Nokea
A patient with a history of diabetes mellitus is admitted with a foot ulcer. Which nursing intervention is essential for preventing infection in the foot ulcer?
- A. Applying topical antibiotics
- B. Performing daily wound debridement
- C. Keeping the ulcer covered with a sterile dressing
- D. Administering oral antibiotics prophylactically
Correct Answer: C
Rationale: Rationale:
C is correct as keeping the ulcer covered with a sterile dressing provides a barrier against pathogens, promoting wound healing and preventing infection. A (topical antibiotics) can lead to resistance and disrupt normal flora. B (daily wound debridement) may introduce pathogens and delay healing. D (oral antibiotics prophylactically) is not recommended without evidence of infection.
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During admission, the nurse needs to take the patient`s obstetric Al data. Which of the following the Most important?
- A. Laboratory results
- B. Prenatal check-up records
- C. Previous pregnancy experience
- D. Diagnostic test results
Correct Answer: C
Rationale: Step 1: Previous pregnancy experience is crucial for understanding the patient's obstetric history and potential risks.
Step 2: It helps in identifying any complications or issues that may arise during the current pregnancy.
Step 3: Laboratory results, prenatal check-up records, and diagnostic test results provide additional information but do not offer insights into the patient's past pregnancy experiences.
Summary: Choice C is the most important as it directly relates to the patient's obstetric history, while the other options focus on current data that may not provide the same level of context.
To families and individual in the community, which is the MOST important goal of health education?
- A. To study their life history
- B. To identify their weeknesses
- C. To totally change their lifestyle
- D. To motivate them to develop skills and literacy in healtth
Correct Answer: D
Rationale: The correct answer is D because health education aims to empower individuals and families to develop skills and literacy in health. This enables them to make informed decisions and take control of their health. By improving their health literacy, they can better understand health information and navigate the healthcare system effectively. This goal aligns with promoting health behavior change and long-term wellness.
A: Studying life history is not a primary goal of health education and does not directly contribute to improving health outcomes.
B: Identifying weaknesses may be a part of health assessment, but the main goal is to empower individuals with skills and knowledge to improve their health.
C: While lifestyle changes may be necessary for better health, the goal of health education is to provide individuals with the tools to make these changes, not to impose drastic transformations.
A patient presents with severe sore throat, fever, and enlarged tonsils with exudate. Rapid antigen testing confirms group A beta-hemolytic Streptococcus (GAS) infection. Which of the following medications is the first-line treatment for this condition?
- A. Amoxicillin
- B. Azithromycin
- C. Cephalexin
- D. Clindamycin
Correct Answer: A
Rationale: The correct answer is A: Amoxicillin. Amoxicillin is the first-line treatment for GAS pharyngitis due to its effectiveness against Streptococcus bacteria. It is a penicillin-class antibiotic recommended by guidelines. Azithromycin is an alternative for patients allergic to penicillin. Cephalexin is not the first-line choice for GAS. Clindamycin is reserved for patients allergic to both penicillin and macrolides.
During surgery, the nurse notices that the patient's blood pressure is trending higher than the baseline. What action should the nurse take?
- A. Administer antihypertensive medication
- B. Document the blood pressure readings in the anesthesia record
- C. Notify the anesthesia provider for further assessment
- D. Continue monitoring the patient's blood pressure closely
Correct Answer: C
Rationale: The correct answer is C: Notify the anesthesia provider for further assessment. This is the most appropriate action because an anesthesia provider is trained to assess and manage changes in blood pressure during surgery. Administering antihypertensive medication (A) without proper assessment can be dangerous. Documenting the readings (B) is important but not the immediate action. Continuing to monitor closely (D) is necessary but notifying the anesthesia provider for further assessment should be the priority.
Norse Sophie checks the gauge of the patient ' s intravenous catheter. Which is the smallest gauge catheter that the nurse can use to administer blood?
- A. 22-Gauge
- B. 20-Gauge
- C. 18-Gauge
- D. 12-Gauge
Correct Answer: B
Rationale: The correct answer is B: 20-Gauge. The smaller the gauge number, the larger the diameter of the catheter. Blood transfusions typically require a larger catheter size to prevent hemolysis and ensure proper flow. A 20-Gauge catheter is larger than 22-Gauge, 18-Gauge, and 12-Gauge, making it suitable for administering blood. 22-Gauge is too small and can cause hemolysis, 18-Gauge is smaller than the recommended size for blood transfusions, and 12-Gauge is too large and can cause damage to the vein.