Nokea
The nurse admitting a 3-year-old patient with the medical diagnosis of pneumonia identifies congestion and inspiratory wheezes in both lungs. This information is considered part of which step of the nursing process?
- A. Diagnosis
- B. Evaluation
- C. Assessment
- D. Implementation
Correct Answer: C
Rationale: Identifying symptoms such as congestion and wheezing is part of the assessment phase of the nursing process, where data is collected and analyzed.
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The vagina is:
- A. Used to fertilise an ovum before moving onto the fallopian tubes
- B. A mass of glandular tissue situated over the pectoral muscles
- C. An elastic muscular tube, connecting the cervix to the uterus
- D. Used to stop the menstrual flow from leaving the body
Correct Answer: C
Rationale: The vagina is a muscular tube that connects the cervix to the external genitalia, serving as a passage for menstrual flow and childbirth.
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?
A nurse is educating a pregnant client about ways to prevent UTIs. Which statement by the client indicates that she understands the information from the nurse?
- A. I should decrease my fluid intake.
- B. Drinking Coke will prevent me from getting a UTI.
- C. I should always empty my bladder right after I have intercourse.
- D. I should drink orange juice every morning.
Correct Answer: C
Rationale: The correct answer is C: "I should always empty my bladder right after I have intercourse." This is correct because emptying the bladder after intercourse helps to flush out bacteria and reduce the risk of UTIs. Choice A is incorrect as adequate fluid intake is important to prevent UTIs. Choice B is incorrect as drinking Coke does not prevent UTIs and may even increase the risk due to its sugar content. Choice D is incorrect as there is no evidence to suggest that drinking orange juice prevents UTIs. Overall, choice C is the best preventative measure supported by medical evidence.
The male reproductive system includes:
- A. The testes
- B. The vulva
- C. The cervix
- D. Mammary glands
Correct Answer: A
Rationale: The testes are part of the male reproductive system and are responsible for producing sperm and testosterone.
Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?
- A. Decrease in alkaline phosphatase levels compared with nonpregnant women
- B. Increase in albumin and total protein as a result of hemodilution
- C. Hypertonicity of gallbladder tissue
- D. Prolonged emptying time
Correct Answer: D
Rationale: The correct answer is D: Prolonged emptying time. During pregnancy, hormonal changes can lead to gallbladder stasis, causing bile to become concentrated and leading to the formation of gallstones. Prolonged emptying time indicates poor gallbladder motility, increasing the risk of gallstone formation.
A: Decrease in alkaline phosphatase levels is not directly related to gallstone formation during pregnancy.
B: Increase in albumin and total protein is a common finding in pregnancy due to hemodilution, but it is not directly linked to gallstone development.
C: Hypertonicity of gallbladder tissue is not a typical physiologic finding related to gallbladder function during pregnancy and is not a known risk factor for gallstone formation.