionally qualified individual, frequently a transplant coordinator or other designated healthcare expert, should speak with the family if a patient is declared brain dead following a motorbike accident. The nurse should make sure that the transplant coordinator or other designated professional is informed in advance and should continue to be supportive of the family and answer any queries. Family members are frequently going through a very difficult period, so it's crucial that only qualified individuals approach the family to discuss organ donation.

An example of this is the nurse's capacity to pay attention to a patient, pick up on their emotions, and comprehend their viewpoints.

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The ability of a nurse to listen to a patient, sense their emotions, and comprehend their views is known as empathy.

When a patient is about to go into shock, what posture should you put him in?

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When a patient is on the verge of going into shock, they should be placed in the Trendelenburg position (with their feet raised above their hearts). The patient should lie flat with pillows under his legs to elevate them if he or she is not on a bed that can be adjusted to this posture. In most situations, fluid resuscitation with intravenous (IV) fluids is required, as well as the injection of drugs such as dopamine to constrict blood vessels and boost blood pressure. Treatment varies somewhat depending on the origin and kind of shock.

What would you classify yellow-tinged, occasionally crimson, watery wound discharge under?

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Serosanguineous wound drainage is described as yellow-tinged, watery, and occasionally streaked with crimson. Serous discharge, which is essentially serum, is clear, watery, and frequently stained just a little bit yellow. Sanguineous discharge is more viscous and, to be honest, bloody. Depending on the kind of illness that is present, purulent discharge is thick, opaque, and may also smell bad. The nurse should mention the color, consistency, odor, and approximate volume when discussing discharge.

What should the nurse do first if she gives a medication to the wrong patient?

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If a nurse gives the wrong patient a drug, her next move should be to check for any negative side effects. The patient's known allergies should also be checked by the nurse. The nurse should then let the doctor and the boss know. The incident report describing the mistake is recorded separately, even though the drug should be listed in the patient's medical file.

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