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The following term refers to the type of abortion in which the fetus dies in the uterus but is not expelled:
A missed abortion refers to a situation where the fetus dies in the uterus but is not expelled. This condition is also known as a silent miscarriage. The woman may not experience the typical symptoms of miscarriage, such as bleeding or cramping, and the diagnosis is often made during a routine ultrasound when no fetal heartbeat is detected. Complete abortion involves the complete expulsion of fetal tissue, inevitable abortion is when the miscarriage cannot be stopped, and threatened abortion refers to any bleeding in the first 20 weeks of pregnancy without cervical dilation.
The destruction of the alveoli walls is defined as:
Definition of Emphysema:
Emphysema is a chronic lung condition characterized by the destruction of the alveoli (air sacs) walls. This leads to reduced surface area for gas exchange and difficulty in breathing.
It is a major component of Chronic Obstructive Pulmonary Disease (COPD).
Differentiation from Other Conditions:
Asthma: A condition where the airways become inflamed and narrowed.
Bronchitis: Inflammation of the bronchial tubes, often resulting in cough and mucus production.
Bronchiolitis: Inflammation of the small airways (bronchioles), commonly seen in children.
American Lung Association (ALA)
National Heart, Lung, and Blood Institute (NHLBI)
During a discharge planning of an educated 79-year-old woman, the patient expresses concern to the nurse about how she will remember taking the medications recently prescribed.
What is the BEST intervention that can be incorporated by the nurse in the discharge plan?
The best intervention for helping an educated 79-year-old woman remember to take her medications is to provide a weekly pill box and develop a written medication schedule. This approach empowers the patient to manage her medications independently, reducing the risk of non-compliance. Asking a family member to administer medications or referring the patient to a care home might not be necessary if the patient can manage with simple tools. Consulting the physician to reduce or combine medications is an option but does not address the immediate need for a practical solution to medication management.
The unit in-charge is following up an incident report for a patient who fell down from the bed to be written by the nurse.
Which of the following actions if done by the nurse needs to be corrected?
When an incident such as a patient fall occurs, specific protocols must be followed to ensure proper documentation and quality improvement processes.
Writing the Incident Report Immediately: The nurse should document the incident as soon as possible to ensure accurate details are captured.
Investigating the Root Cause of the Incident: This is essential to prevent future occurrences and improve patient safety. It involves a thorough analysis of the factors that led to the incident.
Writing the Incident Report by the Assigned Nurse: The nurse who witnessed or discovered the incident is typically responsible for documenting it, ensuring first-hand accuracy.
Documenting the Incident Report in Patient's Record: This is incorrect. Incident reports are meant for internal use to track and analyze incidents and should not be included in the patient's medical record. Including it in the patient's record can potentially compromise confidentiality and affect the patient's care.
The Joint Commission: Sentinel Event Policy and Procedures
National Patient Safety Foundation: Guidelines for Incident Reporting
Which of the following characteristics of older adults would be expected in today's society?
Chronic Conditions and ADLs:
Older adults are more likely to suffer from chronic conditions such as arthritis, hypertension, heart disease, and diabetes. These conditions can lead to some limitations in Activities of Daily Living (ADLs), which include tasks like bathing, dressing, eating, and walking.
According to the Centers for Disease Control and Prevention (CDC), chronic diseases are the leading cause of death and disability in the United States, and they significantly impact the quality of life of older adults.
Living Arrangements:
While many older adults do live independently or in home care settings, a significant number also live with chronic conditions that impact their ADLs, hence answer B is less accurate compared to A.
As per the Administration for Community Living (ACL), the majority of older adults do live independently; however, chronic conditions still play a significant role in their daily lives.
Labor Force Participation:
There is an increase in the percentage of older adults in the labor force, but this is not a primary characteristic affecting most older adults today.
Marital Status and Mortality:
Studies have shown that married individuals often have a lower mortality rate compared to unmarried individuals, making option D incorrect.
Centers for Disease Control and Prevention (CDC)
Administration for Community Living (ACL)
