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In public education on Typhoid fever, the condition mainly spreads through:
- A. Contaminated air
- B. Mineral water
- C. Contaminated food and water
- D. All of the above
Correct Answer: C
Rationale: Typhoid fever is primarily spread through contaminated food and water, usually due to poor sanitation practices. The bacteria responsible for typhoid fever, Salmonella Typhi, is typically found in food or water contaminated by the feces of an infected person. Contaminated air is not a significant mode of transmission for typhoid fever, making choice A incorrect. While waterborne transmission can occur, it is through contaminated water rather than specifically mineral water, making choice B incorrect. Therefore, the correct answer is C, as contaminated food and water are the main sources of transmission for typhoid fever.
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What is the pattern of fever in enteric fever?
- A. Intermittent fever
- B. Relapsing fever
- C. Pel-Ebstein fever
- D. Continuous fever
Correct Answer: D
Rationale: Enteric fever, caused by Salmonella typhi or paratyphi, is characterized by a continuous fever pattern. The fever typically persists without significant fluctuations, distinguishing it from diseases with intermittent or relapsing fever patterns. Pel-Ebstein fever, a cyclic pattern of fever seen in Hodgkin's lymphoma, is not associated with enteric fever. Relapsing fever is a characteristic of diseases like Borrelia recurrentis infection. Intermittent fever is seen in conditions like malaria.
Which behavior is most indicative that a 2-year-old is experiencing the initial phase of separation anxiety because his parents cannot stay all day at the hospital with him?
- A. He withdraws from the nursing staff.
- B. He cries when his parents leave.
- C. He lies quietly in bed.
- D. He cries when his parents arrive.
Correct Answer: B
Rationale: The most indicative behavior of a 2-year-old experiencing the initial phase of separation anxiety due to parents not staying all day at the hospital is crying when his parents leave. This behavior is a common manifestation of separation anxiety in children, as they struggle with the absence of their primary attachment figures. Choices A, C, and D are less indicative because withdrawing from the nursing staff, lying quietly in bed, or crying when parents arrive do not specifically demonstrate the distress caused by separation from parents, which is the hallmark of separation anxiety in children.
A healthcare provider is educating a new mother on discharge. They told the mother to look for the following danger signs.
- A. Poor Feeding
- B. High Temperature
- C. Convulsions
- D. All of the Above
Correct Answer: D
Rationale: It is crucial for new mothers to be aware of potential danger signs after discharge. Poor feeding, high temperature, and convulsions are all critical symptoms that should prompt immediate medical attention. Poor feeding may indicate issues with feeding or underlying health problems. High temperature could be a sign of infection or illness. Convulsions are a serious symptom that could indicate neurological problems or other medical emergencies. By being vigilant and recognizing these signs early, the mother can help ensure the well-being of her newborn. Therefore, the correct answer is 'All of the Above' as all these signs require prompt medical attention to ensure the baby's health and safety.
What is the most important intervention to decrease the stressors of hospitalization for a 9-month-old infant being treated for a bacterial infection?
- A. Encourage the infant's parents to remain at the bedside and actively participate in the infant's care.
- B. Provide a brightly lit environment for the infant.
- C. Play tapes of the mother's voice.
- D. Assign the same nurse to the infant as much as possible.
Correct Answer: A
Rationale: Encouraging the infant's parents to remain at the bedside and actively participate in the infant's care is crucial in decreasing the stressors of hospitalization for the infant. Parental presence provides comfort and security, promotes bonding, and maintains a sense of familiarity for the infant during a potentially stressful situation. This involvement can help reduce anxiety and promote better outcomes for the infant's emotional well-being and overall hospital experience. Providing a brightly lit environment (choice B) can actually increase stress for the infant, as infants generally prefer dimly lit environments for better sleep. Playing tapes of the mother's voice (choice C) may offer some comfort but does not substitute for parental presence. While assigning the same nurse to the infant (choice D) can provide continuity of care, it is not as effective as having the parents present for emotional support and bonding.
During a well-child visit, a 10-year-old child is found to be above the 95th percentile for weight and reports watching more than two hours of television daily. An appropriate nursing diagnosis for this child is:
- A. Imbalanced Nutrition: More than body requirements
- B. Altered Growth and Development
- C. Ineffective Coping
- D. Altered Family Processes
Correct Answer: A
Rationale: The correct nursing diagnosis for a 10-year-old child who is above the 95th percentile for weight and watches more than two hours of television daily would be 'Imbalanced Nutrition: More than body requirements.' This diagnosis reflects the excessive intake of nutrients compared to the child's energy expenditure, which can contribute to weight gain. 'Altered Growth and Development' (choice B) is not the most appropriate diagnosis in this scenario, as the primary concern is related to nutrition and sedentary behavior rather than developmental issues. 'Ineffective Coping' (choice C) and 'Altered Family Processes' (choice D) are also not relevant to the child's weight status and television habits. Monitoring and addressing the child's dietary habits and sedentary behavior are essential to promote a healthier lifestyle and prevent further weight-related issues.