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A woman in active labor presents with prolonged second stage, characterized by ineffective pushing efforts and slow fetal descent. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?
- A. Pelvic floor dysfunction
- B. Maternal fatigue
- C. Fetal macrosomia
- D. Uterine hyperstimulation
Correct Answer: A
Rationale: Pelvic floor dysfunction can contribute to a prolonged second stage of labor by impairing the ability of the woman to effectively push during contractions. This can result in inefficient pushing efforts and slow fetal descent. The nurse should assess for signs and symptoms of pelvic floor dysfunction, such as difficulty controlling bowel movements or urine leakage, as addressing this issue may help improve the progress of labor. Maternal fatigue, fetal macrosomia (larger than average baby size), and uterine hyperstimulation are other factors that can impact labor but are less likely to specifically contribute to ineffective pushing efforts and slow fetal descent in the second stage of labor.
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The patient is shouting and cursing the nurse, the nurse slaps the patient. The nurse would be guilty of:
- A. Abuse
- B. Assault
- C. Battery
- D. Physical abuse
Correct Answer: C
Rationale: Battery is the intentional touching or use of force on another individual without their consent. In this scenario, the nurse's action of slapping the patient constitutes battery as it involves a deliberate physical contact without the patient's permission. This is different from assault, which involves the threat of harm, and abuse, which encompasses various forms of mistreatment. Ultimately, the nurse in this situation would be guilty of committing a battery by unlawfully striking the patient.
Nurse Gay is assigned in the Medical Unit. She is guided that in documentation, she should use abbreviation that is ______.
- A. used automatically to save precious time.
- B. reduced to the minimum in all units.
- C. approved standard list by the hospital.
- D. not used at all because it can be misinterpreted.
Correct Answer: C
Rationale: Nurse Gay should use abbreviations that are part of an approved standard list by the hospital. Using standardized abbreviations ensures clarity, accuracy, and consistency in documentation. It helps in preventing misinterpretation, errors, and ambiguity in patient records. By following an approved list of abbreviations, healthcare professionals can communicate effectively and efficiently while maintaining patient safety and quality of care.
A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex keratitis
- B. Bacterial keratitis
- C. Fungal keratitis
- D. Acanthamoeba keratitis
Correct Answer: C
Rationale: The described presentation of a yellowish-white spot on the cornea with a ring of inflammation, along with branching, filamentous opacities extending from the corneal lesion, is characteristic of fungal keratitis. Fungal keratitis typically presents with these specific features on clinical examination.
A patient with osteoarthritis of the hip undergoes surgical intervention with a total hip arthroplasty (THA). Which postoperative complication should the healthcare team monitor for in the immediate postoperative period?
- A. Deep vein thrombosis (DVT)
- B. Delayed wound healing
- C. Pulmonary embolism
- D. Prosthetic joint infection
Correct Answer: A
Rationale: Following total hip arthroplasty (THA), patients are at an increased risk of developing deep vein thrombosis (DVT) due to factors such as immobility, surgery-related vascular damage, and hypercoagulability. DVT refers to the formation of blood clots in the deep veins, typically in the lower extremities. These clots can break loose and travel to the lungs, causing a potentially life-threatening condition called pulmonary embolism (PE). Therefore, monitoring for signs and symptoms of DVT is crucial in the immediate postoperative period to promptly detect and prevent the development of complications such as PE. Common signs of DVT include leg swelling, pain, warmth, and redness. Additionally, healthcare providers may employ preventive measures such as early ambulation, compression stockings, and anticoagulant therapy to reduce the risk of DVT post-THA surgery.
Which of the following dental conditions is characterized by the involuntary grinding or clenching of teeth, often leading to tooth wear, muscle pain, and temporomandibular joint dysfunction?
- A. Dental caries
- B. Attrition
- C. Bruxism
- D. Periodontitis
Correct Answer: C
Rationale: Bruxism is the dental condition characterized by the involuntary grinding or clenching of teeth, often occurring during sleep. This habitual behavior can lead to tooth wear, muscle pain, headaches, and temporomandibular joint dysfunction. Dental caries (choice A) refers to tooth decay, while attrition (choice B) specifically refers to the wearing down of teeth due to forces like chewing. Periodontitis (choice D) is a condition involving inflammation and infection of the gums and supporting structures of the teeth. Among the choices provided, bruxism is the most fitting description for the condition characterized by tooth grinding and clenching.