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Nurse Nora notices patient's uterine contractions are 70 seconds long and occur every 90 seconds when assessing the frequency of her contractions after she receives oxytocin. what would be the nurse's FIRST action?
- A. Give an emergency bolus of oxytocin to relaxed the uterus
- B. Discontinue the administration of the oxytocin infusion
- C. Increase the rate of client's IV infusion
- D. Ask client to turn to her left side and breathe deeply
Correct Answer: B
Rationale: Patient's uterine contractions lasting 70 seconds and occurring every 90 seconds signify hyperstimulation, which can be a serious complication associated with oxytocin administration. This may result in decreased uterine perfusion, fetal distress, and other adverse effects. The first action should be to discontinue the oxytocin infusion to prevent further complications and allow the uterus to relax. Observations and assessment should continue to monitor the patient's condition and response after discontinuing the infusion. Giving an emergency bolus of oxytocin or increasing the IV infusion rate would exacerbate the hyperstimulation, and turning the client to her left side and breathing deeply would not address the underlying issue of oxytocin-induced hyperstimulation.
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A patient presents with redness, pain, and photophobia in the left eye. Slit-lamp examination reveals ciliary injection, corneal edema, and a mid-dilated pupil with fixed reaction to light. Which of the following conditions is most likely responsible for this presentation?
- A. Anterior uveitis
- B. Acute angle-closure glaucoma
- C. Endophthalmitis
- D. Corneal abrasion
Correct Answer: A
Rationale: The presentation described in the question is classic for anterior uveitis. Anterior uveitis is an inflammatory condition affecting the iris and ciliary body and is characterized by redness, pain, and photophobia. Slit-lamp examination typically reveals ciliary injection (redness around the iris), corneal edema, and a mid-dilated pupil with a fixed reaction to light due to inflammation causing spasm of the iris muscles. Acute angle-closure glaucoma would present with similar symptoms but would also have increased intraocular pressure, which is not mentioned in the presentation. Endophthalmitis is an infection of the intraocular cavities and would typically present with more severe symptoms, such as severe pain, vision loss, and presence of pus in the eye. Corneal abrasion would present with pain, foreign body sensation, and possibly tearing but would not cause ciliary injection or fixed pupil reaction as
The current emphasis for public health practice is ___________.
- A. Improving environmental sanitation
- B. Preventing communicable disease. .
- C. Controlling epidemic diseases.
- D. Advocating for social justice.
Correct Answer: D
Rationale: The current emphasis for public health practice has shifted towards advocating for social justice due to a growing recognition that social determinants greatly impact health outcomes. Addressing issues such as poverty, inequality, access to healthcare, discrimination, and other social factors is crucial for achieving better population health. By advocating for social justice, public health practitioners aim to create a more equitable and just society where everyone has the opportunity to lead healthy lives. This broader approach acknowledges the complex interplay between social, economic, and environmental factors in shaping health behaviors and outcomes.
The nurse discusses and shares the medical records of Mr. Steve to a group of visiting members of a medical mission team. Which of the following rights could be violated? the right to
- A. Expect that all communications and record pertaining to his care should be treated as confidential.
- B. Obtain information regarding any relationships of the hospital to another health care and educational
- C. Informed consent
- D. Privacy
Correct Answer: A
Rationale: The nurse sharing Mr. Steve's medical records with a group of visiting members of a medical mission team violates his right to expect that all communications and records pertaining to his care should be treated as confidential. Patient confidentiality is a fundamental ethical principle in healthcare that protects a patient's privacy and sensitive information. Sharing medical records without the patient's consent breaches this confidentiality and can lead to legal and ethical consequences. It is important for healthcare providers to maintain the confidentiality of patient information to uphold trust between patients and healthcare professionals.
A patient is prescribed a beta-blocker for the management of hypertension. Which adverse effect should the nurse monitor closely in the patient?
- A. Bradycardia
- B. Hyperglycemia
- C. Hypertension
- D. Tachycardia
Correct Answer: A
Rationale: Beta-blockers are a class of medications commonly used to manage hypertension. One of the main mechanisms of action of beta-blockers is to reduce heart rate and contractility by blocking the beta-adrenergic receptors in the heart. As a result, one of the potential adverse effects of beta-blockers is bradycardia, which refers to a slower than normal heart rate. Therefore, the nurse should closely monitor the patient for signs and symptoms of bradycardia when starting or adjusting the dose of a beta-blocker. Symptoms of bradycardia may include dizziness, fainting, fatigue, or shortness of breath. If bradycardia is severe or symptomatic, it may require dose adjustments or discontinuation of the beta-blocker to prevent complications.
The false statement about physiologic jaundice in the statements below is _____
- A. Caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase.
- B. Begins to decrease by the 6th or 7th day.
- C. Is visible in skin and sclera.
- D. Begins after 48 hours of 1ife.
Correct Answer: A
Rationale: Physiologic jaundice in newborns is a common and typically benign condition caused by the immaturity of the newborn's liver. The correct statement about physiologic jaundice is that it occurs due to an imbalance between the production and elimination of bilirubin. In contrast, Option A is the false statement because it incorrectly states that physiologic jaundice is caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase. This statement is inaccurate as physiologic jaundice results from the immature liver's reduced ability to conjugate bilirubin.