Nokea
For a client having an episode of acute narrow-angle glaucoma, a nurse expects to give which of the following medications?
- A. Acetazolamide (Diamox )
- B. Furosemide (Lasix)
- C. Atropine
- D. Urokinase (Abbokinase)
Correct Answer: A
Rationale: Acute narrow-angle glaucoma is a medical emergency that requires timely intervention to reduce intraocular pressure. Acetazolamide (Diamox) is a medication commonly used to treat this condition as it works as a carbonic anhydrase inhibitor, reducing the production of aqueous humor in the eye. By reducing the production of aqueous humor, acetazolamide helps decrease intraocular pressure rapidly, which is crucial in managing acute narrow-angle glaucoma. Other options listed, such as Furosemide (Lasix), Atropine, and Urokinase (Abbokinase), are not typically used in the treatment of acute narrow-angle glaucoma.
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Patient Haydee comes to the perinatal unit of Hospital DEE. Nurse Arcee does through SCREENING assessment. Which is the Least screening assessment to be used by the nurse/
- A. Physical examination
- B. Radiologic procedures
- C. Interview
- D. Laboratory review
Correct Answer: B
Rationale: Radiologic procedures are typically not used as the least screening assessment by nurses in a perinatal unit. The nurse's initial screening assessments usually focus on gathering information through techniques such as physical examination, interviews, and reviewing laboratory results. Radiologic procedures, such as X-rays or CT scans, are usually ordered by physicians once a more specific diagnostic need has been identified, based on the initial screening assessments performed by the nurse. Therefore, in this scenario, the least screening assessment to be used by the nurse would be radiologic procedures.
The BEST example of how the nurse can create a climate in which clients do not feel threatened is by teaching on a topic about:
- A. Stress, where the nurse plays pop music throughout the first session
- B. Good nutrition, while the nurse provides a meal
- C. Exercise, where the nurse begins to share her difficulties she sometimes finds in trying to exercise
- D. Diabetes, where the nurse asks diabetics to talk to the class during the first session
Correct Answer: B
Rationale: The best example of how the nurse can create a climate in which clients do not feel threatened is by teaching on good nutrition while providing a meal. This approach not only addresses an important topic that is beneficial for the clients but also creates a comfortable and welcoming atmosphere. By offering a meal, the nurse is able to engage the clients in a familiar and non-threatening activity, making them more receptive to the information being shared. Additionally, sharing a meal can help to build rapport and create a sense of community among the clients and the nurse, leading to a more positive learning experience.
What is the qualitative method that attempts to construct the meaning of the lived experience of human phenomena?
- A. Phenomenology
- B. Ethnography
- C. Grounded theory
- D. Case study
Correct Answer: A
Rationale: Phenomenology is the qualitative method that attempts to construct the meaning of the lived experience of human phenomena. It focuses on understanding and describing individual experiences as they are lived and perceived by the person. Phenomenological research aims to uncover the essence or fundamental elements of a phenomenon by exploring the subjective experiences and perspectives of participants without imposing preconceived theories or assumptions. In essence, phenomenology seeks to capture the subjective reality and consciousness of individuals in their everyday lives.
A nurse is preparing to perform a continuous bladder irrigation (CBI) procedure for a patient following urological surgery. What action should the nurse prioritize to prevent complications during CBI?
- A. Adjusting the irrigation flow rate based on the patient's urine output
- B. Changing the irrigation solution every 24 hours to maintain sterility
- C. Using tap water for irrigation to prevent electrolyte imbalances
- D. Limiting the duration of CBI to minimize the risk of bladder distention
Correct Answer: A
Rationale: The nurse should prioritize adjusting the irrigation flow rate based on the patient's urine output to prevent complications during continuous bladder irrigation (CBI). Proper adjustment of the irrigation flow rate helps maintain adequate bladder drainage while preventing bladder distention, clot formation, and potential irrigation fluid overload. Monitoring the patient's urine output and adjusting the flow rate accordingly ensures optimal functioning of the CBI system and enhances patient safety. This proactive approach minimizes the risk of complications and promotes effective postoperative care following urological surgery.
Which of the following conditions is characterized by the presence of multiple fluid-filled sacs within the ovaries and is associated with menstrual irregularities and hyperandrogenism?
- A. Polycystic ovary syndrome (PCOS)
- B. Ovarian torsion
- C. Ovarian cyst rupture
- D. Ovarian cancer
Correct Answer: A
Rationale: Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age. It is characterized by the presence of multiple fluid-filled sacs (cysts) within the ovaries, which can be visualized on ultrasound. Women with PCOS often experience menstrual irregularities such as irregular periods or no periods, as well as symptoms of hyperandrogenism like hirsutism (excessive hair growth) and acne. Other common features of PCOS include insulin resistance and obesity. It is important to note that not all women with PCOS will have ovarian cysts, but the presence of multiple cysts is a common finding in this condition.