Nokea
Generally, lifestyle-related diseases share common risk factors. Which of the following is NOT one of them?
- A. Physical activity
- B. Smoking
- C. Genetics
- D. Nutrition
Correct Answer: C
Rationale: Common risk factors for lifestyle-related diseases typically include aspects of one's lifestyle that can be modified or controlled, such as physical activity, smoking habits, and nutrition. These factors can be changed to prevent or manage lifestyle-related diseases. Genetics, on the other hand, is not a modifiable risk factor, meaning it cannot be changed or controlled. Therefore, it is not considered a common risk factor for lifestyle-related diseases. Understanding the modifiable risk factors for these diseases allows for better prevention and management strategies, and helps reduce the risk of complications.
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What is the primary function of a written nursing care plan?
- A. Evaluates whether nursing care goals have been achieved
- B. Ensures the provision of quality nursing care
- C. Assists in selecting the appropriate nursing interventions
- D. Facilitates the creation of a nursing diagnosis
Correct Answer: D
Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.
Where should a nurse auscultate the apex beat?
- A. At the fifth intercostal space, along the midclavicular line
- B. At the mid-sternum
- C. 2 inches to the left of the lower end of the sternum
- D. 1 inch to the left of the xiphoid process
Correct Answer: A
Rationale: The correct location to auscultate the apex beat is at the fifth intercostal space, along the midclavicular line. This is where the apical impulse, also known as the point of maximal impulse (PMI), can be best heard. Choices B, C, and D are incorrect anatomical locations for auscultating the apex beat, which makes them incorrect choices. Auscultating at the correct location allows healthcare providers to assess the heart's function and detect any abnormalities in heart sounds, which is crucial for comprehensive patient care.
Which individual would be at the greatest risk for deficiencies in water-soluble vitamins?
- A. An individual who regularly consumes fruits and vegetables.
- B. An individual with a high intake of dairy products.
- C. An individual who consumes a diet high in processed foods.
- D. An individual who frequently eats organ meats.
Correct Answer: C
Rationale: The correct answer is 'An individual who consumes a diet high in processed foods.' Processed foods are often deficient in water-soluble vitamins such as vitamin C and B vitamins, which can lead to deficiencies. On the other hand, fruits, vegetables, and organ meats are rich sources of these vitamins, so individuals who consume these regularly are less likely to develop deficiencies. While dairy products do contain some water-soluble vitamins, they are not depleted as quickly as they are in a diet high in processed foods, making a deficiency less likely.
24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?
- A. Pink, moist, and slightly protruding from the abdomen
- B. Gray, moist, and slightly protruding from the abdomen
- C. Pink, dry, and slightly protruding from the abdomen
- D. Red, moist, and slightly protruding from the abdomen
Correct Answer: A
Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.
In which of the following conditions does a person need to sit, stand, or use multiple pillows when lying down?
- A. Orthopnea
- B. Dyspnea
- C. Eupnea
- D. Apnea
Correct Answer: A
Rationale: The correct answer is Orthopnea. Orthopnea is a medical condition in which a person has difficulty breathing while lying down. To alleviate this difficulty, the person may need to sit, stand, or use multiple pillows. On the other hand, Dyspnea refers to general shortness of breath which is not specifically related to the position of the body. Eupnea is the term for normal, unlabored breathing, and Apnea is a condition characterized by the cessation of breathing. Thus, none of these other choices directly relate to the need to adjust body position or use aids like multiple pillows to breathe comfortably when lying down.