Nokea
Correct method of mouth to mouth respiration is that the victim's chin is held:
- A. Forward
- B. Backward
- C. Sideward
- D. Downward
Correct Answer: D
Rationale: When performing the correct method of mouth-to-mouth respiration, it is essential to ensure that the victim's chin is held downward. This helps to properly open the airway, allowing for effective ventilation. By tilting the head back and holding the chin downward, you are able to align the victim's airway to allow the entry of air into the lungs during rescue breathing. Holding the chin in a downward position also helps prevent any obstruction that may hinder the flow of air. Remember to also pinch the victim's nose closed while giving breaths to ensure that the air goes into their lungs.
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What is the mineral necessary for chemical clotting?
- A. Iron
- B. Potassium
- C. Sodium
- D. Calcium
Correct Answer: D
Rationale: Calcium is the mineral necessary for chemical clotting. When there is a cut or injury that causes bleeding, the body's clotting process is initiated to stop the bleeding. Calcium ions play a crucial role in several steps of the clotting cascade, helping to activate various clotting factors and promoting the formation of a stable blood clot. Without sufficient calcium, the blood would not be able to clot properly, leading to potential complications with excessive bleeding.
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
- A. Notify her parents
- B. Refer for prenatal care
- C. Explain the importance of not smoking
- D. Discuss dietary needs for adequate fetal growth
Correct Answer: B
Rationale: The priority nursing action in this situation is to refer the adolescent for prenatal care. Prenatal care is crucial for monitoring the health of both the mother and the baby throughout the pregnancy. This includes assessing for any potential complications, providing appropriate interventions, and ensuring proper support for a healthy pregnancy. It is important for the adolescent to receive medical care as soon as possible to optimize the outcomes for both her and her baby. While notifying her parents, explaining the importance of not smoking, and discussing dietary needs are also important aspects of care, ensuring timely access to prenatal care is the most critical priority in this scenario.
Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?
- A. Inform the physician immediately
- B. Check the area after the next menstrual
- C. Squeeze the nipple to check for period
- D. Put a heating pad on the area to reduce inflammation
Correct Answer: A
Rationale: The nurse should advise the client to inform the physician immediately. Finding a lump in the breast near the nipple can be concerning as it might indicate a potential issue like breast cancer. Prompt assessment by a healthcare provider is essential for proper evaluation and timely intervention if needed. It is crucial not to delay seeking medical attention for any breast abnormalities to ensure early detection and management of any possible health conditions.
The age of a child who can imitate construction of gate with 2-4 parts; draws longer lines; and draws a man with 5 cubes is
- A. 24 months
- B. 30 months
- C. 48 months
- D. 54 months
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which statement by the adolescent should be expected about separation anxiety?
- A. "I wish my parents could spend the night with me while I am in the hospital."
- B. "I think I would like for my siblings to visit me but not my friends."
- C. "I hope my friends don't forget about visiting me."
- D. "I will be embarrassed if my friends come to the hospital to visit."
Correct Answer: A
Rationale: Separation anxiety is a common response in adolescents who have had to be separated from their family and friends due to hospitalization or medical treatment. In this situation, the adolescent expressing a desire for their parents to spend the night with them in the hospital is indicative of separation anxiety. They may feel comforted and secure by having their parents close by during this challenging time. The other statements do not directly reflect separation anxiety but rather focus on preferences for visitors and concerns about embarrassment.