Nokea
A patient presents with intensely pruritic, linear burrows on the web spaces of the hands and wrists. The patient reports a history of close contact with an individual diagnosed with a similar condition. Which of the following conditions is most likely responsible for this presentation?
- A. Scabies
- B. Pediculosis (lice infestation)
- C. Tinea corporis (ringworm)
- D. Contact dermatitis
Correct Answer: A
Rationale: The correct answer is A: Scabies. This presentation is classic for scabies infestation caused by the Sarcoptes scabiei mite. The intensely pruritic linear burrows are pathognomonic. Close contact with an individual with scabies increases the likelihood of transmission. The other choices, B: Pediculosis, C: Tinea corporis, and D: Contact dermatitis, do not typically present with linear burrows on the hands and wrists. Pediculosis presents with lice infestation, Tinea corporis with circular lesions, and contact dermatitis with erythema and edema.
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Which of the following dental conditions is characterized by the wearing away of tooth structure due to friction from external sources such as toothbrushing or abrasive toothpaste?
- A. Dental caries
- B. Attrition
- C. Abrasion
- D. Erosion
Correct Answer: C
Rationale: The correct answer is C: Abrasion. Abrasion is the wearing away of tooth structure due to friction from external sources like toothbrushing or abrasive toothpaste. Dental caries (A) refers to tooth decay caused by bacteria. Attrition (B) is the wearing down of tooth structure due to tooth-to-tooth contact. Erosion (D) is the loss of tooth structure from acid attacks, not friction. Therefore, option C is the most fitting choice based on the description given.
During the active phase of labor, a woman's cervical dilation is progressing slowly despite regular contractions. What maternal condition should the nurse assess for that may contribute to abnormal labor progression?
- A. Maternal exhaustion
- B. Pelvic outlet obstruction
- C. Fetal macrosomia
- D. Uterine hyperstimulation
Correct Answer: B
Rationale: One potential maternal condition that may contribute to abnormal labor progression with slow cervical dilation despite regular contractions is pelvic outlet obstruction. This can occur if the maternal pelvis is too small, misshapen, or has an obstruction such as a fibroid tumor. The inadequate space in the pelvis can prevent the fetus from descending properly and can result in a prolonged or difficult labor. If suspected, interventions such as a cesarean delivery may be necessary to prevent complications for both the mother and baby. It is essential for the nurse to assess for signs of pelvic outlet obstruction and work with the healthcare team to address any issues promptly to ensure a safe delivery.
What a patient has bleeding after surgery the PACU nurse, expects which color if coming from the arterial source?
- A. Darkly-colored, blood flows fast.
- B. Bright red and spurts with the heartbeat.
- C. slow, dark-colored, generally ooze.
- D. Pinkish colored- slowly flowing.
Correct Answer: B
Rationale: The correct answer is B: Bright red and spurts with the heartbeat. This type of bleeding indicates arterial bleeding, which is oxygen-rich blood coming directly from the arteries. Arterial bleeding is bright red in color due to the high oxygen content and spurts with the heartbeat as it is under higher pressure. This rapid spurting is characteristic of arterial bleeding and requires immediate attention to control the bleeding source.
Choices A, C, and D are incorrect because they describe characteristics of venous bleeding, not arterial bleeding. Venous bleeding is dark in color, flows slowly, and generally oozes as it is oxygen-depleted blood returning to the heart. Therefore, the correct answer is B based on the specific characteristics of arterial bleeding.
To promote drainage and reduce pressure from fluid, Nurse Selma nursing intervention is to have the child assume any of the following positions, EXCEPT _____.
- A. tilt head to side if sitting up.
- B. Lie on the affected area
- C. put the pillows behind the head
- D. lie on the non-affected ear.
Correct Answer: B
Rationale: The correct answer is B: Lie on the affected area. This position would hinder drainage and increase pressure on the affected area. A: Tilt head to the side if sitting up, is correct as it promotes drainage. C: Putting pillows behind the head can also aid drainage. D: Lying on the non-affected ear can help reduce pressure on the affected side.
A nurse is conducting a discharge planning assessment for a patient preparing to transition home. What action by the nurse demonstrates continuity of care?
- A. Providing the patient with written discharge instructions only
- B. Discharging the patient without coordinating follow-up care or support services
- C. Communicating with the patient's primary care provider and community resources
- D. Disregarding the patient's concerns and preferences during the discharge process Specialized Nursing Procedures
Correct Answer: C
Rationale: The correct answer is C because communicating with the patient's primary care provider and community resources demonstrates continuity of care. This action ensures a seamless transition from the hospital to home by keeping all involved parties informed and involved in the patient's care. Option A (written discharge instructions only) may provide information but lacks coordination with other healthcare providers. Option B (discharging without follow-up care coordination) can lead to gaps in care. Option D (disregarding patient concerns) goes against patient-centered care and can disrupt the continuity of care.