Nokea
The nurse is caring for a 4-year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the best response by the nurse should be that
- A. A child's bone is more flexible and can be bent 45 degrees before breaking
- B. Bones of children are more porous than adults and often have incomplete breaks
- C. Compression of porous bones produces a buckle or torus type break
- D. Bone fragments often remain attached by a periosteal hinge
Correct Answer: B
Rationale: The correct answer is B. Greenstick fractures are common in children because their bones are softer and more porous than adult bones, leading to incomplete breaks when force is applied. Choice A is incorrect as greenstick fractures are not due to bone flexibility but rather the porous nature of children's bones. Choice C is incorrect as it describes a buckle or torus type break, which is not characteristic of a greenstick fracture. Choice D is incorrect as greenstick fractures do not involve bone fragments remaining attached by a periosteal hinge.
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Who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919?
- A. Ms. Carmen del Rosario
- B. Mrs. Genara de Guzman
- C. Mrs. Annie Sand
- D. Mrs. Anastacio Giron-Tupas
Correct Answer: D
Rationale: The correct answer is Mrs. Anastacio Giron-Tupas, who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919. Ms. Carmen del Rosario, Mrs. Genara de Guzman, and Mrs. Annie Sand were not the first Filipino nurse supervisors appointed to this position. Therefore, they are incorrect choices.
A nurse is preparing to administer a tuberculosis (TB) test to a client. Which of the following is the correct method for administering this test?
- A. Intradermal injection on the forearm
- B. Subcutaneous injection on the upper arm
- C. Intramuscular injection on the deltoid
- D. Oral administration
Correct Answer: A
Rationale: The correct method for administering a tuberculosis (TB) test is through an intradermal injection on the forearm. This technique allows for the proper administration of the test under the skin to assess the body's response to the TB antigen. Choices B, C, and D are incorrect because the TB test specifically requires an intradermal injection, not subcutaneous, intramuscular, or oral administration.
The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
- A. Achieved developmental milestones at an erratic rate
- B. Delay in musculoskeletal development
- C. Displayed difficulty with speech development
- D. Delay in achievement of most developmental milestones
Correct Answer: D
Rationale: Children with AIDS often experience delays in achieving developmental milestones, affecting their overall growth and development. This delay can impact various areas of development, not limited to a specific aspect like musculoskeletal or speech development. While some children may achieve milestones at varying rates (choice A), the general trend is a delay in multiple milestones (choice D). Musculoskeletal development (choice B) and speech development (choice C) may be affected but are not as comprehensive as the delay in most developmental milestones.
In formulating an objective of a community care plan, she expected results and people taking part in the activities should be clearly defined. This refers to an objective which is:
- A. time-bound
- B. specific
- C. resource-oriented
- D. measurable
Correct Answer: B
Rationale: The correct answer is 'specific.' In formulating a community care plan, defining expected results and participant roles require objectives to be specific to provide clear guidance and outcomes. 'Time-bound' refers to setting deadlines, 'resource-oriented' focuses on utilizing available resources efficiently, and 'measurable' indicates the ability to quantify progress, but these aspects do not necessarily address the need for clarity and definition in defining expected results and participant roles.
A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse should monitor the client for which of the following side effects?
- A. Constipation
- B. Hypertension
- C. Muscle weakness
- D. Bradycardia
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Pyridostigmine, a cholinesterase inhibitor used in myasthenia gravis, can lead to bradycardia as a side effect. Choice A, constipation, is not a common side effect of pyridostigmine. Choice B, hypertension, is unlikely as pyridostigmine is more likely to cause hypotension. Choice C, muscle weakness, is actually a symptom of myasthenia gravis itself and not a side effect of pyridostigmine.