Nokea
Given her problems of hyper vigilance and worry that something terrible will happen to her child, nursing interventions should be aimed at addressing her needs for _______.
- A. Love and belongingness
- B. psychological security
- C. biological integrity
- D. self-esteem
Correct Answer: B
Rationale: Nursing interventions should be aimed at addressing the mother's needs for psychological security. Hyper vigilance and excessive worry about her child's safety indicate a lack of security in her mind. By providing support, reassurance, and education, nurses can help the mother feel more secure in her role as a parent and reduce her feelings of anxiety and distress. Establishing trust and building a therapeutic relationship can also contribute to enhancing the mother's psychological security and well-being.
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Which should be emhpasize by the nurse in her health teachings
- A. Jogging a mile a day
- B. Vigourous exercise
- C. No need to diet
- D. Weight reduction
Correct Answer: D
Rationale: Weight reduction is the most important focus in the health teachings provided by the nurse. Maintaining a healthy weight is crucial for overall well-being and can significantly reduce the risk of various health conditions such as heart disease, diabetes, and certain cancers. By emphasizing weight reduction, the nurse can help improve the patient's overall health and quality of life. Jogging a mile a day and vigorous exercise are beneficial for weight management, but it is important to address the root cause of potential health problems which in this case may be excess weight. Moreover, emphasizing the importance of weight reduction does not necessarily mean encouraging extreme dieting; instead, it involves promoting a balanced and healthy approach to eating and physical activity.
Which of the following is a common complication associated with untreated clubfoot in infants?
- A. Scoliosis
- B. Hip dysplasia
- C. Osteomyelitis
- D. Cerebral palsy
Correct Answer: B
Rationale: Hip dysplasia is a common complication associated with untreated clubfoot in infants. If clubfoot is not treated promptly and properly, it can lead to abnormal development of the hip joint, resulting in hip dysplasia. This condition involves the abnormal formation of the hip socket, which can cause instability and potential dislocation of the hip joint. Early identification and treatment of clubfoot are important in preventing complications such as hip dysplasia.
A patient is going for a coronary arterial by-pass graft (CABG) due to a 4 blocked arterial blood vessels. A surgical team has been formed with the cardiac surgeon as the head. Who is the member of the health team that prepares the pre-operative orders for the patient?
- A. Cardiologist
- B. Surgeon
- C. Anesthesiologist
- D. Medical Internist
Correct Answer: C
Rationale: The member of the health team responsible for preparing pre-operative orders for a patient undergoing surgery, such as a coronary arterial bypass graft (CABG), is typically the anesthesiologist. Anesthesiologists are specialized physicians who are trained to administer anesthesia and manage the patient's well-being during surgery. They are responsible for assessing the patient's medical history, determining the appropriate anesthesia plan, and prescribing pre-operative medications. Cardiologists focus on diagnosing and treating heart conditions, surgeons perform the actual surgical procedure, and medical internists specialize in the diagnosis and non-surgical treatment of internal diseases. The anesthesiologist plays a crucial role in ensuring the safety and comfort of the patient before, during, and after surgery.
A patient presents with a Colles' fracture. What is the characteristic deformity associated with this type of fracture?
- A. Dorsal displacement of the distal fragment
- B. Ventral displacement of the distal fragment
- C. Lateral displacement of the distal fragment
- D. Medial displacement of the distal fragment
Correct Answer: A
Rationale: Colles' fracture is a type of distal radius fracture characterized by a break of the radius bone in the forearm close to the wrist. In a Colles' fracture, the distal fragment of the fractured radius bone gets displaced dorsally, meaning it shifts upwards towards the back of the hand, creating a characteristic "dinner fork" deformity when viewed from the side. This dorsal displacement results in a visible bump on the back of the wrist and a noticeable deformity when compared to the uninjured side.
When communicating with a patient who speaks a different language, what is the nurse's best approach?
- A. Use a family member or friend as an interpreter to convey information.
- B. Rely solely on written instructions to avoid language barriers.
- C. Utilize professional medical interpreters to ensure accurate communication.
- D. Speak loudly and slowly to ensure the patient understands.
Correct Answer: C
Rationale: Using professional medical interpreters is the best approach when communicating with a patient who speaks a different language. This ensures accurate communication and helps prevent misunderstandings that can have serious consequences for the patient's health. Family members or friends may not be fluent in the necessary medical terminology and could unintentionally misinterpret information. Relying solely on written instructions can also be risky as the patient may have difficulty reading or comprehending the information. Speaking loudly and slowly may come across as disrespectful and does not address the root issue of the language barrier. Professional medical interpreters are trained to facilitate effective communication between healthcare providers and patients, ensuring that the patient receives the best possible care.