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The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?
- A. Relate to each twin individually to, enhance the attachment process .
- B. Avoid assistance from other family members and support groups.
- C. Bottle-feed the twins to prevent maternal exhaustion.
- D. Plan for each parent to spend equal amounts of time with each twin.
Correct Answer: A
Rationale: The nurse should encourage the parents to relate to each twin individually to enhance the attachment process. Building a strong attachment between the parents and each twin individually is vital for their emotional and psychological development. By spending quality one-on-one time with each twin, the parents can foster a unique bond with them, which can positively impact their relationship and overall development. This approach also helps prevent favoritism and ensures that each twin receives the attention and care they need to thrive.
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When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively?
- A. Do you experience your wound to heal quickly?
- B. Do you have shortness of breath when exercising?
- C. Are you aware of risk factors for your disease?
- D. Have you experience weight changes in the past?
Correct Answer: C
Rationale: When conducting a nursing history on the Health Perception, Health Management pattern of functioning pre-operatively, an appropriate question to ask would be "Are you aware of risk factors for your disease?" This question helps assess the individual's level of awareness and understanding of their health condition and the factors that may impact it. Understanding the patient's knowledge of their risk factors can help guide interventions and education before surgery to optimize their health outcomes. Asking about perceived wound healing, shortness of breath, or weight changes may not be directly related to the patient's awareness of their disease risk factors in the pre-operative setting.
The professional development of a nurse can be achieved through various ways, such as __________.
- A. Participating in political rallies
- B. Attendance in socio-civic activities
- C. Attending demonstration of baking
- D. Engaging in CPD Programs
Correct Answer: D
Rationale: Continuing Professional Development (CPD) programs are essential for the professional growth and development of nurses. CPD programs provide opportunities for nurses to enhance their knowledge, skills, and competencies, keeping them up-to-date with the latest advancements in healthcare. These programs may include workshops, conferences, seminars, online courses, and certifications that contribute to a nurse's professional development. By engaging in CPD programs, nurses can improve their clinical practice, critical thinking skills, and patient care, ultimately benefiting both the nurse and the patients they serve.
The staff assigned to check the fire extinguisher failed to monitor the assigned equipment. The following statements are "whereabouts" of true, EXCEPT
- A. all employees are lazy
- B. monitoring staff is important
- C. not all staff are diligent in their tasks
- D. two errors added together can be potentially devastating
Correct Answer: A
Rationale: The statement "all employees are lazy " is not a correct assertion. It is a generalization that is unfair to make about all employees. It is incorrect to assume that all employees are lazy based on the failure of a certain staff member to monitor the fire extinguisher. Making blanket statements like this can lead to further misunderstandings and negativity in the workplace. The focus should be on individual accountability, proper training, and clear communication to ensure that tasks are being diligently carried out.
A patient presents with grouped vesicles on an erythematous base, affecting the lips and perioral region. The patient reports a history of similar episodes triggered by sunlight exposure and stress. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex labialis (cold sores)
- B. Perioral dermatitis
- C. Angular cheilitis
- D. Allergic contact dermatitis
Correct Answer: A
Rationale: The patient's presentation with grouped vesicles on an erythematous base affecting the lips and perioral region, triggered by sunlight exposure and stress, is classic for herpes simplex labialis, commonly known as cold sores. Herpes simplex virus type 1 (HSV-1) is responsible for cold sores and is highly contagious. Recurrent episodes can be triggered by factors like UV exposure, stress, illness, and hormonal changes. Symptoms typically start with tingling or burning sensations before progressing to grouped vesicles that rupture, forming crusts. Treatment may involve antiviral medications to reduce the severity and duration of symptoms. Perioral dermatitis typically presents with papules and pustules around the mouth, while angular cheilitis involves fissures and inflammation at the corners of the mouth. Allergic contact dermatitis would present with erythema, pruritus, and possibly vesicles in
A patient presents with sudden-onset weakness and sensory loss on one side of the body along with difficulty speaking and understanding speech. Imaging reveals an acute infarction involving the right middle cerebral artery territory. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Transient ischemic attack (TIA)
- B. Intracerebral hemorrhage
- C. Ischemic stroke
- D. Subarachnoid hemorrhage
Correct Answer: C
Rationale: The patient is presenting with sudden-onset weakness and sensory loss on one side of the body along with difficulty speaking and understanding speech, which are classic symptoms of a stroke. The involvement of the right middle cerebral artery territory on imaging suggests an acute infarction, confirming an ischemic stroke. Ischemic stroke occurs due to a blockage or obstruction within a blood vessel supplying blood to the brain, leading to a lack of oxygen and nutrients reaching brain tissue. This results in neurological deficits corresponding to the affected area of the brain. In contrast, a transient ischemic attack (TIA) would present with similar symptoms but resolve within 24 hours without evidence of acute infarction on imaging. Intracerebral hemorrhage and subarachnoid hemorrhage involve bleeding into the brain tissue or the space surrounding the brain, respectively, resulting in different clinical presentations.