A nurse conducts a regular audit of the medical records the PRIMARY purpose of conducting audit in a health facility is to _____.
- A. identify errors made by health personnel.
- B. identify areas for improvement
- C. ensure that standards are met.
- D. promote risk management.
Correct Answer: C
Rationale: The primary purpose of conducting an audit in a health facility is to ensure that standards are met. Audits are conducted to review and evaluate the documentation and practices within a healthcare facility to ensure compliance with established standards, protocols, procedures, and regulations. By conducting audits, the facility can identify any discrepancies, non-compliance with standards, or areas for improvement to maintain high-quality care and patient safety. This process helps in maintaining a high standard of care, reducing errors, promoting quality improvement initiatives, and ensuring the overall efficiency and effectiveness of healthcare services provided in the facility.
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How can nurse contribute to the improvement of Maternal and Child Health (MCH) In the Philippines? One way is by knowing the 8 Millennium Development Goals. Which of the TWO of the 8 goals are VERY specific to MCH?
- A. Reduce child mortality and improve maternal health
- B. Eradicate extreme poverty and hunger and achieve universal primary education
- C. Promote gender equality and empower women and global partnership for health
- D. Combat HIV/AIDS and ensure environmental sustainability
Correct Answer: A
Rationale: Two of the 8 Millennium Development Goals that are very specific to Maternal and Child Health (MCH) are "Reduce child mortality" and "Improve maternal health." These goals focus directly on the well-being of mothers and children, aiming to decrease child mortality rates and enhance the health of pregnant women.
A patient presents with urinary frequency, urgency, dysuria, and suprapubic pain. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?
- A. Acute glomerulonephritis
- B. Chronic kidney disease
- C. Urinary tract infection (UTI)
- D. Renal calculi
Correct Answer: C
Rationale: The patient's presentation of urinary frequency, urgency, dysuria, and suprapubic pain along with the urinalysis findings of pyuria (pus in the urine) and bacteriuria (bacteria in the urine) are highly suggestive of a urinary tract infection (UTI). UTIs are one of the most common types of bacterial infections seen in clinical practice. The symptoms described are classic for a lower urinary tract infection. The presence of pyuria and bacteriuria on urinalysis further supports the diagnosis of a UTI. Acute glomerulonephritis typically presents with hematuria, proteinuria, hypertension, and edema. Chronic kidney disease is often asymptomatic in early stages and presents with symptoms like fatigue, edema, and changes in urination later on. Renal calculi are associated with severe colicky flank pain that can radiate to the groin, and they may present with
In response to chronic hypoxia, which physiological adaptation occurs in the body to increase oxygen delivery to tissues?
- A. Decreased erythropoietin production
- B. Decreased red blood cell production
- C. Increased cardiac output
- D. Decreased ventilation rate
Correct Answer: C
Rationale: In response to chronic hypoxia, the body adapts to increase oxygen delivery to tissues by increasing cardiac output. This is achieved by increasing the heart rate and stroke volume, allowing more oxygenated blood to be pumped to the tissues. The increased cardiac output helps compensate for the lower oxygen levels in the blood, ensuring that tissues receive an adequate supply of oxygen despite the hypoxic conditions. This physiological adaptation is essential for maintaining tissue oxygenation and supporting overall cellular function in the presence of chronic hypoxia.
A patient with a severe viral infection exhibits reduced levels of circulating lymphocytes. Which of the following mechanisms is most likely responsible for this observation?
- A. Apoptosis of infected lymphocytes
- B. Clonal expansion of memory T cells
- C. T cell anergy
- D. Upregulation of adhesion molecules on lymphocytes
Correct Answer: A
Rationale: A patient with a severe viral infection exhibiting reduced levels of circulating lymphocytes is likely due to the apoptosis of infected lymphocytes. When a virus enters the body, it can infect and replicate within lymphocytes, subsequently triggering the immune system to induce apoptosis in infected cells to prevent further spread of the virus. This process is part of the body's defense mechanism to control the viral infection. As a result, the circulating lymphocyte levels may decrease as infected lymphocytes are targeted for apoptosis. This phenomenon helps to limit viral replication and spread within the body, thereby aiding in the immune response to eliminate the virus.
Which of the following dental conditions is characterized by the abnormal wearing away of tooth structure due to factors such as bruxism or acidic erosion?
- A. Dental caries
- B. Attrition
- C. Abrasion
- D. Erosion
Correct Answer: B
Rationale: Attrition is the dental condition characterized by the abnormal wearing away of tooth structure due to factors such as bruxism (grinding or clenching of teeth) or acidic erosion. Bruxism can cause tooth-to-tooth contact that leads to the wearing down of the tooth enamel and eventually can affect deeper layers of the tooth. Acidic erosion, on the other hand, is caused by the direct contact of teeth with acidic substances, which can lead to the gradual loss of tooth structure over time. Dental caries refers to tooth decay caused by bacteria, abrasion involves wearing away of tooth structure due to external factors like improper brushing habits, and erosion specifically relates to the loss of tooth structure caused by acidic substances.
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