Nokea
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses visual and motor skills in combination
- C. gross and fine motor coordination
- D. symbolic thought
Correct Answer: A
Rationale: Tower building primarily involves visual-motor coordination.
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Aling Loida, who was admitted for acute pancreatitis, starts complaining of acute abdominal pain, which of the following would be an appropriate nursing interventions by Nurse Norma?
- A. administer morphine sulfate as ordered
- B. obtain daily weights
- C. maintain Aling Loida on high calorie, high protein diet
- D. place her on supine position
Correct Answer: A
Rationale: Administering morphine sulfate as ordered would be an appropriate nursing intervention for Aling Loida who is complaining of acute abdominal pain. Morphine is a potent analgesic that can help alleviate severe pain. Pain management is crucial in acute pancreatitis to help the patient feel more comfortable and to improve their overall well-being. It is important to follow the healthcare provider's orders regarding the administration of pain medication to ensure effective pain relief for the patient.
Nearly all cervical carcinomas contain human papillomavirus (HPV). Which of the following types is never associated with such malignancy?
- A. type6
- B. type 16
- C. type 18
- D. type 31
Correct Answer: A
Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.
Mr. Umali, 52-year-old male is being evaluated for acute ulcerative colitis. im preparing Mr. Umali for a barium enema, the nurse can expect that he will be:
- A. contraindicated with cathartics
- B. given an oil retention enema the morning of the study
- C. instructed to swallow six radiopaque tablets the evening before the study
- D. positioned in ahigh fowler's position immediately following the procedure
Correct Answer: A
Rationale: In preparing a 52-year-old male patient like Mr. Umali for a barium enema to evaluate acute ulcerative colitis, the nurse can expect that he will be contraindicated with cathartics. Cathartics, which are substances that induce bowel movements, are generally contraindicated in patients being evaluated for acute colitis as they can exacerbate the condition and cause additional discomfort. In contrast, using oil retention enemas or radiopaque tablets may not be suitable for a patient with acute ulcerative colitis. Positioning in a high Fowler's position following the procedure is not related to the preparation for a barium enema in this case.
For a patient receiving furosemide, the nurse evaluates the medication as being effective if which of the following effects occurs?
- A. Urine output increased
- B. Heart rate increased
- C. Serum potassium decreased
- D. Pulse pressure increased
Correct Answer: A
Rationale: Furosemide is a loop diuretic commonly used to help the body get rid of excess salt and water through increased urine output. By inhibiting the reabsorption of sodium and chloride in the loop of Henle in the kidneys, furosemide promotes the excretion of water, sodium, chloride, and other electrolytes. Therefore, the nurse would evaluate the medication as effective if the patient experiences increased urine output, as it indicates that the furosemide is working to eliminate excess fluids from the body.
The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:
- A. ask the social worker or case manager to organize a care conference.
- B. assess the family for transportation needs.
- C. call the medical supply company to ensure delivery of home care equipment.
- D. contact the patient's school to ensure its readiness to accommodate the patient.
Correct Answer: A
Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.