Nokea
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
- A. reassures her that this is a normal phenomenon of temper tantrum
- B. seek more history regarding other skills and developmental domains
- C. refer her to pediatric psychiatry
- D. investigate social issues of the family
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
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A client is being returned to the room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?
- A. Indwelling urinary catheter kit
- B. Cardiac monitor
- C. Tracheostomy set
- D. Humidifier
Correct Answer: C
Rationale: Following a subtotal thyroidectomy, there is a risk of airway compromise and difficulty breathing due to the close proximity of the surgical site to the trachea. In case of swelling or other complications leading to airway obstruction, having a tracheostomy set readily available at the client's bedside is crucial for quick and efficient management of any respiratory distress. This equipment allows the healthcare team to establish a secure airway if needed, ensuring the client's safety and minimizing the risk of respiratory compromise post-operatively. The other equipment choices are important but having a tracheostomy set is the most critical for this particular situation to address potential airway issues promptly.
Which characteristics could the nurse expect when observing Mr. Gil? a.Transient ischemic attacks
- A. Remissions & exacerbations
- B. Rapid deterioration of mental functioning because of arteriosclerosis
- C. Slowly progressive deficits in intellect, which may be noted for a long time HEMATOLOGY SITUATION: Aisa, is a 4-year old with severe anemia. She is seen by the nurse in the clinic.
Correct Answer: C
Rationale: The question is asking about the characteristics the nurse might expect to observe in Mr. Gil. Given the information provided, Mr. Gil's possible condition can be related to a slowly progressive deficit in intellect. This might manifest as cognitive decline, memory issues, and other intellectual challenges over an extended period of time. This description aligns with conditions such as dementia or Alzheimer's disease, which are characterized by a gradual decline in cognitive abilities rather than rapid deterioration (as in option B) or transient episodes (as in option A). Therefore, option C is the most likely characteristic the nurse could expect when observing Mr. Gil.
Where in the health history should the nurse describe all details related to the chief complaint?
- A. Past history
- B. Chief complaint
- C. Present illness
- D. Review of systems
Correct Answer: C
Rationale: The nurse should describe all details related to the chief complaint under the "Present illness" section of the health history. This section focuses specifically on the patient's current health problem, including the onset, duration, severity, aggravating or alleviating factors, and associated symptoms. It provides a comprehensive understanding of the chief complaint and helps guide further assessment and treatment interventions. The "Chief complaint" section typically contains a concise statement from the patient regarding the main reason for seeking healthcare.
Nurse Melanie is teaching an adult class about the different types of hepatitis. Which statement does not pertain to hepatitis A?
- A. "Is caused by an RNA virus of the enterovirus family."
- B. "It spreads primarily by fecal-oral route, usually through the ingestion of infcetd food or liquids."
- C. "It may not be spread from sexual contact."
- D. "Type A hepatitis occurs worldwide, especially in areas with overcrowding and poor sanitation."
Correct Answer: A
Rationale: Statement A is incorrect because hepatitis A is not caused by an RNA virus of the enterovirus family. Instead, hepatitis A is caused by the hepatitis A virus (HAV), which belongs to the Picornaviridae family. Hepatitis A is primarily spread through the fecal-oral route, usually through the ingestion of contaminated food or water. Additionally, hepatitis A can be transmitted through close personal contact and sexual contact. While hepatitis A occurs worldwide, it is more prevalent in areas with poor sanitation and overcrowding.
Prenatal changes associated with maternal diabetes include all the following EXCEPT
- A. shorter birth length
- B. lower neonatal neurodevelopmental status
- C. reduced milk production of the most times
- D. increased neonatal learning problems
Correct Answer: C
Rationale: Reduced milk production is not directly associated with maternal diabetes.