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Ms. Ruby 28 year old also a patient of Nurse Gladys is suffering from Rheumatic fever due to a previous streptococcal infection. In monitoring patient's status, the nurse should document which of the following TYPICAL manifestation EXCEPT ______.
- A. Increase body temperature
- B. Voluntary muscle spasm
- C. Non-pruritic rashes
- D. Migratory joint pains
Correct Answer: B
Rationale: In patients with Rheumatic fever, typical manifestations include an increase in body temperature, non-pruritic rashes, and migratory joint pains. Voluntary muscle spasm is not a typical manifestation of Rheumatic fever. The main clinical features of Rheumatic fever are related to the inflammation of the heart, joints, skin, and central nervous system. Muscle spasms are not a prominent feature of this condition. It is important for the nurse to be aware of these typical manifestations to effectively monitor and manage the patient's condition.
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Nursing programs that are based on needs assessment and needs analysis and should ne offered free is which of the following?
- A. Continuing Development Program
- B. In-service Training Program
- C. Nursing Education Program
- D. Post-graduate program
Correct Answer: C
Rationale: Nursing programs that are based on needs assessment and needs analysis are meant to provide education and training to current or aspiring nurses according to specific needs within the healthcare system. These programs are usually foundational education programs that are essential for producing competent and skilled nurses. Offering such programs for free ensures that individuals with a passion for nursing but limited financial resources can access quality education and training opportunities. This helps in bridging the gap in the healthcare workforce and ultimately contributes to the overall health and well-being of the population.
A patient with advanced heart failure expresses fear and anxiety about the progression of their illness. What is the palliative nurse's most appropriate response?
- A. Provide reassurance and minimize discussions about end-of-life care.
- B. Encourage the patient to focus on positive thoughts and avoid discussing fears.
- C. Offer empathetic listening and explore the patient's concerns about the future.
- D. Suggest distraction techniques to divert the patient's attention from their worries.
Correct Answer: C
Rationale: The palliative nurse's most appropriate response in this scenario is to offer empathetic listening and explore the patient's concerns about the future. By providing a compassionate and supportive environment for the patient to express their fears and anxieties, the nurse can help the patient feel heard and understood. This approach allows the nurse to address the patient's emotional needs and provide appropriate support to help them cope with their feelings. Avoiding discussions or minimizing the patient's concerns may invalidate their emotions and hinder the therapeutic relationship. Encouraging distraction techniques or focusing solely on positive thoughts may not address the underlying fears and anxieties that the patient is experiencing. Therefore, offering empathetic listening and exploring the patient's concerns is the most appropriate way for the nurse to provide holistic care for the patient with advanced heart failure.
Patient's health teaching for Lamotrigine (Lamictal} should include which of the following?
- A. Take each dose with food to avoid nausea.
- B. Eat a balanced diet to avoid weight gain.
- C. Report any rashes to your doctor immediately.
- D. This drug may cause psychological dependence.
Correct Answer: C
Rationale: Lamotrigine (Lamictal) is known to cause a serious rash, such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which can be life-threatening. Therefore, it is crucial for patients taking Lamotrigine to be aware of this potential side effect and report any skin rashes to their healthcare provider promptly. Early detection and appropriate management are essential in preventing serious complications related to these rashes.
A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex keratitis
- B. Bacterial keratitis
- C. Fungal keratitis
- D. Acanthamoeba keratitis
Correct Answer: C
Rationale: The described presentation of a yellowish-white spot on the cornea with a ring of inflammation, along with branching, filamentous opacities extending from the corneal lesion, is characteristic of fungal keratitis. Fungal keratitis typically presents with these specific features on clinical examination.
In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize?
- A. Give the patient more time for self
- B. Impose strict discipline
- C. Do traditional parenting style
- D. Need for emotional support
Correct Answer: D
Rationale: When giving health teaching to the mother on how to manage the patient at home, emphasizing the need for emotional support is crucial. Taking care of a patient at home can be emotionally taxing, and the mother needs to be aware of the importance of providing emotional support to the patient. This can greatly impact the patient's overall well-being and recovery. By emphasizing the need for emotional support, the mother can create a conducive and supportive environment for the patient to heal physically, mentally, and emotionally. It also helps foster a sense of connection and positivity, which is beneficial for the patient's overall health outcomes.