Nokea
A safe patient environment includes following factors EXCEPT
- A. Socio-economic needs
- B. sanitation is maintained
- C. basic needs are met
- D. physical hazards are reduced
Correct Answer: A
Rationale: A safe patient environment should address the physical, emotional, and psychological well-being of the patient. While socio-economic needs are important for overall patient care, they are not directly related to creating a safe environment within a healthcare setting. Factors such as maintaining sanitation, meeting basic needs, and reducing physical hazards are crucial to ensuring the safety and well-being of patients. However, addressing socio-economic needs falls more within the realm of holistic patient care beyond just the physical safety aspect.
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A postpartum client who delivered preterm expresses concern about breastfeeding her premature infant. What nursing intervention should be prioritized to support successful breastfeeding in this situation?
- A. Providing education on strategies for initiating and maintaining milk supply
- B. Recommending the use of supplemental formula feedings to ensure adequate nutrition
- C. Encouraging the client to postpone breastfeeding until the infant reaches full term
- D. Referring the client to a lactation consultant for specialized support
Correct Answer: A
Rationale: Providing education on strategies for initiating and maintaining milk supply should be prioritized to support successful breastfeeding in this situation. Preterm infants can benefit significantly from breast milk due to its unique composition that supports their growth and development. Educating the client on techniques such as pumping to establish and maintain milk supply, proper latching techniques, and understanding the benefits of breastfeeding for preterm infants can help alleviate her concerns and increase her confidence in breastfeeding her premature infant. Additionally, promoting skin-to-skin contact and frequent feedings can also help stimulate milk production and foster bonding between the mother and infant. Encouraging and supporting the client with evidence-based information will be crucial in promoting successful breastfeeding outcomes for the preterm infant.
A patient expresses frustration with the lack of information provided by the healthcare team. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that the healthcare team is doing their best.
- B. Listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The best response for the nurse in this situation would be to listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue. It is important for healthcare providers to validate the patient's feelings and actively work towards resolving any issues that are causing frustration. By being empathetic and willing to address the problem, the nurse can help improve the patient's experience and build trust in the healthcare team. Dismissing or ignoring the patient's frustration can lead to further dissatisfaction and breakdown in communication. It is crucial for healthcare providers to prioritize open communication and address any concerns or lack of information promptly.
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 description provided is classical for fungal keratitis. Fungal keratitis typically presents with a yellowish-white spot on the cornea, often surrounded by a ring of inflammation. Branching, filamentous opacities extending from the corneal lesion are commonly seen on slit-lamp examination in cases of fungal keratitis. This condition is often associated with risk factors such as trauma with organic material or contact lens wear. Prompt diagnosis and treatment with antifungal agents are crucial in managing fungal keratitis to prevent potential complications.
Death in clients with ALS occurs within two to three years and is attributable to ____.
- A. Fatigue
- B. Liver toxicity
- C. Respiratory failure
- D. Malnutrition
Correct Answer: C
Rationale: In clients with ALS (Amyotrophic Lateral Sclerosis), death typically occurs within two to three years of diagnosis. This is often due to progressive weakness and degeneration of the muscles involved in breathing, leading to respiratory failure. As the disease advances, the muscles responsible for breathing become increasingly compromised, eventually resulting in the inability to breathe effectively without mechanical ventilation support. Other complications such as aspiration pneumonia and malnutrition may also contribute to the decline in health. Therefore, respiratory failure is the primary cause of death in clients with ALS.
Which of the following is a common cause of secondary osteoporosis?
- A. Rheumatoid arthritis
- B. Paget's disease of bone
- C. Osteogenesis imperfecta
- D. Marfan syndrome
Correct Answer: A
Rationale: Rheumatoid arthritis is a common cause of secondary osteoporosis. Chronic inflammation in rheumatoid arthritis can lead to bone loss due to increased osteoclast activity and decreased bone formation. Patients with rheumatoid arthritis are at an increased risk for developing osteoporosis, resulting in decreased bone density and increased fracture risk. Monitoring and managing bone health is an important aspect of care for individuals with rheumatoid arthritis to help prevent osteoporosis-related complications.