Nokea
Which disease process improves during pregnancy?
- A. Epilepsy
- B. Bell’s palsy
- C. Rheumatoid arthritis
- D. Systemic lupus erythematosus (SLE)
Correct Answer: C
Rationale: Rheumatoid arthritis shows marked improvement during pregnancy, although the reason for this is not entirely clear. The improvement is often significant, leading to relief from symptoms for many pregnant individuals with this condition. However, it's important to note that this improvement is temporary, as relapse typically occurs within 36 months postpartum. The exact mechanisms behind this temporary improvement are not fully understood, but hormones and changes in the immune system during pregnancy are believed to play a role in modifying the disease process.
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Draw up prescribed amount of sterile solution ordered.
- A. 3, 2, 6, 1, 5, 4
- B. 5, 6, 1, 2, 3, 4
- C. 1, 5, 6, 3, 2, 4
- D. 6, 5, 1, 3, 2, 4
Correct Answer: D
Rationale: The correct sequence for drawing up a prescribed amount of sterile solution ordered is as follows: 6, 5, 1, 3, 2, 4.
The nurse is providing health education to the parents of a toddler who has been diagnosed with food allergies. What should the nurse teach this family about the childs health problem?
- A. Food allergies are a life-long condition, but most families adjust quite well to the necessary lifestyle changes.
- B. Consistent use of over-the-counter antihistamines can often help a child overcome food allergies.
- C. Make sure that you carry a steroid inhaler with you at all times, especially when you eat in restaurants.
- D. Many children outgrow their food allergies in a few years if they avoid the offending foods.
Correct Answer: A
Rationale: Food allergies are a serious health concern that can have life-threatening consequences if not managed properly. It is important for the nurse to educate the family that food allergies are typically life-long conditions and cannot be fully cured. While some children may outgrow certain food allergies over time, it is not guaranteed for all cases. Therefore, the focus should be on effectively managing the allergy through avoidance of trigger foods, carrying emergency medications like epinephrine auto-injectors, and being prepared to respond to allergic reactions. Adjusting to the necessary lifestyle changes, such as reading food labels, informing others about the child's allergies, and being vigilant about potential allergen exposure, is essential for ensuring the child's safety and well-being. Consistent monitoring and communication with healthcare providers are also crucial components of managing food allergies on a long-term basis.
A preceptor is working with a new nurse on documentation.Which situation will cause the preceptor to follow up?
- A. The new nurse documents only for self.
- B. The new nurse charts consecutively on every other line.
- C. The new nurse ends each entry with signature and title.
- D. The new nurse keeps the password secure.
Correct Answer: B
Rationale: The preceptor would need to follow up with the new nurse for charting consecutively on every other line. This behavior is incorrect as it can lead to confusion and potential errors in documentation. Correct charting practice involves documenting consecutively, line by line without skipping lines in between. The preceptor should provide guidance and correction to ensure accurate and organized documentation for patient care.
A nurse is discussing the advantages of a nursingclinical information system. Which advantage should the nurse describe?
- A. Varied clinical databases
- B. Reduced errors of omission
- C. Increased hospital costs
- D. More time to read charts
Correct Answer: B
Rationale: One of the key advantages associated with a nursing clinical information system is the reduction of errors of omission. By using an electronic system that prompts for required data entry and ensures completeness of documentation, nurses are less likely to miss important information, leading to improved patient care and safety. This advantage helps in promoting efficient communication among healthcare providers and contributes to better decision-making processes.
For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to
- A. 6:30 AM on January 13
- B. 6:30 PM on January 13
- C. 6:30 PM on January 14
- D. 6:30 AM on January 15
Correct Answer: A
Rationale: Rho(D) immune globulin (RhoGAM) needs to be administered within 72 hours postpartum to Rh-negative patients who have given birth to Rh-positive infants to prevent Rh sensitization. The patient delivered at 6:30 AM on January 10, so the RhoGAM should be administered prior to that time on January 13, which is 72 hours postpartum. Therefore, the correct choice is A. 6:30 AM on January 10.