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 patient presents with sudden-onset severe scrotal pain, swelling, and erythema. Physical examination reveals a tender, swollen, and high-riding testicle. What is the most likely diagnosis?
- A. Testicular torsion
- B. Epididymitis
- C. Testicular trauma
- D. Testicular tumor
Correct Answer: A
Rationale: Given the sudden-onset severe scrotal pain, swelling, and erythema, along with the physical examination findings of a tender, swollen, and high-riding testicle, the most likely diagnosis is testicular torsion. Testicular torsion occurs when the spermatic cord twists, leading to compromised blood flow to the testicle, causing ischemia and severe pain. It is considered a surgical emergency that requires prompt diagnosis and intervention to salvage the affected testicle. Prompt surgical detorsion is necessary to prevent irreversible testicular damage. While epididymitis, testicular trauma, and testicular tumors can also present with scrotal pain and swelling, the presence of a high-riding testicle in this context is highly suggestive of testicular torsion.
Which of the following salivary glands is located superior and anterior to the ear and produces mainly serous saliva?
- A. Parotid gland
- B. Sublingual gland
- C. Submandibular gland
- D. Submaxillary gland
Correct Answer: A
Rationale: The parotid gland is the salivary gland that is located superior and anterior to the ear. It mainly produces serous saliva, which is a thin, watery fluid rich in enzymes. The other salivary glands mentioned are the sublingual gland, submandibular gland, and submaxillary gland, all of which have different locations and produce different types of saliva.
A patient presents with fever, chills, headache, and myalgia after returning from a trip to sub-Saharan Africa. Laboratory tests reveal intraerythrocytic ring forms and trophozoites on blood smear examination. Which of the following is the most likely causative agent?
- A. Plasmodium falciparum
- B. Trypanosoma cruzi
- C. Borrelia burgdorferi
- D. Leishmania donovani
Correct Answer: A
Rationale: The patient's symptoms of fever, chills, headache, and myalgia after returning from sub-Saharan Africa are consistent with malaria. Intraerythrocytic ring forms and trophozoites observed on blood smear examination are characteristic of Plasmodium species, particularly Plasmodium falciparum, which is the most common and deadliest species causing malaria in sub-Saharan Africa. Plasmodium falciparum can lead to severe complications, such as cerebral malaria, if not promptly treated. Trypanosoma cruzi causes Chagas disease, not malaria. Borrelia burgdorferi is responsible for Lyme disease, which typically presents with a different set of symptoms like erythema migrans rash. Leishmania donovani causes visceral leishmaniasis, not malaria.
Which IMPORTANT Information the nurse should inform the public about rabies?
- A. It could be prevented
- B. It is an ordinary disease
- C. Rabies is not deadly
- D. It kills
Correct Answer: A
Rationale: The nurse should inform the public that rabies can be prevented. This is an extremely important piece of information to help raise awareness about the disease and promote preventive measures such as timely vaccination of both animals and humans. Rabies is a deadly viral infection that affects the central nervous system, and prevention through vaccination is highly effective in controlling its spread. By emphasizing the preventability of rabies, the nurse can educate the public on the importance of taking proactive steps to avoid contracting the disease.
Nurse bea wants to pursue higher education in Nursing for her career advancement. Aside from enrolling in graduate school, which of the following she could enhance her career?
- A. Participates in professional organization
- B. Attends seminars.
- C. Conduct research
- D. Attends symposium Situation
Correct Answer: A
Rationale: Participating in professional organizations can provide Nurse Bea with numerous opportunities to network with other professionals in the field, stay updated with the latest trends and developments in nursing, access resources for professional growth, and even participate in leadership roles within the organization. Being active in a professional organization can help Nurse Bea build her professional profile, gain recognition, and open up possibilities for career advancement and opportunities for collaboration and learning from peers. It can also help her stay connected with the broader nursing community and enhance her visibility within the field. Engaging with a professional organization is a valuable way for Nurse Bea to enhance her career alongside pursuing further education.
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