Nokea
The elderly should be affforded health protection by
- A. Avoid end hazards
- B. Pollution environment
- C. Placing them in the home for the aged
- D. Regular health check ups
Correct Answer: D
Rationale: Regular health check-ups play a crucial role in the prevention, early detection, and management of health issues, especially for the elderly. By ensuring that the elderly receive regular health check-ups, healthcare providers can monitor their health status, detect any potential health problems early on, and provide appropriate medical interventions. This proactive approach can help protect the elderly from developing serious health issues or complications. Additionally, regular health check-ups can also promote overall health and well-being, allowing healthcare professionals to address any existing health concerns and provide necessary treatments or recommendations to maintain the elderly's health and quality of life.
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A woman in active labor demonstrates persistent occiput posterior fetal position, leading to prolonged labor and severe back pain. What nursing intervention should be prioritized to facilitate fetal rotation and optimize labor progress?
- A. Assisting the mother into a hands-and-knees position
- B. Administering intravenous opioids for pain relief
- C. Preparing for immediate instrumental delivery
- D. Initiating continuous electronic fetal monitoring
Correct Answer: A
Rationale: Assisting the mother into a hands-and-knees position should be prioritized to facilitate fetal rotation and optimize labor progress in the case of persistent occiput posterior fetal position. This position helps in promoting fetal rotation to a more favorable position for delivery by allowing the baby's head to move into the anterior position. It can help alleviate back pain and may help reduce the duration of labor. This simple maneuver can sometimes correct the malposition without the need for interventions like instrumental delivery. It is a non-invasive and effective technique that can be easily implemented by healthcare providers to support the progression of labor.
If the patient is unable to talk, how should the nurse BEST communicate to the patient?
- A. Enunciating the words slowly and well.
- B. By using picture cards
- C. Just stop as he could no longer understand.
- D. Talking loudly face-to-face with the patient.
Correct Answer: B
Rationale: When a patient is unable to talk, the nurse can best communicate with the patient by using picture cards. Picture cards can help the patient convey their needs, feelings, or responses by pointing to the corresponding pictures. This method allows for effective communication and understanding between the patient and the nurse, even when verbal communication is not possible. It promotes patient autonomy and ensures that their needs are accurately communicated and addressed. Additionally, picture cards can be a useful tool in reducing frustration and anxiety for patients who are unable to communicate verbally.
The FIRST PRIORITY nursing intervention during the immediate postpartum period is focused on
- A. Monitoring urinary output
- B. Taking the vital signs every 4 hours
- C. Observing postpartum hemorrhage
- D. Checking level of responsiveness
Correct Answer: C
Rationale: Postpartum hemorrhage is a serious complication that can occur within the first 24 hours after childbirth. It is the leading cause of maternal mortality worldwide. Therefore, during the immediate postpartum period, the first priority nursing intervention should be focused on observing for signs and symptoms of postpartum hemorrhage, such as excessive bleeding, abnormal vital signs, and changes in uterine tone. Early detection and prompt intervention can prevent severe complications and save the mother's life. Monitoring urinary output, taking vital signs, and checking level of responsiveness are important aspects of postpartum care but observing for postpartum hemorrhage takes precedence due to its critical nature.
Since nadine is Four years old, Nurse Alma needs to determine the routines and rituals concerning, which of the following, EXCEPT ______.
- A. Feeding
- B. Sleep pattern
- C. Toilet training
- D. Favorite toys
Correct Answer: D
Rationale: Since Nadine is just four years old, determining her favorite toys is not a critical aspect for Nurse Alma to consider in terms of routines and rituals. While knowing Nadine's favorite toys may help provide comfort or distraction, it is not as essential as ensuring proper feeding, sleep patterns, and toilet training for a young child's well-being and development. The focus should primarily be on aspects that directly impact her physical health, growth, and daily routines at this age.
There are pre operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain?
- A. Celebrex (celecoxib)
- B. Acetaminophen (tylenol)
- C. Ibuprofen (motrin)
- D. Demerol (Meperidine HC
Correct Answer: D
Rationale: Demerol (meperidine hydrochloride) is an opioid analgesic commonly used as a preoperative medication to decrease intra-operative anesthetic requirements and provide analgesia. Opioids like Demerol act on the central nervous system to reduce pain sensations, making it an effective choice for preoperative pain management. This can help decrease the amount of anesthesia needed during surgery, leading to better pain control and overall patient comfort during and after the procedure. Celebrex, acetaminophen, and ibuprofen are also used for pain management, but they do not have the same potency and mechanism of action as opioids like Demerol for reducing intra-operative anesthetic requirements.