answers
#### **1. Chronic Disease Management**
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**Question44:** What are the key components of managing a patient with heart || || || || | || || || || || ||
failure?
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**Ans44:** Monitor fluid balance, administer prescribed medications (e.g.,
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diuretics, ACE inhibitors), encourage a low-sodium diet, and educate the patient
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about daily weight monitoring.
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**Question45:** How do you educate a patient with chronic obstructive || || || || || || || || |
pulmonary disease (COPD)?
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**Ans45:** Teach them about breathing techniques (e.g., pursed-lip breathing),
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the importance of smoking cessation, proper use of inhalers, and recognizing
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signs of exacerbation.
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**Question46:** What are the signs of poorly controlled diabetes? || | || || || | | |
**Ans46:** Signs include frequent urination, excessive thirst, unexplained weight
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loss, fatigue, and recurrent infections.
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#### **2. End-of-Life Care**
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**Question47:** What is the role of a nurse in providing palliative care? || | || || || || || | || | ||
**Ans47:** The nurse focuses on relieving symptoms, providing emotional
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support, and ensuring the patient’s comfort and dignity.
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,**Question48:** How do you support a family during the dying process? || || || || | || | || | ||
**Ans48:** Offer emotional support, provide clear and compassionate
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communication, and respect the family’s cultural and spiritual beliefs.
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**Question49:** What are the signs of approaching death? || | || || || || |
**Ans49:** Signs include decreased responsiveness, changes in breathing (e.g.,
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Cheyne-Stokes respirations), cool and mottled skin, and decreased urine output.
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#### **3. Patient Safety**
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**Question50:** What are the common causes of patient falls, and how can they be
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prevented?
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**Ans50:** Causes include mobility issues, medication side effects, and
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environmental hazards. Prevention strategies include using bed alarms, ensuring
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proper lighting, and assisting with mobility.
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**Question51:** How do you prevent pressure ulcers in bedridden patients?
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**Ans51:** Reposition the patient every 2 hours, use pressure-relieving devices,
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keep the skin clean and dry, and provide adequate nutrition and hydration.
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**Question52:** What is the purpose of a time-out before a surgical procedure?
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**Ans52:** A time-out ensures the correct patient, procedure, and site are
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confirmed by the entire surgical team to prevent errors.
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, #### **4. Advanced Clinical Skills**
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**Question53:** How do you perform a sterile dressing change? || || || || | || || ||
**Ans53:** 1) Wash hands and don sterile gloves. 2) Clean the wound from the
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center outward using sterile technique. 3) Apply a new sterile dressing and secure
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it in place.
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**Question54:** What are the steps for inserting a urinary catheter? || | || || || || || || |
**Ans54:** 1) Position the patient and clean the perineal area. 2) Lubricate the
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catheter tip. 3) Insert the catheter into the urethra until urine flows. 4) Inflate the
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balloon and secure the catheter.
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**Question55:** How do you assess for proper placement of an endotracheal tube || || || || || || || || || || ||
(ET tube)?
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**Ans55:** Confirm placement with auscultation of bilateral breath sounds, chest
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X-ray, and end-tidal CO2 monitoring.
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#### **5. Communication and Teamwork**
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**Question56:** How do you handle a conflict with a coworker? || || || || || || || || ||
**Ans56:** Address the issue privately, use "I" statements to express concerns,
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and focus on finding a solution that benefits patient care.
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**Question57:** What is the importance of interdisciplinary collaboration in || | || || | || | |
healthcare?
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**Ans57:** It ensures comprehensive care by leveraging the expertise of various
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healthcare professionals, leading to better patient outcomes.
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