Nokea
A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex keratitis
- B. Bacterial keratitis
- C. Fungal keratitis
- D. Acanthamoeba keratitis
Correct Answer: C
Rationale: The described presentation of a yellowish-white spot on the cornea with a ring of inflammation, along with branching, filamentous opacities extending from the corneal lesion, is characteristic of fungal keratitis. Fungal keratitis typically presents with these specific features on clinical examination.
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A patient presents with sudden-onset severe headache, altered mental status, and focal neurological deficits. Imaging reveals a hemorrhagic lesion within the subarachnoid space. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Ischemic stroke
- B. Subdural hematoma
- C. Intracerebral hemorrhage
- D. Subarachnoid hemorrhage
Correct Answer: D
Rationale: A subarachnoid hemorrhage is characterized by bleeding within the subarachnoid space, the area between the arachnoid mater and the pia mater surrounding the brain. Patients typically present with a sudden-onset severe headache, altered mental status, and focal neurological deficits due to the mass effect of the blood in the subarachnoid space. Imaging, such as a CT scan, can confirm the presence of the hemorrhagic lesion. Ischemic stroke results from a blockage in the blood vessels supplying the brain, leading to tissue infarction and neurological deficits. Subdural hematoma is a collection of blood between the dura mater and the arachnoid mater, commonly seen following head trauma. Intracerebral hemorrhage involves bleeding within the brain tissue itself, often leading to focal neurological deficits.
The aim of pelvic muscle exercises for the patient with urinary incontinence is to strengthen the muscles that control the
- A. vagina and rectum
- B. bowel and the bladder
- C. perineal area
- D. vagina and urethra
Correct Answer: D
Rationale: The aim of pelvic muscle exercises for a patient with urinary incontinence is to strengthen the muscles that control the vagina and urethra. These exercises, known as Kegel exercises, target the pelvic floor muscles that support the pelvic organs and help in controlling urinary function. Strengthening these muscles can help improve bladder control and reduce or eliminate urinary incontinence. Exercises that target the perineal area can also be beneficial in managing urinary incontinence, but the main focus is on strengthening the muscles that control the vagina and urethra.
Choose how many times at least the nurses conducts physical assessment to school children.
- A. Thrice a year
- B. Every semester
- C. Every quarter
- D. Once a year
Correct Answer: A
Rationale: It is recommended for nurses to conduct physical assessments on school children at least three times a year, or thrice a year. This frequency allows nurses to monitor the children's growth and development, assess any changes in their health status, and provide early intervention if needed. Regular physical assessments help ensure that any health issues are identified promptly and addressed appropriately, promoting the overall well-being and academic performance of the students.
During the implementation process, the nurse should ensure a better assimilation of the teachings.
- A. serious lecturer
- B. conducive time and place
- C. Lecture to start at 11:00AM
- D. neophyte as sharer
Correct Answer: B
Rationale: Creating a conducive time and place for the teachings is crucial during the implementation process to ensure better assimilation by the staff. By choosing a suitable time that does not clash with other responsibilities and providing a comfortable environment for learning, the nurse can enhance the staff's understanding and retention of the teachings. This approach helps in engaging the staff effectively and facilitating a productive learning experience.
Nurse Myrna is taking care of a family chose there young children are sick with malnutrition particularly protein deficiency, which of the following behaviors is indicative of the family's positive coping index
- A. Observing erratic mealtime due to work schedule of parents
- B. Bringing children to health enter for consult only when needed.
- C. Serving foods that children like but with high in carbohydrates
- D. Cooking foods in variety that include meat, dairy products and beans.
Correct Answer: D
Rationale: Cooking foods in a variety that includes meat, dairy products, and beans demonstrates a positive coping index for the family in addressing the protein deficiency and malnutrition in their children. This behavior shows the family's understanding and effort to provide diverse sources of protein, which is essential for addressing protein deficiency. By including different protein-rich foods in their meals, the family is actively working towards improving the nutritional status of their children. This approach aligns with the goal of health education to change knowledge, attitudes, and practices to enhance individual, family, and community health.