Nokea
Nurse Veronica is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
- A. Nasopharynx
- B. Eustachian tubes
- C. External ear canal
- D. Tympanic membrane 51
Correct Answer: B
Rationale: The Eustachian tubes are small passages that connect the middle ear to the back of the throat. In young children, these tubes are shorter, more horizontal, and more narrow than in adults, making them more prone to blockages and infections. When these tubes become blocked, usually due to factors like swelling from allergies or a cold, fluid can build up in the middle ear leading to otitis media or middle ear infection. Therefore, the anatomy and size of the Eustachian tubes play a significant role in the predisposition of children to otitis media.
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Before administering a food feeding the nurse knows to perform which of the following assessments/
- A. The GI tract, including bowel sounds, last BM, and distention f. The client's neurologic status, especially the gag reflex
- B. The amount of air in the stomach
- C. That the formula is used directly from the refrigerator
Correct Answer: A
Rationale: Before administering a food feeding, the nurse knows to perform assessments related to the GI tract, including bowel sounds, last bowel movement, and distention. These assessments help evaluate the patient's digestive system function and readiness for food intake. In addition, assessing the client's neurologic status, especially the gag reflex, is crucial before initiating feeding to prevent aspiration and ensure safe swallowing. These assessments help ensure the safety and well-being of the patient during the feeding process. Checking the amount of air in the stomach and ensuring that the formula is used directly from the refrigerator are not primary assessments that need to be performed before administering a food feeding.
Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize:
- A. glucose.
- B. phenylalanine.
- C. phenylketones.
- D. thyroxine.
Correct Answer: B
Rationale: Phenylketonuria (PKU) is a genetic disorder that affects the body's ability to metabolize the amino acid phenylalanine. Individuals with PKU lack an enzyme called phenylalanine hydroxylase, which results in the buildup of phenylalanine in the body. If untreated, high levels of phenylalanine can lead to intellectual disabilities, seizures, and other serious health problems. Therefore, individuals with PKU need to follow a special diet low in phenylalanine to prevent these complications.
Rehabilitation plans for Mr. Gabatan;
- A. Should be left up to Mr. Gabatan and his family
- B. Should be considered and planned for early in his care
- C. Are not necessary, because he will return to former activities
- D. Are not necessary, because he will probably not able to work again Ms. J.K. is a 24-year old woman admitted to the neurosurgery floor 2 days following a hypophysectomy for a pituitary tumor. She is alert, oriented, and eager to return to her job as an executive to the hospital director. She is alert, oriented and eager to return to her job as an executive assistant to the hospital director. She calls the nurse to her room to express her concern about the frequency of urination she is experiencing, as well as the feeling of weakness that began this morning.
Correct Answer: B
Rationale: Rehabilitation plans for Mr. Gabatan should be considered and planned for early in his care. Planning for rehabilitation early on can help maximize his recovery potential, improve outcomes, and assist in a smoother transition back to his daily activities. It is important to involve Mr. Gabatan and his family in the decision-making process to ensure that the rehabilitation plan is tailored to his specific needs and goals. By addressing rehabilitation early, healthcare providers can provide the necessary support and interventions to help Mr. Gabatan achieve the best possible outcomes and quality of life following his illness or injury.
A medical student observes that infants cry in response to another infant's cry. The MOST appropriate answer is that it represents
- A. an early sign of empathy development
- B. a sign of good hearing
- C. a startle reflex
- D. an early sign of fear development
Correct Answer: A
Rationale: Infants crying in response to others may indicate early empathy development.
A client with HIV has been prescribed anti viral medications. What instructions related to administration of medications should the nurse give such a client?
- A. Comply with the timing of antiviral medication around meals
- B. Avoid exposure to harsh sunlight for about 2hrs after taking the medication
- C. Have the medications with plenty of fruit juice
- D. Have an increased dose of the medications if the symptoms worsen
Correct Answer: A
Rationale: The nurse should instruct the client to comply with the timing of antiviral medication around meals. Taking some antiviral medications with food can help reduce gastrointestinal side effects. Certain medications may be more effective when taken with food, while others may need to be taken on an empty stomach. It is essential for the client to follow the specific instructions given by their healthcare provider to ensure the optimal effectiveness of the antiviral medications.