Nokea
Endocrine changes often result in a bulimic patient. Which of the following would be an expected change in Sherry?
- A. Delayed Thyroid Stimulating Hormone response to Hormone Replacement Therapy
- B. Increased production of Follicle Stimulating Hormone
- C. Hypopituitarism
- D. Decreased Adrenocorticotropic Hormone in response to cortisone
Correct Answer: C
Rationale: Endocrine changes in a bulimic patient, such as Sherry, can lead to disruptions in the pituitary gland's function. Hypopituitarism refers to a disorder in which the pituitary gland does not produce one or more of its hormones adequately. This can result in hormonal imbalances and have various effects on the body's functions. In Sherry's case, developing hypopituitarism would be an expected change due to the endocrine disruptions associated with bulimia. It is important for healthcare providers to monitor and address these endocrine changes in bulimic patients to prevent further complications.
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During surgery, the nurse observes an unusual odor emanating from the surgical site. What should the nurse do?
- A. Document the observation in the patient's chart
- B. Ignore the odor and continue with the procedure
- C. Inform the surgeon immediately and assess for signs of infection
- D. Request additional suctioning to remove the odor
Correct Answer: C
Rationale: If the nurse observes an unusual odor emanating from the surgical site during surgery, it is important to inform the surgeon immediately and assess for signs of infection. Changes in odor can sometimes be an early sign of infection, which requires prompt attention and intervention. By communicating with the surgeon and conducting a thorough assessment, the nurse can help ensure the timely detection and management of any potential complications, such as infection, that may be affecting the patient's surgical outcome. Prompt action in response to unusual observations is crucial to maintaining patient safety and well-being during surgical procedures.
While performing the assessment your are guided that the organs found in the epigastrium include which of the following?
- A. Protion of duodenum & jejunum, left kidney, appendix & ovary
- B. Duodenum, pancreas, portion of the liver and pyloric end of the stomach.
- C. Stomach, spleen, tail of pancreas and adrenal gland
- D. Gallblader, duodenum, gallbladder and portion of the right kidney.
Correct Answer: B
Rationale: The epigastrium is the upper middle region of the abdomen, lying above the umbilical region and between the hypochondriac regions. It contains several organs including the duodenum, pancreas, portion of the liver, and the pyloric end of the stomach. The duodenum is the first part of the small intestine, the pancreas is a crucial organ for digestion and hormone regulation, the liver aids in digestion and detoxification, and the pyloric end of the stomach connects the stomach to the small intestine for further digestion and absorption of nutrients. These organs are typically assessed and examined when focusing on the epigastrium during a physical examination.
Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?
- A. District hospital
- B. Rural health unit
- C. Puereculture Center
- D. Barangay health station
Correct Answer: A
Rationale: A district hospital is an example of a secondary health facility. Secondary health facilities are the intermediate level of healthcare services, providing a higher level of care compared to primary health facilities like rural health units and barangay health stations. District hospitals typically offer more specialized medical services, diagnostic facilities, and inpatient care that are not available at lower-level health facilities. When Nurse Vince refers a patient to a district hospital, it means that the patient requires more extensive and specialized medical care beyond what can be provided at the primary level of care.
Population structure is a diagram of population typically presented in a pyramid-like style format based on ___________.
- A. Sex and educational attainment
- B. Age and civil status
- C. Age and fertility
- D. Age and sex
Correct Answer: D
Rationale: Population structure is a diagram that presents the distribution of a population based on age and sex. It is typically displayed in a pyramid-like style format, with the horizontal axis showing the age groups and the vertical axis showing the percentage or number of individuals in each age group, divided by sex. This helps to visualize how the population is distributed in terms of age and sex, providing important insights into demographic trends, such as age dependency ratio and potential future trends in population growth or decline. Age and sex are the key demographic variables used to construct a population structure diagram.
A patient has been advised by the psychiatrist that he needs inpatient hospitalization. The patient agrees, signs the admission forms, and agrees to receive treatment. What type of admission is this?
- A. Formal
- B. Informal
- C. Voluntary
- D. Involuntary
Correct Answer: C
Rationale: This type of admission is considered voluntary because the patient willingly agrees to be admitted to the hospital for treatment. The patient has signed the admission forms and consented to receive the necessary care, indicating a willingness to participate in their treatment plan. In a voluntary admission, the individual retains the right to make decisions about their treatment and can choose to leave the hospital against medical advice if they wish to do so.