Nokea
Baby Sharon was placed on phototherapy. What precaution should Nurses Juvy observe?
- A. Put sunglasses on the newborn to protect his/her eyes.
- B. Be certain that the newborn's intake is adequate.
- C. Assess the newborn for symptoms of headache.
- D. Keep the newborn wrapped to prevent sunburn.
Correct Answer: A
Rationale: When a baby is placed on phototherapy, especially for treating jaundice, it is crucial for the nurses to put sunglasses on the newborn to protect their eyes. Phototherapy involves exposing the baby's skin to certain types of light to help break down the bilirubin causing the jaundice. However, this light can be harmful to the baby's sensitive eyes, potentially leading to eye damage or other eye-related issues if not protected adequately. Therefore, placing sunglasses on the newborn is a necessary precaution to ensure the safety and well-being of the baby's eyes during the treatment.
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The young mother wanted to know about the motor development APPROPRIATE in a preschooler. Which of the following statements NOT true?
- A. "He can tie shoe lace"
- B. "He can alternate feet when climbing"
- C. "He has not developed good postures"
- D. "He can hop two or more times"
Correct Answer: B
Rationale: The statement that the preschooler can alternate feet when climbing is not true. Typically, preschoolers at this age group are still developing their coordination and may not have mastered the skill of alternating feet while climbing. It is more common for them to use one foot after the other while climbing. This skill usually requires more advanced motor development and coordination, which may come later in the preschool years.
A patient presents with urinary frequency, urgency, dysuria, and suprapubic pain. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?
- A. Acute glomerulonephritis
- B. Chronic kidney disease
- C. Urinary tract infection (UTI)
- D. Renal calculi
Correct Answer: C
Rationale: The patient's presentation of urinary frequency, urgency, dysuria, and suprapubic pain along with the urinalysis findings of pyuria (pus in the urine) and bacteriuria (bacteria in the urine) are highly suggestive of a urinary tract infection (UTI). UTIs are one of the most common types of bacterial infections seen in clinical practice. The symptoms described are classic for a lower urinary tract infection. The presence of pyuria and bacteriuria on urinalysis further supports the diagnosis of a UTI. Acute glomerulonephritis typically presents with hematuria, proteinuria, hypertension, and edema. Chronic kidney disease is often asymptomatic in early stages and presents with symptoms like fatigue, edema, and changes in urination later on. Renal calculi are associated with severe colicky flank pain that can radiate to the groin, and they may present with
A patient presents with swelling of the ankles, dyspnea on exertion, and orthopnea. An echocardiogram reveals decreased left ventricular ejection fraction and dilated left ventricle. Which cardiovascular disorder is most likely responsible for these symptoms?
- A. Stable angina
- B. Heart failure with preserved ejection fraction
- C. Heart failure with reduced ejection fraction
- D. Valvular heart disease
Correct Answer: C
Rationale: The patient's presentation of swelling of the ankles, dyspnea on exertion, and orthopnea is highly suggestive of heart failure. The echocardiogram findings of decreased left ventricular ejection fraction and dilated left ventricle are characteristic of heart failure with reduced ejection fraction (HFrEF), also known as systolic heart failure. In this condition, the heart's ability to pump blood effectively is compromised, leading to symptoms of congestion and decreased cardiac output. The decreased ejection fraction indicates that the heart is not able to efficiently pump out blood with each contraction. Dilatation of the left ventricle is a compensatory mechanism in response to increased volume overload.
The nurse informs the patient and family that rehabilitation prior to discharge is BEST described as______.
- A. a period of ups and downs, physically and emotionally
- B. long and one requiring involvement of significant others
- C. easy and smooth from discharge onwards
- D. a rapid process towards recovery
Correct Answer: A
Rationale: Rehabilitation prior to discharge is best described as a period of ups and downs, physically and emotionally because it involves the recovery process after an illness, injury, or medical procedure. It is a challenging time where the patient may experience setbacks and improvements on their journey back to health. There can be physical challenges such as regaining strength and mobility, as well as emotional challenges like coping with the changes in their condition. Therefore, the rehabilitation process is often not smooth and can be a rollercoaster of progress and setbacks, both physically and emotionally.
Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ________.
- A. oath of professional for new nurses
- B. nursing practice act 7164
- C. code of ethics for nurses
- D. core competency standards
Correct Answer: C
Rationale: Ms. Sanchez is violating the code of ethics for nurses. Nurses are expected to uphold professional behavior and maintain a positive public image. Endorsing a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt may be seen as unprofessional and contrary to the image of a nursing professional. The code of ethics for nurses requires nurses to act with integrity, maintain professional boundaries, and avoid actions that could bring discredit to the profession. By engaging in this commercial, Ms. Sanchez is not upholding the ethical standards expected of nurses.