As part of the teaching plan, Nurse Angie teaches that oral contraceptives contains estrogen. Which of the following is the Action of Estrogen? It inhibits the _______.
- A. GnRH thereby inhibiting FSH and LH productions.
- B. Luteinising Hormone (LH) thereby inhibiting ovulation.
- C. Testosterone production.
- D. Follicle Stimulating Hormone (FSH) thereby inhibiting maturation of ovum.
Correct Answer: A
Rationale: Estrogen exerts negative feedback on the hypothalamus by inhibiting the release of GnRH (Gonadotropin-Releasing Hormone). GnRH plays a crucial role in the regulation of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) production from the pituitary gland. By inhibiting the release of GnRH, estrogen ultimately leads to a decrease in FSH and LH levels. This process helps to suppress the maturation of the egg and ovulation, providing contraceptive effects.
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Which of the following medications is commonly used for the management of overactive bladder (OAB) symptoms such as urinary urgency and frequency?
- A. Furosemide
- B. Oxybutynin
- C. Spironolactone
- D. Finasteride
Correct Answer: B
Rationale: Oxybutynin is a medication commonly used for the management of overactive bladder (OAB) symptoms such as urinary urgency and frequency. It belongs to a class of medications known as anticholinergics, which work by relaxing the bladder muscles and reducing bladder spasms. By doing so, it helps to decrease the symptoms of OAB, including frequent urination, sudden urges to urinate, and leakage. Oxybutynin can be taken orally in tablet form, as a transdermal patch, or as a gel, providing various options for patients based on their preferences and needs. Overall, oxybutynin is an effective treatment option for individuals experiencing overactive bladder symptoms.
A postpartum client reports feeling emotional and tearful despite no apparent physical discomfort. What nursing intervention should be prioritized to address the client's emotional well-being?
- A. Providing opportunities for rest and sleep
- B. Educating the client about the "baby blues" phenomenon
- C. Encouraging the client to engage in self-care activities
- D. Referring the client to a mental health professional
Correct Answer: B
Rationale: Educating the client about the "baby blues" phenomenon should be prioritized as it is a common occurrence that happens to many women after giving birth. The "baby blues" refer to feelings of sadness, irritability, and tearfulness that many new mothers experience due to hormonal changes and the stress of adjusting to motherhood. By understanding that these feelings are a normal part of the postpartum period and that they usually resolve on their own within a few weeks, the client may feel reassured and supported. Providing information and support can help the client cope with these emotions and reduce any anxiety or distress they may be feeling. If the client's emotional state does not improve or becomes more severe, further intervention such as referring to a mental health professional may be necessary. But initially, education and reassurance about the "baby blues" can be an effective nursing intervention to address the client's emotional well-being.
A professional nurse has a duty to know and respect the Patient's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights? The right to/for ______.
- A. A considerate and respectful care
- B. Privacy and confidentiality
- C. A complete and current information about his illness
- D. Expect continuity of care from discharge to full recovery
Correct Answer: D
Rationale: While continuity of care is an important aspect of patient care, it is not explicitly included in the Patient's Bill of Rights. The Patient's Bill of Rights typically focuses on fundamental rights such as respectful care, privacy, confidentiality, and receiving complete and current information about their illness. Continuity of care is often addressed in healthcare policies and practices, but it is not a specific right outlined in the Patient's Bill of Rights.
A postpartum client who experienced a traumatic birth expresses concerns about breastfeeding difficulties and emotional distress. What nursing intervention should be prioritized to address the client's concerns?
- A. Providing emotional support and empathy for the client's experience
- B. Recommending cessation of breastfeeding to alleviate stress
- C. Encouraging the client to avoid discussing the birth experience
- D. Referring the client to a mental health professional for counseling
Correct Answer: A
Rationale: Providing emotional support and empathy for the client's experience should be prioritized to address concerns of a postpartum client who experienced a traumatic birth. Emotional support can help the client feel validated and heard, which can be instrumental in starting the healing process. By acknowledging the client's emotions and experiences, the nurse can establish trust and create a safe space for the client to express their feelings. This can also help in building a therapeutic relationship that can positively impact the client's emotional well-being. Providing a supportive environment is essential for addressing breastfeeding difficulties and emotional distress in this situation.
Because of the scarcity of nurses in the hospital settings, different service delivery models were proposed. Which Situation represents the primary nursing care delivery model?
- A. The nursing aide is assigned to make beds and other errands while the nurse is to give medications.
- B. The nurse develops a plan of care for patients and collaborates with other team members.
- C. The nurse performs all tasks needed by the individual patient to optimize health .
- D. The nurse provides care to 4 patients while the nursing aide is to care for 2 patients.
Correct Answer: C
Rationale: The primary nursing care delivery model is represented by option C, where the nurse performs all tasks needed by the individual patient to optimize health. In this model, the nurse is responsible for coordinating and providing comprehensive care to a specific group of patients throughout their stay. The primary nurse establishes a close relationship with the patient and takes accountability for their care, ensuring continuity, communication, and personalized attention. This approach emphasizes the importance of the nurse-patient relationship and holistic care delivery, which can lead to improved patient outcomes and satisfaction.