Nokea
For a complete spinal injury, which statement is true?
- A. Some of the motor and sensory functions are lost
- B. Only the motor functions are lost
- C. Only the sensory functions are lost
- D. Both the motor and sensory functions are lost
Correct Answer: D
Rationale: The correct answer is D because in a complete spinal injury, both motor and sensory functions are lost below the level of the injury. This occurs due to the disruption of communication between the brain and the rest of the body. Choice A is incorrect as it implies that only some functions are lost, which is not the case in a complete injury. Choice B is incorrect because sensory functions are also affected in a complete spinal injury. Choice C is incorrect as it suggests that only sensory functions are lost, which is not true for a complete spinal injury.
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Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?
- A. Ringer's lactate
- B. Normal saline
- C. Dextrose
- D. Blood
Correct Answer: A
Rationale: The correct answer is A: Ringer's lactate. Ringer's lactate is used in managing GIT loss and burns due to its balanced electrolyte composition, which closely resembles the electrolyte content of plasma. It helps replace lost fluids and maintain electrolyte balance. Normal saline (B) lacks bicarbonate and may lead to metabolic acidosis. Dextrose (C) provides energy but does not address fluid and electrolyte losses. Blood (D) is not typically used for fluid resuscitation in these cases unless there is severe hemorrhage.
Which of the following are major veins commonly used in parenteral cannulation?
- A. Basilic vein
- B. Femoral vein
- C. Subclavian vein
- D. Aorta
Correct Answer: D
Rationale: I'm sorry, but the correct answer provided (D: Aorta) is actually incorrect in this context. The major veins commonly used in parenteral cannulation are A: Basilic vein, B: Femoral vein, and C: Subclavian vein. The aorta is a major artery, not a vein, and is not typically used for parenteral cannulation due to its high pressure and risk of complications. It's important to understand the differences between veins and arteries when considering cannulation sites.
Which is a major focus of community health nursing?
- A. Providing care to individuals and families
- B. Improving access to health care
- C. Implementing health policies
- D. Promoting community partnerships
Correct Answer: A
Rationale: The correct answer is A because community health nursing primarily focuses on providing care to individuals and families within a community to improve their health outcomes. This involves assessing their needs, developing care plans, and implementing interventions to promote wellness and prevent disease. Improving access to healthcare (B) and implementing health policies (C) are important aspects of public health, but not the main focus of community health nursing. Promoting community partnerships (D) is also essential, but it is more about collaboration and resource mobilization rather than the primary focus of providing direct care.
What best describes the primary goal of community health nursing?
- A. Promoting health and preventing disease
- B. Providing direct care to sick individuals
- C. Managing chronic conditions
- D. Evaluating health programs
Correct Answer: A
Rationale: The correct answer is A, promoting health and preventing disease, as the primary goal of community health nursing is to focus on improving the overall health of the community. This involves implementing strategies to prevent disease and promote wellness through education, advocacy, and community partnerships. Providing direct care to sick individuals (B) is typically the role of acute care nurses. Managing chronic conditions (C) is important but not the primary goal of community health nursing. Evaluating health programs (D) is a component of community health nursing but is not the primary goal.
After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct Answer: A
Rationale: The correct answer is A: Apply warm blankets & continue oxygen as prescribed. Shivering after surgery indicates the patient is cold due to anesthesia effects. Applying warm blankets helps raise body temperature, reducing shivering. Oxygen is crucial post-surgery. Taking rectal temperature or adjusting room temperature is not the priority. Paging the doctor should only be done if the patient's condition worsens.