Nokea
What must be stressed to all participants attending a health fair?
- A. A screening program is not a substitute for ongoing health supervision from a health care provider.
- B. All test results are only tentative, and so participants who receive negative test results may nonetheless be suffering from a disease.
- C. Results are true today, but disease can develop any time, so participants should attend any future health fairs as well.
- D. There are many other diseases that may be attacking participants that the health fair did not screen for, and so continued vigilance is necessary.
Correct Answer: A
Rationale: Stressing to all participants attending a health fair that a screening program is not a substitute for ongoing health supervision from a healthcare provider is crucial for several reasons. Health fairs are intended to provide a snapshot of an individual's health at a specific point in time and are not comprehensive assessments. Participants need to understand that these screenings are not a replacement for regular check-ups with their healthcare provider, who can provide continued monitoring, follow-up care, and more in-depth evaluations if necessary. It's important for participants to recognize that the results from a health fair screening are just one piece of their overall health picture and that ongoing care from a healthcare provider is essential for maintaining their well-being.
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A nurse is preparing to assist with a lumbar puncture procedure for a patient. What action should the nurse take to maintain procedural asepsis?
- A. Wearing sterile gloves and a surgical mask during the procedure
- B. Cleansing the puncture site with povidone-iodine solution
- C. Using a sterile drape to cover the patient during the procedure
- D. Avoiding unnecessary movement or talking during the procedure
Correct Answer: A
Rationale: A nurse should wear sterile gloves and a surgical mask during a lumbar puncture procedure to maintain procedural asepsis. Sterile gloves help prevent contamination of the procedure site and reduce the risk of introducing microorganisms to the puncture site. Surgical masks help minimize the risk of respiratory secretions contaminating the sterile field, which is essential for maintaining asepsis during the procedure. Additionally, proper hand hygiene before and after the procedure is crucial in preventing the spread of infection.
Incident Reports (IRs) shall be collected for the day and due investigations scheduled by the quality Department. Upon completion of the investigation, the IRS ____.
- A. must be completed and stored on the open cabinet
- B. can be stored on the table top for easy retrieval
- C. must be summarized monthly and stored in a secured cabinet
- D. classified by cate so they can be easily accessibility
Correct Answer: C
Rationale: Incident Reports (IRs) must be summarized monthly and stored in a secured cabinet for several reasons. Firstly, summarizing the IRs monthly allows for a consolidated overview of the incidents that have occurred, highlighting any recurring patterns or trends that may need to be addressed. By storing the summarized IRs in a secured cabinet, the information is kept confidential and protected from unauthorized access. This practice also ensures that the reports are organized and easily accessible for future reference or audits. Storing the IRs on an open cabinet, table top, or with a classification system that may not be easily understandable can lead to potential breaches of confidentiality or difficulty in retrieving and understanding the information when needed.
Patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following type of anesthesia would you expect to be ordered?
- A. Spinal
- B. Local
- C. Caudal
- D. General
Correct Answer: D
Rationale: When the anesthesiologist visits a patient to explain the anesthesia for surgery, the most likely type of anesthesia to be ordered in this scenario would be general anesthesia. General anesthesia is a state of controlled unconsciousness where the patient is completely unaware and unresponsive during the procedure. This type of anesthesia is typically used for surgeries that are more complex, lengthy, or invasive, requiring the patient to be completely still and asleep throughout the operation.
Which additional finding confirms the diagnosis that the patient has mastitis?
- A. Enlarged glands in the axilla
- B. Normal temperature
- C. Engorged both breasts
- D. Hard mass and reddened area
Correct Answer: D
Rationale: A hard mass and a reddened area on one breast are key clinical signs that confirm the diagnosis of mastitis. Mastitis is an infection of the breast tissue that often presents with localized redness, warmth, and swelling of the breast. The presence of a hard mass along with the other symptoms suggests inflammation and infection within the breast tissue. In contrast, the other findings such as enlarged glands in the axilla, normal temperature, and engorged breasts are not specific findings for mastitis and may be present in other conditions. Therefore, the presence of a hard mass and reddened area on one breast is the additional finding that strongly confirms the diagnosis of mastitis in this case.
After washing her hands and gently cleaning any discharge that can be removed easily from the outer ear, Nurse Selma positions the child. Which of the following steps follows?
- A. Gently press the tragus of the ear four times in a pumping motion.
- B. Gently pull the outer ear
- C. Drop the medicine into the ear canal.
- D. Keep the ear up for five minutes.
Correct Answer: C
Rationale: The correct next step after positioning the child is to drop the medicine into the ear canal. This is typically the next step in administering ear drops for a child. The cleaning and positioning steps are to prepare the ear for receiving the medication. Dropping the medicine into the ear canal ensures that the medication can reach the affected area effectively. Once the medicine is dropped into the ear canal, it is important to follow any additional instructions provided by the healthcare provider regarding keeping the ear in a certain position or any other post-administration care steps.