Nokea
A woman in active labor is experiencing meconium-stained amniotic fluid. What is the nurse's priority action?
- A. Administer oxygen to the mother.
- B. Prepare for immediate delivery.
- C. Insert a urinary catheter to monitor urine output.
- D. Notify the neonatal resuscitation team.
Correct Answer: B
Rationale: Meconium-stained amniotic fluid indicates that the fetus may have passed stool in utero, which can lead to potential respiratory problems once born due to meconium aspiration. The priority action for the nurse in this situation is to prepare for immediate delivery to expedite the removal of the fetus from the contaminated environment and provide necessary interventions such as suctioning of the airway to prevent aspiration of meconium. Prompt delivery is crucial to minimize the risk of complications related to meconium aspiration syndrome. Administering oxygen, inserting a urinary catheter, and notifying the neonatal resuscitation team can be important subsequent actions, but the immediate focus should be on delivering the baby.
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In the performance of her role and functions a school nurse, which guiding principle should be consider very IMPORTANT?
- A. Health is an integral part of the education process.
- B. The nurse is in full authority over the children
- C. The local health authority supervises the school health
- D. School nursing is more focused on socialization
Correct Answer: A
Rationale: The guiding principle that health is an integral part of the education process is of utmost importance for a school nurse in performing their role and functions. This principle emphasizes the interconnectedness of health and academic success, highlighting that healthy students are better able to learn and succeed in school. As a school nurse, understanding and prioritizing this principle means focusing on promoting health and wellness, providing healthcare services, and implementing health education programs to support the overall well-being and academic achievement of students. By recognizing the significance of this principle, school nurses can effectively contribute to creating a healthy and supportive school environment that fosters student growth and development.
A 45-year-old woman presents with heavy menstrual bleeding and iron deficiency anemia. On pelvic examination, the uterus is enlarged, and multiple irregularly shaped masses are palpated. Which condition is most likely to be responsible for these findings?
- A. Leiomyomas (uterine fibroids)
- B. Endometrial hyperplasia
- C. Endometrial polyps
- D. Adenomyosis
Correct Answer: A
Rationale: The clinical presentation of heavy menstrual bleeding, iron deficiency anemia, an enlarged uterus, and irregularly shaped masses palpated on pelvic examination is most indicative of leiomyomas, also known as uterine fibroids. Leiomyomas are benign smooth muscle tumors that commonly occur in women of reproductive age. They can lead to heavy menstrual bleeding and iron deficiency anemia due to their size and location within the uterus. On pelvic examination, leiomyomas can be felt as irregularly shaped masses within the uterine wall. This presentation is classic for leiomyomas and distinguishes them from conditions such as endometrial polyps, endometrial hyperplasia, and adenomyosis.
She plans to interview the Psyche Nurse Manager about the patient safety practices of the nurses. What type of sampling includes those who happen to be in the conference room where the activity is scheduled?
- A. Random
- B. convenience
- C. Purposive
- D. Quota
Correct Answer: B
Rationale: Convenience sampling involves selecting participants who are readily available or easy to access. In this scenario, choosing to interview nurses who happen to be in the conference room where the activity is scheduled falls under convenience sampling as they are easily accessible at that moment. While convenience sampling may be convenient, it may introduce bias and may not represent the entire population accurately.
Which of the following substances has abnormal values EARLY in the course of multiple myeloma (MM)?
- A. Red blood cells
- B. White blood cells
- C. Immunoglobulins
- D. Platelets
Correct Answer: C
Rationale: In the early stages of multiple myeloma (MM), abnormal values are often seen in the levels of immunoglobulins. This is due to the abnormal proliferation of plasma cells in the bone marrow, leading to overproduction of monoclonal immunoglobulins (M proteins). These abnormal immunoglobulins can be detected in blood tests and are a key diagnostic feature of MM. Changes in red blood cells, white blood cells, and platelets are not typically early indicators of multiple myeloma.
The nurse instructs the patient that the BEST time for an incontinent patient to take his diuretics is
- A. Any time of the day
- B. In the morning
- C. After 4:00 PM
- D. At bedtime
Correct Answer: D
Rationale: The best time for an incontinent patient to take diuretics is at bedtime. This timing allows for increased urine production during the night, consequently reducing the need for frequent toileting during the day. By taking the diuretic at bedtime, the patient can manage their incontinence more effectively and have better rest without disruptions from frequent urination during the day.