Nokea
Seven girls were victims of food poisoning after eating the sandwiches served at snack time. Which of the following statement are true regarding food poisoning?
- A. Symptoms include salivation, cramping, nausea, vomiting and diarrhea
- B. Foods that are handled and allowed to remain without refrigeration before eaten are most dangerous
- C. Cooking will destroy the organism and stop production of enterotoxin
- D. All are correct
Correct Answer: D
Rationale: A. Symptoms of food poisoning can indeed include salivation (due to excess saliva production), cramping, nausea, vomiting, and diarrhea. These symptoms are common manifestations of foodborne illnesses caused by harmful bacteria or toxins present in contaminated food.
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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.
Children with ALL who carry poor outcome include all the following EXCEPT
- A. age younger than 1 year and older than 10 year
- B. T-cell immunophenotype
- C. hyperdiploidy chromosomal abnormality
- D. initial leukocyte count of > 50,000
Correct Answer: C
Rationale: Hyperdiploidy is generally associated with a favorable prognosis in ALL, unlike other listed factors.
A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect:
- A. Gross hematuria
- B. Dysuria
- C. Nausea and vomiting
- D. An abdominal mass
Correct Answer: D
Rationale: In a child with Wilms' tumor, the nurse would expect to detect an abdominal mass upon assessment. Wilms' tumor, also known as nephroblastoma, is a type of kidney cancer that commonly presents as a firm, non-tender abdominal mass. This mass may be felt upon palpation of the abdomen. Gross hematuria (A) is not a typical finding associated with Wilms' tumor. Dysuria (B) is the term used to describe painful or difficult urination and is not a characteristic symptom of Wilms' tumor. Nausea and vomiting (C) are also not commonly associated with Wilms' tumor, unless the tumor is causing obstruction or compression of nearby structures in the abdomen.
Laboratory confirmation of the diagnosis in Question 1 can best be obtained by measuring the toxic compound's concentration in which of the following?
- A. Urine
- B. Blood
- C. Hair
- D. Saliva
Correct Answer: A
Rationale: Mercury levels are most accurately measured in urine, especially in cases of chronic exposure.
A client with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include:
- A. Weight gain
- B. Respiratory acidosis
- C. Fine motor tremors
- D. Bilateral hearing loss
Correct Answer: D
Rationale: Prolonged aspirin therapy can lead to a rare side effect known as aspirin-induced hearing loss, which manifests as bilateral hearing loss. This adverse reaction is typically associated with higher doses of aspirin and longer durations of use. It is important for healthcare providers to monitor for signs of hearing loss in patients receiving long-term aspirin therapy, especially those with rheumatoid arthritis or other inflammatory conditions, to prevent irreversible damage to the hearing. Weight gain, respiratory acidosis, and fine motor tremors are not commonly associated with prolonged aspirin therapy.