Nokea
The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the nurse to determine their risk. Which client should the nurse identify as having the greatest risk for cardiovascular disease?
- A. A male with a serum cholesterol level of 199 mg/dl.
- B. A female with a serum cholesterol level of 201 mg/dl.
- C. A male with a low-density lipoprotein (LDL) level of 200 mg/dl.
- D. A female with a low-density lipoprotein (LDL) level of 160 mg/dl.
Correct Answer: C
Rationale: The correct answer is C. A male with a high LDL level (200 mg/dl) has a significant risk for cardiovascular disease. High levels of LDL cholesterol are associated with an increased risk of atherosclerosis and heart disease. Choices A, B, and D have serum cholesterol levels that are slightly elevated but are not as specific or directly linked to cardiovascular risk as high LDL levels. Therefore, the client with the high LDL level is at the greatest risk for cardiovascular disease.
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Under the local government code, health services must be developed by the local governments. This means that local health agencies such as health centers/rural health centers must be under the:
- A. municipal government office
- B. barangay health councils
- C. district health office
- D. provincial health office
Correct Answer: A
Rationale: The correct answer is A: municipal government office. According to the local government code, local health agencies like health centers and rural health centers are managed by the municipal government office. This is because the municipal government is responsible for providing essential public services within their jurisdiction. Choice B, barangay health councils, is incorrect as they operate at a smaller administrative level than municipal government offices. Choice C, district health office, is not the correct level of government responsible for managing local health agencies. Choice D, provincial health office, is at a higher administrative level than the municipal government office and is not directly responsible for managing local health agencies.
A unit of Girl Scouts went hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age, complained of a sudden moderately bearable toothache. In checking their first-aid kit, they found none of mefenamic acid, BUT they luckily chanced upon a home that uses alternative pain-relieving medicinal plants. What would this plant be?
- A. Bawang
- B. Lagundi
- C. Sambong
- D. Tsaang gubat
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A pre-term baby develops nasal flaring, cyanosis, and diminished breath sounds on one side. The provider's diagnosis is spontaneous pneumothorax. Which procedure should the nurse prepare for first?
- A. Cardiopulmonary resuscitation
- B. Insertion of a chest tube
- C. Oxygen therapy
- D. Assisted ventilation
Correct Answer: B
Rationale: The correct answer is B: Insertion of a chest tube. In a case of spontaneous pneumothorax, the primary intervention is to insert a chest tube. This procedure allows the trapped air to escape from the pleural space, relieving pressure and enabling the lung to re-expand. Choices A, C, and D are not the initial interventions for spontaneous pneumothorax. Cardiopulmonary resuscitation is indicated for cardiac arrest, oxygen therapy may provide supportive care but does not address the underlying issue of trapped air in the pleural space, and assisted ventilation may be needed later but is not the first-line treatment for a pneumothorax.
In the provision of preventive care to workers, the nurse must be aware of biological hazards that are harmful to workers and their families, such as:
- A. bacteria, fungi, and insects
- B. noise
- C. toxic metals, poisonous gas fumes, and dust
- D. stress
Correct Answer: A
Rationale: The correct answer is A: bacteria, fungi, and insects. Biological hazards in the workplace can include microorganisms like bacteria and fungi that can cause infections, as well as insects that may carry diseases. Noise (choice B) is considered a physical hazard, not a biological one. Toxic metals, poisonous gas fumes, and dust (choice C) are examples of chemical hazards, not biological hazards. While stress (choice D) can be a health concern in the workplace, it is not classified as a biological hazard.
The major target of the Philippine Family Program are women belonging to the high-risk group which includes:
- A. Women under 20 or over 35 years old
- B. Women suffering from certain medical conditions that contradict pregnancy
- C. All these groups
- D. Women who have had at least 4 deliveries
Correct Answer: C
Rationale: The correct answer is C, 'All these groups.' The Philippine Family Program targets women under 20 years old, over 35 years old, those with certain medical conditions that contradict pregnancy, and women who have had at least 4 deliveries. Therefore, choice C is the correct answer because it encompasses all the high-risk groups identified by the program. Choices A, B, and D are incorrect because they do not cover all the specified high-risk groups targeted by the program.