Nokea
A postpartum client who delivered vaginally reports difficulty emptying the bladder completely and experiences urinary frequency. What nursing intervention should be prioritized to address this issue?
- A. Assessing for signs of urinary retention or bladder distention
- B. Encouraging the client to increase fluid intake to promote urination
- C. Recommending the use of warm compresses to the suprapubic area
- D. Teaching the client pelvic floor exercises to improve bladder control
Correct Answer: A
Rationale: The priority nursing intervention in this situation is to first assess the client for signs of urinary retention or bladder distention. Difficulty in emptying the bladder completely and experiencing urinary frequency can be indications of urinary retention, which can lead to bladder distention and possible complications such as urinary tract infection. By assessing the client, the nurse can determine the cause of the issue and implement appropriate interventions. It is crucial to address potential complications promptly to promote the client's health and well-being postpartum. Once the assessment is completed, further interventions such as recommending appropriate measures, like warm compresses or pelvic floor exercises, can be considered based on the assessment findings.
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It a medicine is unavailable and therefore not given to the patient, how is it charted?
- A. Leave it blank.
- B. Sign and make an explanation in the Nurses Notes.
- C. With an asterisk or mark, as per hospital protocol.
- D. Write the letter.
Correct Answer: B
Rationale: When a medication is unavailable and therefore not given to the patient, it is important to document this in the Nurses Notes along with an explanation. Leaving it blank (Option A) may lead to confusion or errors as the reason for not administering the medication would not be clear. Using an asterisk or mark as per hospital protocol (Option C) may not provide enough information about why the medication was missed. Writing the letter (Option D) without any explanation would not suffice in terms of documentation and accountability. Therefore, signing and making an explanation in the Nurses Notes (Option B) is the correct way to chart when a medication is unavailable. This ensures proper documentation of the situation and helps in maintaining the continuity of care for the patient.
A patient with a history of rheumatoid arthritis presents with acute pain and swelling of the wrist joint. Physical examination reveals ulnar deviation of the fingers and swan-neck deformity of the digits. Which imaging modality is most appropriate for further evaluation of wrist involvement in rheumatoid arthritis?
- A. X-ray
- B. Magnetic resonance imaging (MRI)
- C. Ultrasound
- D. Dual-energy X-ray absorptiometry (DEXA) scan
Correct Answer: A
Rationale: X-ray is the most appropriate imaging modality for evaluating wrist involvement in rheumatoid arthritis. It can show joint space narrowing, erosions, soft tissue swelling, and periarticular osteopenia. X-rays are readily available, cost-effective, and provide valuable information about joint damage and disease progression in rheumatoid arthritis. In this case, X-ray would be able to confirm the presence of erosions, joint deformities, and assess the severity of the disease in the wrist joint. While MRI and ultrasound can also be helpful in evaluating rheumatoid arthritis, X-ray remains the initial imaging modality of choice due to its convenience and ability to assess bony changes. Dual-energy X-ray absorptiometry (DEXA) scan is not indicated for evaluating wrist involvement in rheumatoid arthritis.
The patient asks what is a normal thyroid state? The best response is __________.
- A. Euthyroid
- B. Hyperthyroid
- C. Parathyroid
- D. Panthroid
Correct Answer: A
Rationale: A normal thyroid state is referred to as euthyroid, which means the thyroid gland is functioning within normal parameters and the levels of thyroid hormones in the body are balanced. In contrast, hyperthyroid refers to an overactive thyroid gland, causing excessive production of thyroid hormones, while parathyroid is a different gland responsible for regulating calcium levels in the body. Panthroid is not a recognized medical term related to thyroid function. Therefore, the best response to the patient's question about the normal thyroid state is "Euthyroid."
A patient with osteoarthritis of the knee experiences persistent pain and functional limitation despite conservative management. Which surgical procedure is commonly performed to alleviate symptoms and improve function in such cases?
- A. Total knee arthroplasty (TKA)
- B. High tibial osteotomy (HTO)
- C. Knee arthroscopy
- D. Meniscectomy
Correct Answer: A
Rationale: Total knee arthroplasty (TKA), also known as total knee replacement, is a surgical procedure commonly performed to alleviate symptoms and improve function in patients with advanced osteoarthritis of the knee that has not responded to conservative management. During TKA, the damaged cartilage and bone in the knee joint are removed and replaced with prosthetic components. This procedure aims to reduce pain, restore function, and improve the quality of life for individuals with severe osteoarthritis of the knee. High tibial osteotomy (HTO) is typically performed in younger patients with unicompartmental osteoarthritis, while knee arthroscopy and meniscectomy are more targeted towards specific knee conditions and may not provide significant relief in cases of advanced osteoarthritis.
Which among the following is TRUE about mother and child health in the Philippines (among ASEAN) that can be addressed by the Universal Health Law? I. Fastest decline in maternal mortality rate II. Number one highest in infant mortality rate III. Fastest rising HIV/AIDS IV. Highest TB burden
- A. II, III, IV
- B. I, II
- C. I, II, III
- D. III, IV
Correct Answer: C
Rationale: The options provided focus on specific health indicators related to mother and child health in the Philippines among ASEAN countries that can be addressed by the Universal Health Law.