Nokea
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.
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A patient presents with sudden-onset severe headache, altered mental status, and focal neurological deficits. Imaging reveals a hemorrhagic lesion within the right basal ganglia. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Ischemic stroke
- B. Subarachnoid hemorrhage
- C. Intracerebral hemorrhage
- D. Transient ischemic attack (TIA)
Correct Answer: C
Rationale: Intracerebral hemorrhage occurs when there is bleeding directly into the brain tissue, often due to conditions such as hypertension or vascular malformations. The sudden-onset severe headache, altered mental status, and focal neurological deficits described in the patient are typical symptoms of an intracerebral hemorrhage. The location of the hemorrhagic lesion within the right basal ganglia corresponds to the clinical presentation. Ischemic stroke, subarachnoid hemorrhage, and transient ischemic attack (TIA) typically have different presentations and imaging findings compared to an intracerebral hemorrhage. Therefore, in this scenario, intracerebral hemorrhage is the most likely cause of the patient's symptoms.
A 24-year-old woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. On pelvic examination, tender nodules are palpated along the uterosacral ligaments. Which of the following conditions is most likely to be responsible for these findings?
- A. Pelvic inflammatory disease (PID)
- B. Endometriosis
- C. Ovarian cyst rupture
- D. Uterine fibroids
Correct Answer: B
Rationale: The symptoms of cyclic pelvic pain, dysmenorrhea (painful menstruation), dyspareunia (painful intercourse), and tender nodules along the uterosacral ligaments are classic findings associated with endometriosis. In endometriosis, tissue similar to the lining of the uterus (endometrium) grows outside the uterus, commonly on the ovaries, fallopian tubes, and pelvic peritoneum. The presence of tender nodules along the uterosacral ligaments is known as "nodularity" and is a characteristic feature of advanced endometriosis. It occurs due to the formation of endometrial implants that respond to hormonal changes during the menstrual cycle, resulting in inflammation, scarring, and pain in affected areas.
Twelve hours after vaginal delivery, Nurse Kayla palpates the fundus of a primiparous patient and finds it to be firm, above the umbilicus and deviated to the right. What is the BEST thing for Nurse Kayla to do for the patient?
- A. Contact the physician for an order of methylergonovine
- B. Gently massage the fundus to expel the clots
- C. Encourage patient to ambulate and to void
- D. Document this is a normal finding in the patient's records
Correct Answer: C
Rationale: The best thing for Nurse Kayla to do for the patient is to encourage her to ambulate and to void. In this scenario, the fundus being firm, above the umbilicus, and deviated to the right indicates uterine atony with a full bladder. This finding is suggestive of a distended bladder pushing the uterus upwards and to the right. Encouraging the patient to ambulate helps promote uterine contractions, which can aid in the firming up of the uterus. Additionally, emptying the bladder will help the uterus to contract and return to its midline position. This intervention is non-invasive and promotes normal postpartum recovery without the need for medication or excessive manipulation.
Nurse Rey with the members of the team. from a tertiary hospital is going for their annual outreach program Operation TULI". There were 3000 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey, was asked to participate in per forming circumcision with the rest of the doctors. Nurse Rey can be 1iable of committing
- A. assault
- B. tort
- C. invasion of privacy
- D. malpractice
Correct Answer: D
Rationale: Nurse Rey can be liable of committing malpractice by performing circumcisions without the proper training, qualifications, and legal authority to do so. Malpractice refers to negligence or failure to provide a standard level of care that results in harm to a patient. In this case, Nurse Rey participating in performing circumcisions may not have the necessary skills and expertise compared to the doctors who are trained to perform such procedures. This can lead to potential harm or complications for the patients, making it a case of malpractice.
Which information about the nature of dengue fever the nurse should relay to the community?
- A. It is always life threatening
- B. It could be deadly but preventable
- C. It could responds well to antibiotics
- D. The incubation period is variable
Correct Answer: B
Rationale: The correct information about the nature of dengue fever that the nurse should relay to the community is that it could be deadly but preventable. Dengue fever is a viral infection spread by mosquitoes, particularly the Aedes aegypti mosquito. While many cases of dengue fever are mild, it can also lead to severe dengue, which can be life-threatening if not properly managed. However, preventive measures such as using mosquito repellent, wearing protective clothing, and eliminating breeding sites for mosquitoes can significantly reduce the risk of contracting dengue fever. Therefore, it is important for the community to be aware that while dengue fever can be deadly, it is also preventable with appropriate measures.