Nokea
A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
- A. 6 to 8
- B. 8 to 12
- C. 12 to 24
- D. 24 to 48
Correct Answer: A
Rationale: In term newborns, the first meconium stool typically occurs within the first 6 to 8 hours after birth. Meconium is the baby's first stool, and its presence signifies that the baby's gastrointestinal system is functioning properly. If a newborn has not passed meconium within this timeframe, it may indicate an issue such as bowel obstruction that requires further evaluation and intervention. Therefore, the nurse should document and monitor the situation closely to ensure the newborn's health and well-being.
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Which of the ff nursing interventions is involved when caring for a client with influenza?
- A. Maintaining airborne transmission
- B. Oxygen administration
- C. Immediate recognition of respiratory
- D. Complete bed rest distress
Correct Answer: C
Rationale: When caring for a client with influenza, immediate recognition of respiratory distress is crucial. Influenza can lead to respiratory complications such as pneumonia, which may result in respiratory distress. Early detection of symptoms such as increased respiratory rate, shortness of breath, and chest pain can help in providing prompt intervention and preventing further complications. Therefore, the nursing intervention involved in caring for a client with influenza is to closely monitor the respiratory status and quickly recognize any signs of respiratory distress. This proactive approach can potentially save the client's life and improve outcomes.
At which stage of development are children apt to believe in the reversibility of death?
- A. Toddler.
- B. Preschool age.
- C. School age.
- D. Adolescent.
Correct Answer: B
Rationale: Preschool-aged children commonly believe in the reversibility of death due to their cognitive development stage, where magical thinking is prevalent.
During a routine checkup, the nurse assesses a client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the common AIDS-related cancer?
- A. Squamous cell carcinoma
- B. Leukemia
- C. Multiple myeloma
- D. Kaposi's sarcoma
Correct Answer: D
Rationale: Kaposi's sarcoma is the most common AIDS-related cancer. It is a type of cancer that usually appears as lesions on the skin, mouth, or internal organs. Kaposi's sarcoma is caused by human herpesvirus 8 (HHV-8) and is more likely to develop in individuals with weakened immune systems, such as those with AIDS. The risk of developing Kaposi's sarcoma is higher in people with HIV/AIDS due to the weakened immune system's inability to fight off infections and certain cancers. Regular assessment for signs and symptoms of Kaposi's sarcoma is important in people living with AIDS in order to detect and treat it early.
Why does emotional counselling or helping the client perform common daily activities become important nursing care interventions in clients with Parkinson's or Huntington's diseases, or even epilepsy?
- A. Because clients suffer from depression, anxiety, and inability to perform basic self care
- B. Because clients become paralytic throughout the body
- C. Because the clients bone become weak, brittle, and painful to even move
- D. Because clients generally become very aggressive and violent with other people CARING FOR CLIENTS WITH NEUROLOGIC DEFICITS
Correct Answer: A
Rationale: Emotional counseling and helping with common daily activities are important nursing care interventions for clients with neurologic diseases such as Parkinson's, Huntington's, and epilepsy because these clients often experience depression, anxiety, and difficulty performing basic self-care tasks. These diseases can have a significant impact on the client's mental health, leading to feelings of helplessness and loss of independence. Providing emotional support and assistance with daily activities can help improve the client's overall well-being and quality of life. Additionally, these interventions can also help prevent complications such as complications such as pressure sores, infections, and malnutrition that may arise from the inability to perform self-care tasks independently.
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following?
- A. Sepsis
- B. Meningitis
- C. Mitral valve disease
- D. Aneurysm formation 45
Correct Answer: D
Rationale: Kawasaki disease is an inflammatory condition that primarily affects medium-sized blood vessels, including the coronary arteries. If not promptly and effectively treated, about 25% of untreated cases can lead to the development of coronary artery aneurysms. These aneurysms can increase the risk of serious complications such as myocardial infarction and sudden death. Therefore, it is crucial to closely monitor and manage the cardiovascular complications in patients with Kawasaki disease, particularly the risk of aneurysm formation.