Nokea
Nurse Nora monitors the patient, knowing that which finding indicates an adequate contraction pattern?
- A. Three to 5 contractions in a 10-minute period, with resultant cervical dilatation
- B. Four contractions every 5 minutes, without resultant cervical dilatation
- C. one contraction every 10 minutes, without resultant cervical
- D. One contraction per minute, with resultant cervical dilatation
Correct Answer: A
Rationale: An adequate contraction pattern during labor is characterized by regular contractions occurring at a frequency of three to 5 contractions in a 10-minute period, with resultant cervical dilatation. This pattern indicates efficient uterine activity that is helping to progress labor by dilating the cervix. In option A, the contractions are occurring at an appropriate frequency and are resulting in cervical dilatation, making it the correct choice for indicating an adequate contraction pattern.
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A nurse is preparing to perform a gastric lavage procedure for a patient with gastrointestinal bleeding. What action should the nurse prioritize to ensure procedural effectiveness?
- A. Administering antacid medication to the patient before the procedure
- B. Using lukewarm water for gastric lavage to avoid thermal injury
- C. Limiting the lavage fluid volume to prevent fluid overload
- D. Positioning the patient in a left lateral decubitus position during lavage
Correct Answer: D
Rationale: The nurse should prioritize positioning the patient in a left lateral decubitus position during gastric lavage to ensure procedural effectiveness. This position helps to promote optimal drainage of fluid and gastric contents. Placing the patient in a left lateral position allows gravity to assist in the passage of fluid and prevents the risk of aspiration. It also helps to minimize the risk of complications such as reflux of lavage fluid into the respiratory tract. Proper positioning is essential in enhancing the success of the gastric lavage procedure and promoting patient safety.
The 5's strategy to prevent dengue infection includes the following, EXCEPT
- A. Search and Destroy mosquito breeding places
- B. Apply mosquito repellent all over your body
- C. seek early consultation at the neatest health care facility
- D. Say no to fogging spraying, and misting in hot spot areas
Correct Answer: B
Rationale: The 5's strategy to prevent dengue infection includes Search and Destroy mosquito breeding places, seek early consultation at the nearest health care facility, say no to fogging spraying, and misting in hot spot areas. While using mosquito repellent on exposed skin is a common preventive measure against mosquito bites, applying it all over your body is not included in the official 5's strategy for dengue prevention. The focus of the 5's strategy is on eliminating mosquito breeding sites, seeking medical advice early in case of symptoms, and avoiding certain mosquito control methods like fogging in hot spot areas.
Which of the following statements is TRUE?
- A. History taking must be long regardless if the child appears to be well
- B. No proper history can be obtained without observation of the child and the mother.
- C. Nurse Nanie should refrain from asking about the illness of other members of the family.
- D. An example of what can be elicited from a social history is how the disease started.
Correct Answer: D
Rationale: An example of what can be elicited from a social history is how the disease started. This statement is true because a social history typically includes information about factors such as the onset of the illness, the child's living environment, family dynamics, and any recent events that may have contributed to the child's current condition. Understanding how the disease started can provide valuable insights into possible triggers or underlying causes, helping healthcare providers develop an appropriate treatment plan. A comprehensive social history is essential for providing holistic care to the child and addressing all relevant factors that may impact their health and well-being.
Which of the following actions is appropriate for managing a conscious patient with a suspected heat cramp?
- A. Massaging the affected muscles vigorously.
- B. Applying cold packs to the affected area.
- C. Providing oral rehydration with electrolyte solutions.
- D. Encouraging the patient to continue strenuous activity.
Correct Answer: C
Rationale: Providing oral rehydration with electrolyte solutions is the appropriate action for managing a conscious patient with suspected heat cramps. Heat cramps are muscle pains or spasms that often occur during intense exercise in hot environments when a person sweats excessively, losing both fluids and electrolytes. Replenishing lost fluids and electrolytes through oral rehydration helps address the underlying cause of the cramps and provides relief to the patient. Massaging the affected muscles vigorously can potentially worsen the condition, applying cold packs is not usually recommended for heat-related conditions, and encouraging the patient to continue strenuous activity can lead to further complications.
Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will base her questionnaires. What technique in qualitative research is applicable to this plan?
- A. Data triangulation
- B. Interview
- C. Focus group discussion
- D. Case study
Correct Answer: C
Rationale: In qualitative research, a focus group discussion is a technique where a group of participants are brought together to discuss specific topics in depth. In this case, Nurse Carmi's plan to gather 6 participants who are victims of domestic violence aligns well with the focus group discussion technique. By involving multiple participants who have experienced domestic violence, she can facilitate a dynamic conversation to gather rich data and insights. This approach allows for the exploration of diverse perspectives, experiences, and opinions within the group setting, providing a deeper understanding of the issue at hand. Additionally, focus group discussions can be more cost-effective and efficient than conducting individual interviews when working with a small group of participants. Therefore, conducting a focus group discussion would be an appropriate qualitative research technique for Nurse Carmi's plan to gather data from victims of domestic violence for her questionnaires.