Nokea
Sensitivity is the ability of a screening test to accurately identify what aspect of the screening?
- A. Persons with symptoms of the disease.
- B. Persons who have the disease.
- C. Persons who do not have the disease.
- D. Persons who now have a diagnosis of disease.
Correct Answer: B
Rationale: The correct answer is B: Persons who have the disease. Sensitivity measures how well a test correctly identifies individuals who have the disease (true positives). It is essential in determining the test's ability to detect the presence of the disease accurately. Choices A, C, and D are incorrect because sensitivity focuses on correctly identifying individuals who have the disease, not those with symptoms, those without the disease, or those with a diagnosis of the disease.
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Annie states,'I 'm afraid to 1et my children out of my sight now that I can't hear them." What is the nurse ' s BEST response?
- A. Tell me about your fears of losing contact with your children now that you can't hear them.
- B. Children need some freedom, and the mother has to learn trust them. "
- C. Do the children usually misbehave when they cannot be seen or heard by you?"
- D. "What can the children do to make you feel more comfortable?
Correct Answer: A
Rationale: Rationale:
A is the correct answer as it demonstrates therapeutic communication by encouraging Annie to express her feelings and fears. It shows empathy and understanding, allowing Annie to elaborate on her concerns. B is incorrect as it dismisses Annie's fears and implies blame on her parenting. C is incorrect as it focuses on the behavior of the children rather than addressing Annie's emotions. D is incorrect as it places the responsibility on the children to make Annie feel comfortable, rather than addressing her concerns directly.
During a surgical procedure, the nurse notices a sudden decrease in the patient's oxygen saturation on the monitor. What immediate action should the nurse take?
- A. Inform the surgeon and anesthesiologist
- B. Increase the flow rate of oxygen
- C. Check the endotracheal tube placement
- D. Assess the patient's respiratory status
Correct Answer: A
Rationale: The correct immediate action is to inform the surgeon and anesthesiologist (Choice A) because a sudden decrease in oxygen saturation during surgery is a critical situation that requires prompt attention from the entire surgical team. The surgeon and anesthesiologist need to be made aware of the situation so that they can assess the patient's condition and make any necessary adjustments to the surgical procedure or anesthesia delivery. Increasing the flow rate of oxygen (Choice B) may help temporarily but does not address the underlying cause of the oxygen desaturation. Checking the endotracheal tube placement (Choice C) is important but may not be the immediate priority in this critical situation. Assessing the patient's respiratory status (Choice D) is important but should be done after informing the surgeon and anesthesiologist to ensure coordinated and timely interventions.
A postpartum client who delivered via cesarean section expresses concerns about breastfeeding positions and comfort. What nursing intervention should be prioritized to address the client's concerns?
- A. Demonstrating breastfeeding positions that minimize pressure on the incision site
- B. Recommending the use of a breast pump instead of direct breastfeeding
- C. Encouraging the client to avoid breastfeeding until the incision is fully healed
- D. Referring the client to a lactation consultant for assistance
Correct Answer: A
Rationale: Demonstrating breastfeeding positions that minimize pressure on the incision site should be the nursing intervention prioritized to address the client's concerns. This is important because it ensures that the client can breastfeed comfortably while also protecting the healing incision. By showing the client appropriate positions, such as the football hold or side-lying position, the nurse can help minimize discomfort and promote successful breastfeeding without compromising the cesarean incision's healing process. It is crucial to support the client in establishing a good latch and positioning to encourage proper milk transfer and bonding while being mindful of the incision site.
During surgery, the nurse notices that the patient's blood pressure is trending higher than the baseline. What action should the nurse take?
- A. Administer antihypertensive medication
- B. Document the blood pressure readings in the anesthesia record
- C. Notify the anesthesia provider for further assessment
- D. Continue monitoring the patient's blood pressure closely
Correct Answer: C
Rationale: The correct answer is C: Notify the anesthesia provider for further assessment. This is the most appropriate action because an anesthesia provider is trained to assess and manage changes in blood pressure during surgery. Administering antihypertensive medication (A) without proper assessment can be dangerous. Documenting the readings (B) is important but not the immediate action. Continuing to monitor closely (D) is necessary but notifying the anesthesia provider for further assessment should be the priority.
As an individual, which of the following is an INTERNAL variable affecting health status, belief, or practices
- A. Genetics
- B. Family structure
- C. Socioeconomic status
- D. Living situation
Correct Answer: A
Rationale: Correct Answer: A - Genetics
Rationale:
1. Genetics refer to an individual's inherited traits which can influence health conditions and predispositions.
2. Genetic factors can impact an individual's susceptibility to certain diseases and conditions.
3. Health beliefs and practices may be influenced by knowledge of one's genetic predispositions.
4. Family structure, socioeconomic status, and living situation are external variables that may influence health but are not inherent to the individual like genetics.