Nokea
The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by
- A. Inserting a fenestrated catheter with a whistle tip without suction
- B. Completing the suction pass in 30 seconds with a pressure of 150 mm Hg
- C. Hyperoxygenating with 100% O2 for 1 to 2 minutes before and after each suction pass
- D. Minimizing the suction pass to 60 seconds while slowly rotating the lubricated catheter
Correct Answer: C
Rationale: Hyperoxygenating the client before and after suctioning helps prevent hypoxia by ensuring adequate oxygen levels during the procedure, which briefly interrupts the client's normal breathing pattern. Choice A is incorrect because inserting a fenestrated catheter with a whistle tip without suction would not prevent hypoxia. Choice B is incorrect as completing the suction pass in 30 seconds with a pressure of 150 mm Hg may lead to hypoxia. Choice D is incorrect as minimizing the suction pass to 60 seconds may not provide enough time for effective suctioning and could lead to hypoxia.
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A client with a peptic ulcer is scheduled for a vagotomy and pyloroplasty. The nurse explains that the purpose of this surgery is to:
- A. Increase acid secretion
- B. Reduce acid secretion
- C. Promote gastric emptying
- D. Remove the ulcerated area
Correct Answer: B
Rationale: The correct answer is B: "Reduce acid secretion." Vagotomy is performed to reduce acid secretion by cutting the vagus nerve, which stimulates acid production. Choices A, C, and D are incorrect. A vagotomy does not increase acid secretion, promote gastric emptying, or remove the ulcerated area. It specifically aims to decrease acid production to help in the healing of peptic ulcers.
As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, School population, Workers in factories
- B. Families in their homes, School population, Patients in hospital
- C. All except workers in factories
- D. All except patients in hospital
Correct Answer: A
Rationale: The correct answer is A: 'Families in their homes, School population, Workers in factories.' As a community health nurse, you are responsible for providing healthcare services and promoting health within the community. This includes visiting families in their homes to assess their health needs, working with the school population to educate them on preventive health measures, and ensuring the health and safety of workers in factories. Choices B, C, and D are incorrect because they do not encompass the full scope of a community health nurse's responsibilities. Choice B does not include workers in factories, Choice C excludes an important population group, and Choice D excludes an essential setting where healthcare services are provided.
To succeed in her health education program, the PHN needs to be adept in:
- A. teaching-learning strategies
- B. providing accurate information
- C. communicating ideas effectively
- D. all of these
Correct Answer: D
Rationale: To excel in a health education program, a Public Health Nurse (PHN) must possess a combination of teaching-learning strategies to effectively impart knowledge, provide accurate information to ensure credibility, and communicate ideas effectively to engage and interact with the audience. Therefore, all of these skills are essential for a PHN to succeed in her health education program. Choices A, B, and C are integral components of a successful health education program, making option D the correct answer.
Occupational health nursing is concerned with the following except:
- A. educating workers about health
- B. immediate diagnosis of illness prevailing in the work field
- C. appropriate and effective ways of promoting health
- D. planning of administering health services
Correct Answer: B
Rationale: Occupational health nursing focuses on educating workers about health, promoting health through appropriate and effective ways, and planning and administering health services in the workplace. Immediate diagnosis of illness prevailing in the work field is typically not the primary role of occupational health nursing, as it usually involves prevention, education, and health promotion rather than diagnosing acute conditions.
As the new PHN in barangay Masinag, what is necessary to conduct in order to get a picture of the health and social status of the community?
- A. Mass information campaign
- B. Home visit
- C. Community assembly
- D. Community health survey
Correct Answer: D
Rationale: To accurately assess the health and social status of a community, conducting a community health survey is essential. This method provides a comprehensive and systematic way to gather data on various health indicators and social determinants within the community. Choices A, B, and C are not as effective in providing a holistic view of the community's health and social status. A mass information campaign may raise awareness but lacks in-depth data collection, a home visit focuses on individual households rather than the entire community, and a community assembly may not reach all community members or provide structured data collection.