Nokea
In order to PREVENT the spread of Scabies infestation to other residents in the community, Nurse Emma should teach the family, which of the following?
- A. Boil the utensils used by the patients
- B. Avoid sharing items used by the infected person.
- C. Take a bath three or more times a day.
- D. Wear mask and shield at all times even at home.
Correct Answer: B
Rationale: The correct answer is to avoid sharing items used by the infected person in order to prevent the spread of Scabies infestation to other residents in the community. Scabies is a highly contagious skin infestation caused by the Sarcoptes scabiei mite, and it can easily spread through direct skin-to-skin contact or by sharing personal items such as clothing, towels, and bedding. By advising the family to avoid sharing items used by the infected person, Nurse Emma is helping to prevent the transmission of the mites to others in the community. Boiling utensils, taking excessive baths, or wearing masks and shields are not necessary preventive measures for scabies infestation.
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The patient 's wife is-so anxious about the condition of her husband. The MOST appropriate INITIAL intervention for the nurse to make is to ________.
- A. describe her husband 's medical treatment since admission
- B. reassure her that the important fact is her presence
- C. explain the nature of the injury and reassure her that husband's condition is stable
- D. allow her to verbalize her feelings and concerns
Correct Answer: C
Rationale: In situations where a patient's family member is expressing anxiety about their loved one's condition, it is important for the nurse to provide clear and accurate information about the patient's status. By explaining the nature of the injury and reassuring the wife that her husband's condition is stable, the nurse can help alleviate her anxiety and address her concerns in a meaningful way. This intervention focuses on open communication and providing emotional support, which are crucial in helping the family member cope with the situation. It is essential to establish trust and create a supportive environment for the family member during this stressful time.
A woman in active labor is experiencing umbilical cord prolapse. What is the priority nursing action?
- A. Elevating the mother's hips to relieve pressure on the cord
- B. Preparing for immediate cesarean section
- C. Administering intravenous fluids rapidly
- D. Applying external fetal monitoring to assess fetal heart rate
Correct Answer: B
Rationale: In the case of umbilical cord prolapse, the priority nursing action is to prepare for an immediate cesarean section. Umbilical cord prolapse is a serious obstetric emergency where the umbilical cord slips through the cervix ahead of the presenting part of the fetus. This can lead to compression of the cord, compromising fetal blood flow and oxygenation. Immediate delivery via cesarean section is necessary in order to prevent fetal hypoxia and avoid potential complications such as brain damage or death. Elevating the mother's hips or administering intravenous fluids rapidly may be interventions done in conjunction with preparing for a cesarean section, but the priority remains expedited delivery of the baby. Applying external fetal monitoring is not the most appropriate action in this emergency situation.
A pregnant woman presents with sudden onset of severe abdominal pain and dark red vaginal bleeding at 28 weeks gestation. On examination, the uterus is tender, and the fundus feels firm. Which of the following conditions is the most likely cause of these symptoms?
- A. Ectopic pregnancy
- B. Threatened abortion
- C. Placenta previa
- D. Abruptio placentae
Correct Answer: D
Rationale: The most likely cause of the sudden onset of severe abdominal pain and dark red vaginal bleeding with a tender, firm uterus at 28 weeks gestation is abruptio placentae. Abruptio placentae, also known as placental abruption, is the premature separation of the placenta from the uterine wall before delivery. This condition can be life-threatening to both the mother and the fetus, as it can lead to severe bleeding and compromise the oxygen and nutrients supply to the fetus. The presentation typically includes severe abdominal pain, dark red or maroon vaginal bleeding, uterine tenderness, and a firm uterus due to the blood accumulation behind the placenta. Prompt recognition and intervention are crucial to prevent adverse maternal and fetal outcomes.
The inappropriate use of restraints or seclusion is considered which form of intentional tort?
- A. False imprisonment
- B. Assault
- C. Battery
- D. Causation
Correct Answer: A
Rationale: The inappropriate use of restraints or seclusion is considered a form of false imprisonment, which is an intentional tort. False imprisonment occurs when someone intentionally restricts another person's freedom of movement without their consent or legal justification. In healthcare settings, using restraints or seclusion inappropriately on a patient can constitute false imprisonment if it is not done for the safety of the patient or others and without proper authorization. This act can lead to legal consequences and liabilities for healthcare providers.
Which of the following herbal medicines is recommended by the department for cough?
- A. Sambong
- B. Bawang
- C. Guava
- D. Lagundi
Correct Answer: D
Rationale: The herbal medicine recommended by the Department of Health for cough is Lagundi (scientific name: Vitex negundo). Lagundi has been found to have properties that can help relieve cough, asthma, and other respiratory conditions. It has been traditionally used as a natural remedy for these purposes and has gained recognition for its effectiveness in managing cough symptoms. Additionally, Lagundi is also known for its anti-inflammatory and analgesic properties, further supporting its use in addressing respiratory ailments.