Nokea
A patient with terminal cancer experiences dyspnea and anxiety. Which intervention should the palliative nurse prioritize to address the patient's symptoms?
- A. Administer oxygen therapy to relieve dyspnea.
- B. Encourage the patient to practice relaxation techniques.
- C. Prescribe opioid medications for symptom management.
- D. Refer the patient to a respiratory therapist for breathing exercises.
Correct Answer: C
Rationale: When a patient with terminal cancer experiences dyspnea (difficulty breathing) and anxiety, opioid medications are often prioritized by palliative care providers for symptom management. Opioids are effective in relieving dyspnea by acting as respiratory depressants and reducing the feeling of air hunger. Additionally, opioids have sedative effects that can help alleviate anxiety and promote relaxation. Therefore, in this situation, prescribing opioid medications would be the most appropriate intervention to address both the dyspnea and anxiety symptoms simultaneously. Oxygen therapy, relaxation techniques, and breathing exercises may also be useful adjunctive interventions, but opioid medications are typically prioritized for immediate symptom relief in this context.
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After the successful vaginal1 delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will
- A. promote vasoconstriction of uterine muscles
- B. hasten uterine contractility and control bleeding
- C. facilitate the return of pre pregnancy vital signs
- D. promote vasodilation of uterine muscles
Correct Answer: B
Rationale: The medication given after a successful vaginal delivery that helps to hasten uterine contractility and control bleeding is typically an oxytocic agent, such as oxytocin. Oxytocin helps the uterus to contract effectively, which is important for preventing excessive bleeding after delivery. This medication is commonly used in the postpartum period to help the uterus return to its normal size and position. The supervisor reassured the newly hired nurse that everything will be fine because this medication will help promote uterine contractions and control bleeding, which are crucial steps in the postpartum management.
When a patient is admitted to the OB ward with complains of dizziness and body weakness, this is an example of______.
- A. secondary source
- B. objective data
- C. primary source
- D. Subjective data
Correct Answer: D
Rationale: When a patient is admitted to the OB ward with complaints of dizziness and body weakness, this information pertains to what the patient is feeling or experiencing, which is subjective data. Subjective data is based on the patient's symptoms, feelings, and experiences as reported by the patient themselves. In this case, dizziness and body weakness are subjective symptoms described by the patient, and they cannot be objectively measured or quantified. It is essential for healthcare providers to consider subjective data along with objective data (measurable and observable signs) when assessing and diagnosing a patient's condition.
Nurse Noli should include in his teachings the following EXCEPT:
- A. Less saturated fat
- B. Weight within normal limits
- C. Exercise regularly
- D. More fats in the diet
Correct Answer: D
Rationale: Nurse Noli should include in his teachings less saturated fat, maintaining weight within normal limits, and exercising regularly as these are all components of a healthy lifestyle. However, including "more fats in the diet" goes against the principles of healthy eating and weight management. Consuming excessive amounts of fats, especially unhealthy saturated fats, can contribute to various health issues such as obesity, cardiovascular diseases, and other medical conditions. Therefore, it is crucial for Nurse Noli to emphasize reducing saturated fat intake rather than promoting more fats in the diet for overall health and wellness.
Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession.
- A. Faithfully promotes health and prevents desease.
- B. Frequently assists in providing health services.
- C. Fairly evaluates health programs and initiatives.
- D. Collaborates and works with barangay officials.
Correct Answer: A
Rationale: The primary indicator that Nurse Mary observes FIDELITY in the practice of her profession is that she faithfully promotes health and prevents disease. Fidelity in nursing practice refers to being faithful, loyal, and committed to providing the best care and services to patients. By faithfully promoting health and preventing disease, Nurse Mary demonstrates her dedication to her profession, her patients, and the community she serves. This commitment includes following evidence-based practices, upholding ethical standards, being honest and trustworthy, and ensuring the well-being of those under her care. Ultimately, fidelity in nursing practice builds trust and confidence among patients, families, and colleagues, leading to better health outcomes and a stronger healthcare system.
Which of the following dental conditions is characterized by the irreversible demineralization of the enamel and dentin, leading to cavitation and destruction of tooth structure?
- A. Gingivitis
- B. Dental caries
- C. Periodontitis
- D. Dental abscess
Correct Answer: B
Rationale: Dental caries, commonly known as tooth decay, is characterized by the irreversible demineralization of the enamel and dentin due to acids produced by bacterial activity. This process leads to cavitation and destruction of the tooth structure, ultimately resulting in the formation of a cavity. Gingivitis is inflammation of the gums, periodontitis is inflammation and infection of the supporting structures of the teeth (gums, bone, and ligaments), and a dental abscess is a collection of pus in the tissues surrounding the tooth, none of which are specifically related to the irreversible demineralization of enamel and dentin seen in dental caries.