Nokea
The entire process of toilet training need not be hurried and it can take
- A. 2 months
- B. 4 months
- C. 6 months
- D. 8 months
Correct Answer: C
Rationale: Toilet training typically takes around 6 months, though this varies from child to child.
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A nurse has been examining the vital signs of the client for the past 2 days. On a particular day, she observe a sudden change in the vital signs of the client. Which of the ff steps should the nurse take immediately?
- A. Inform the physician
- B. Change the environmental settings of the client
- C. Alter the diet intake of the client
- D. Decrease the physical activity of the client if any.
Correct Answer: A
Rationale: The nurse should immediately inform the physician about the sudden change in the client's vital signs. Sudden changes in vital signs can be indicative of a serious health issue or medical emergency that would require the expertise and intervention of a physician. Prompt communication with the physician is essential to ensure timely assessment, diagnosis, and appropriate treatment for the client. It is crucial to prioritize the client's well-being and safety in such situations, which is why informing the physician is the most appropriate and urgent step to take.
A surgical intervention that can cause substantial remission of myasthenia gravis is:
- A. Esophagostomy
- B. Thymectomy
- C. Myomectomy
- D. Spleenectomy
Correct Answer: B
Rationale: Thymectomy is a surgical procedure that involves the removal of the thymus gland. The thymus is a key component of the immune system and is believed to play a role in the development of myasthenia gravis (MG). In some cases, particularly in younger patients with early onset MG or with thymoma (a tumor of the thymus), thymectomy can lead to substantial remission of MG symptoms or even a cure. By removing the thymus gland, the abnormal immune response in MG may be reduced, resulting in improved muscle strength and decreased symptoms. It is worth noting that thymectomy is not always indicated for all patients with MG and should be considered on a case-by-case basis in consultation with a healthcare provider specialized in neuromuscular diseases.
A patient tells his nurse that he has delayed having TURP because he is afraid it will affect his sexual function. Which response by the nurse is most appropriate?
- A. "Don't worry about sterility; sperm production is not affected by this surgery."
- B. "Would you like some information about implants used for impotence?"
- C. "This type of surgery rarely affects the ability to have an erection or ejaculation."
- D. "There are many methods of sexual expression that are alternatives to sexual intercourse."
Correct Answer: C
Rationale: The most appropriate response by the nurse is option C, "This type of surgery rarely affects the ability to have an erection or ejaculation." This response is accurate and provides reassurance to the patient while acknowledging his concerns. Transurethral resection of the prostate (TURP) is a common procedure for managing benign prostatic hyperplasia (BPH), and it typically does not have a significant impact on sexual function. By providing this information, the nurse can help alleviate the patient's fears and encourage him to proceed with the necessary treatment.
A nurse is teaching high school students about transmission of the human immunodeficiency virus (HIV). Which comment by a student warrants clarification by the nurse?
- A. "A man should wear a latex condom during intimate sexual contact."
- B. "I've heard about people who got AIDS from blood transfusions."
- C. "I won't donate blood because I don't want to get AIDS."
- D. "IV drug users can get HIV from sharing needles."
Correct Answer: C
Rationale: It is important for the nurse to clarify to the student that donating blood does not put them at risk for getting AIDS. Blood donation centers follow strict protocols to ensure that donated blood is safe for transfusion, including screening for infectious diseases like HIV. It is admirable to donate blood as it can save lives without putting the donor at risk for acquiring HIV. It is crucial to dispel any misconceptions or fears surrounding blood donation to encourage people to participate in this important act of altruism.
Nearly all cervical carcinomas contain human papillomavirus (HPV). Which of the following types is never associated with such malignancy?
- A. type6
- B. type 16
- C. type 18
- D. type 31
Correct Answer: A
Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.