Nokea
Which of the following is the most common type of ovarian tumor in women of reproductive age?
- A. Serous cystadenoma
- B. Mucinous cystadenoma
- C. Teratoma (dermoid cyst)
- D. Endometrioma
Correct Answer: C
Rationale: Among the given options, teratoma (dermoid cyst) is the most common type of ovarian tumor in women of reproductive age. Dermoid cysts are a type of ovarian teratoma that contains tissues derived from the ectoderm (skin), mesoderm (bone, muscle), and endoderm (mucous membranes). They are usually benign and can contain a variety of elements such as hair, teeth, bone, and sebaceous material. Serous cystadenomas and mucinous cystadenomas are more commonly seen in older women, whereas endometriomas are typically associated with endometriosis rather than being the most common ovarian tumor type in women of reproductive age.
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In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider _____.
- A. The educational qualification
- B. Family support
- C. Activities of daily liiving
- D. Residence of the elderly
Correct Answer: B
Rationale: Family support is a crucial consideration when planning the care of the elderly. The availability of family members to provide emotional support, assistance with daily activities, and decision-making can greatly impact the overall well-being of the elderly individual. Family support can help reduce feelings of isolation, ensure that the elderly person's needs are being met, and provide a sense of security and comfort. Additionally, involving family members in the care planning process can help create a collaborative and comprehensive care approach that considers the preferences and values of the elderly person. Considering the level of family support is essential for creating a care plan that meets the unique needs and circumstances of each elderly individual.
In utilizing family coping index nurses should be knowledgeable that the focus of this tool is identifying the family's ________.
- A. strategies to deal with stressful situations
- B. Manner of interaction
- C. Ways of managing health needs and challenges
- D. Patterns of health habits
Correct Answer: A
Rationale: The Family Coping Index is a tool designed to assess the strategies that a family uses to deal with stressful situations. It focuses on how families manage and cope with stress and challenges, rather than solely on their interactions, health management, or health habits. By identifying the family's coping strategies, healthcare professionals can better understand the family dynamics and provide targeted support and interventions to help them navigate difficult circumstances.
A patient with a history of type 2 diabetes mellitus is prescribed insulin glargine (Lantus) once daily. Which statement indicates understanding of insulin glargine administration?
- A. "I will inject insulin glargine 30 minutes before meals."
- B. "I will shake the insulin vial vigorously before drawing the dose."
- C. "I will rotate injection sites within the same body region."
- D. "I will administer insulin glargine with a rapid-acting insulin."
Correct Answer: C
Rationale: Insulin glargine (Lantus) is a long-acting insulin that is typically administered once daily at the same time each day to help maintain a steady level of insulin in the body. It is important to rotate injection sites within the same body region (such as the abdomen, thigh, or upper arm) to prevent lipodystrophy (lumpiness or dents in the skin) and to ensure consistent absorption of the insulin. Proper rotation of injection sites helps to prevent tissue damage and ensures optimal insulin absorption, improving the effectiveness of insulin therapy. It is not necessary to inject insulin glargine before meals, vigorously shake the vial, or administer it with a rapid-acting insulin.
What is the appropriate initial management for a conscious patient experiencing a syncopal episode (fainting)?
- A. Elevating the legs above the level of the heart.
- B. Administering intravenous fluids rapidly.
- C. Providing reassurance and assisting the patient to a lying position.
- D. Administering oxygen via nasal cannula.
Correct Answer: C
Rationale: The appropriate initial management for a conscious patient experiencing a syncopal episode (fainting) is to provide reassurance and assist the patient to a lying position. This is important to ensure adequate blood flow to the brain and to prevent further injury in case the patient faints again. Elevating the legs above the level of the heart is not recommended as a routine intervention for syncope. Administering intravenous fluids rapidly is not usually needed in the initial management of syncope without signs of dehydration or significant bleeding. Administering oxygen via nasal cannula is not necessary for most cases of syncope unless there are specific indications such as signs of respiratory distress.
A woman in active labor experiences persistent fetal malposition, with the fetus in a transverse lie presentation. What nursing intervention should be prioritized to address this abnormal labor presentation?
- A. Facilitating external cephalic version (ECV)
- B. Assisting the mother into a hands-and-knees position
- C. Preparing for immediate instrumental delivery
- D. Initiating continuous electronic fetal monitoring
Correct Answer: B
Rationale: When a woman in active labor experiences persistent fetal malposition, such as a transverse lie presentation, assisting the mother into a hands-and-knees position is a nursing intervention to prioritize. This position can help encourage the fetus to rotate into a more favorable position for delivery, such as a head-down position. By placing the mother in a hands-and-knees position, gravity can assist in shifting the fetus to the correct position. This intervention is non-invasive and can be effective in promoting the progress of labor and avoiding the need for more invasive interventions like instrumental delivery or cesarean section. However, if the fetus does not rotate or if there are signs of fetal distress, further interventions may be necessary.