Nokea
Pelvic ultrasound can detect, which of the following?
- A. Congenital defects in the structure, fetal gender, H-mole
- B. Fetal DM, multiple pregnancies, fetal age of gestation
- C. Fetal sex, number, and lung maturity
- D. Fetal congenital defects, placenta previa, fetal lung maturity
Correct Answer: D
Rationale: Pelvic ultrasound can detect fetal congenital defects, placenta previa, and fetal lung maturity.
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Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession.
- A. Faithfully promotes health and prevents desease.
- B. Frequently assists in providing health services.
- C. Fairly evaluates health programs and initiatives.
- D. Collaborates and works with barangay officials.
Correct Answer: A
Rationale: The primary indicator that Nurse Mary observes FIDELITY in the practice of her profession is that she faithfully promotes health and prevents disease. Fidelity in nursing practice refers to being faithful, loyal, and committed to providing the best care and services to patients. By faithfully promoting health and preventing disease, Nurse Mary demonstrates her dedication to her profession, her patients, and the community she serves. This commitment includes following evidence-based practices, upholding ethical standards, being honest and trustworthy, and ensuring the well-being of those under her care. Ultimately, fidelity in nursing practice builds trust and confidence among patients, families, and colleagues, leading to better health outcomes and a stronger healthcare system.
When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT_________.
- A. informing appropriately the significant others
- B. preventing injury
- C. maintaining physiological homeostasis with bilirubin levels increasing
- D. preventing complications.
Correct Answer: C
Rationale: When caring for patients with hyperbilirubinemia, the nursing care plan should focus on informing the significant others, preventing injury, and preventing complications. The primary goal in managing hyperbilirubinemia is to prevent complications associated with high bilirubin levels, such as kernicterus. Therefore, maintaining physiological homeostasis with bilirubin levels increasing would not be appropriate and should not be the focus of the nursing care plan. It is crucial to monitor and manage bilirubin levels to prevent adverse outcomes rather than allowing them to increase.
A patient presents with bone pain, fatigue, and frequent infections. Laboratory tests reveal pancytopenia, hypocellular bone marrow, and absence of reticulocytes. Which of the following conditions is most likely to cause these findings?
- A. Aplastic anemia
- B. Iron deficiency anemia
- C. Myelodysplastic syndrome (MDS)
- D. Acute lymphoblastic leukemia (ALL)
Correct Answer: A
Rationale: Aplastic anemia is a condition characterized by a reduction in the number of all three blood cell types: red blood cells, white blood cells, and platelets. The patient's presentation of bone pain, fatigue, frequent infections, pancytopenia (decreased counts of all blood cell types), hypocellular bone marrow (reduced cellularity in the bone marrow), and absence of reticulocytes is indicative of aplastic anemia.
The nurse suspects that a client has multiple myeloma based on the client's major presenting symptom and the analysis of laboratory results. What classic manifestation for multiple myeloma does the nurse assess for?
- A. Debilitating fatigue
- B. Gradual muscle paralysis
- C. Bone pain in the back of the ribs
- D. Severe thrombocytopenia
Correct Answer: C
Rationale: Bone pain in the back of the ribs is a classic manifestation of multiple myeloma. Multiple myeloma is a type of cancer that primarily affects plasma cells in the bone marrow, leading to weakened bones and bone pain. Patients with multiple myeloma often experience bone pain in areas such as the ribs, spine, and pelvis. The bone pain is typically persistent and worsens with movement or pressure. Additionally, other common symptoms of multiple myeloma include anemia, kidney damage, recurrent infections, and elevated calcium levels in the blood.
A postpartum client exhibits signs of severe dehydration, including dry mucous membranes, decreased skin turgor, and oliguria. Which nursing action is most appropriate?
- A. Administering intravenous fluids as ordered
- B. Offering oral rehydration solutions
- C. Providing education on fluid intake
- D. Notifying the healthcare provider immediately
Correct Answer: A
Rationale: Administering intravenous fluids as ordered is the most appropriate nursing action for a postpartum client exhibiting signs of severe dehydration. Severe dehydration, as indicated by dry mucous membranes, decreased skin turgor, and oliguria, requires immediate intervention to restore fluid balance effectively. Intravenous fluids deliver fluids directly into the bloodstream, ensuring rapid rehydration and addressing the critical situation promptly. Offering oral rehydration solutions may not be sufficient to address severe dehydration, and providing education on fluid intake can be important for prevention but is not the immediate priority in this scenario. Notifying the healthcare provider is essential, but initiating intravenous fluids promptly is crucial in managing severe dehydration.