Nokea
A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note
- A. High protein
- B. Clear color
- C. Elevated sed rate
- D. Increased glucose
Correct Answer: A
Rationale: High protein levels in the cerebrospinal fluid are indicative of bacterial meningitis, as the presence of bacteria in the CSF leads to increased protein production. Elevated protein levels can be seen in inflammatory conditions like meningitis. Choice B, clear color, is not expected in meningitis as it is typically associated with cloudy or turbid CSF. Elevated sed rate (choice C) and increased glucose (choice D) are not typically associated with the laboratory findings seen in meningitis.
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A traditional plant used to lower uric acid is used by Rosario, a 55-year-old client with rheumatism. This herbal plant called "ulasimang bato" is commonly known as:
- A. Lagundi
- B. Pancit pacitan
- C. Bayabas
- D. Sambong
Correct Answer: B
Rationale: The correct answer is B, Pancit pacitan (Peperomia pellucida), which is known for its uric acid-lowering properties. Ulasimang bato is the local name for this traditional plant. Choices A, C, and D are incorrect. Lagundi (Choice A) is commonly used for its antitussive and anti-asthmatic properties. Bayabas (Choice C) refers to guava, which is known for its high vitamin C content and other health benefits. Sambong (Choice D) is used for its diuretic properties and is often utilized for kidney health.
Which of the following statements about CHN is wrong?
- A. CHN synthesizes public health with nursing
- B. CHN emphasizes health
- C. Promoting clients' autonomy is a responsibility of public nursing
- D. CHN makes a unique contribution to health care not by the nature of its practice but where it is practiced
Correct Answer: D
Rationale: The statement in option D is incorrect. The unique contribution of Community Health Nursing (CHN) is not only where it is practiced but also by the nature of its practice. CHN's distinct value lies in its approach to care delivery, focusing on preventive care, health promotion, and addressing the needs of specific communities. Options A and B are correct as CHN involves synthesizing public health principles with nursing practice and emphasizes holistic health. Option C is incorrect as promoting clients' autonomy is a fundamental aspect of community health nursing, respecting individuals' rights to make decisions about their health.
The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month-old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations and guidelines by the Center for Disease Control (CDC)?
- A. 13 to 18 years of age.
- B. 11 to 12 years of age.
- C. 18 to 24 months of age.
- D. 4 to 6 years of age.
Correct Answer: D
Rationale: The correct answer is D: 4 to 6 years of age. The CDC recommends the MMR booster for children in this age group. Choice A (13 to 18 years of age) is incorrect as it is not the recommended age range for the MMR booster. Choice B (11 to 12 years of age) is also incorrect as it does not align with the CDC guidelines for the MMR booster. Choice C (18 to 24 months of age) is not the correct age range for the MMR booster according to CDC recommendations.
Which of these clients would the triage nurse request the healthcare provider to examine immediately?
- A. A 5-month-old infant with audible wheezing and grunting
- B. An adolescent with soot on the face and shirt
- C. A middle-aged man with second-degree burns on the right hand
- D. A toddler with singed ends of long hair extending to the waist
Correct Answer: A
Rationale: The correct answer is A. Audible wheezing and grunting in an infant indicate respiratory distress, which is a critical condition requiring immediate assessment and intervention by the healthcare provider. Choices B, C, and D do not present with immediate life-threatening conditions that require urgent evaluation. Soot on the face and shirt, second-degree burns on the hand, and singed hair, while concerning, do not pose an immediate threat to life compared to respiratory distress in an infant.
Diabetes has become a major health problem. How can healthcare professionals contribute to reducing the incidence of diabetes?
- A. Conducting extensive diabetes patient screenings
- B. Supporting the implementation of Republic Act 8191-National Diabetes Act
- C. Creating support groups for diabetes patients
- D. Raising community awareness about diabetes prevention
Correct Answer: D
Rationale: Raising community awareness about diabetes prevention is an effective way to reduce the incidence of diabetes. By educating the public about healthy lifestyle choices, risk factors, and preventive measures, healthcare professionals can empower individuals to make informed decisions regarding their health. Choice A is not as proactive as raising awareness in the community. While screening is important, prevention through awareness can have a broader impact. Choice B is specific to a particular act and may not apply universally. Choice C, establishing support groups, is beneficial for those already affected by diabetes but may not directly reduce the incidence of the disease.