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The nurse plans to educate the entire family about obsessive compulsive disorder. Which of the following plans would be the MOST effective?
- A. The nurse directs resources to help them 1earn about the illness medication to treat it.
- B. The nurse teaches the family about Mrs. Juan's illness and medication and suggests that they educate her disease and the medications to treat it.
- C. The nurse educates the entire famil1v at the same time about the disease and medications to treat it.
- D. The nurse teaches Mrs . Juan about her illness and her mediations and suggests that she teaches her family what she has learned .
Correct Answer: C
Rationale: The most effective plan would be for the nurse to educate the entire family at the same time about the disease and medications to treat it (Option C). This approach ensures that each family member receives the same information and understanding about obsessive compulsive disorder (OCD) and its treatment. By educating the entire family simultaneously, it creates a supportive environment where everyone is on the same page and can provide understanding and assistance to the individual with OCD, in this case, Mrs. Juan. It also allows for open communication and collaboration within the family unit, leading to better management and support for Mrs. Juan in dealing with her illness.
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A nurse is preparing to assist with a transurethral resection of the prostate (TURP) procedure for a patient with benign prostatic hyperplasia (BPH). What action should the nurse prioritize to prevent fluid overload during TURP?
- A. Monitoring the patient's serum electrolyte levels during the procedure
- B. Administering diuretic medications to the patient before the procedure
- C. Limiting the duration of irrigation fluid instillation during TURP
- D. Adjusting the irrigation fluid temperature to promote hemostasis
Correct Answer: C
Rationale: During a transurethral resection of the prostate (TURP), fluid irrigation is commonly used to distend the bladder and flush out tissue debris. However, it is important to prioritize preventing fluid overload in the patient. Limiting the duration of irrigation fluid instillation is a crucial action to prevent excessive fluid absorption and subsequent fluid overload. Prolonged irrigation may lead to an increased risk of fluid overload and electrolyte imbalances, which can result in serious complications such as hyponatremia and fluid volume excess. Monitoring the patient's serum electrolyte levels can be important, but limiting the duration of irrigation is a more immediate and proactive measure to prevent fluid overload. Administering diuretic medications before the procedure may not be appropriate without assessing the patient's specific fluid status and needs. Adjusting the irrigation fluid temperature, while important for hemostasis, does not directly
Which of the following actions is recommended for controlling severe external bleeding from an extremity?
- A. Applying a tourniquet proximal to the injury site.
- B. Elevating the extremity above the level of the heart.
- C. Applying direct pressure with a sterile dressing.
- D. Removing any impaled objects.
Correct Answer: C
Rationale: When controlling severe external bleeding from an extremity, the recommended action is to apply direct pressure with a sterile dressing. Direct pressure helps to stop the bleeding by promoting clot formation and reducing blood flow from the wound. This method is effective in most cases and should be the first response to control bleeding. Elevating the extremity above the level of the heart can be helpful in some cases, but direct pressure is the initial recommended action. Applying a tourniquet proximal to the injury site should only be done as a last resort when other methods are not successful, as it can lead to complications such as tissue damage. Removing any impaled objects can actually worsen the bleeding and should be avoided unless necessary for immediate life-saving measures.
A patient with a tibial shaft fracture undergoes surgical fixation with an intramedullary nail. What postoperative complication should the healthcare team monitor for in the immediate postoperative period?
- A. Wound infection
- B. Nonunion
- C. Fat embolism syndrome
- D. Compartment syndrome
Correct Answer: C
Rationale: Following surgical fixation of a tibial shaft fracture with an intramedullary nail, healthcare providers should monitor for the development of fat embolism syndrome (FES) in the immediate postoperative period. FES is a serious complication that occurs when fat droplets from the bone marrow enter the bloodstream and cause respiratory and neurological symptoms. Clinical manifestations of FES may include dyspnea, tachypnea, petechial rash, altered mental status, and hypoxemia. Prompt recognition and treatment are essential in managing fat embolism syndrome to prevent serious complications such as respiratory failure and neurological deficits. Monitoring for signs and symptoms of FES is crucial in the postoperative care of patients undergoing surgical fixation of long bone fractures.
Collecting data and monitoring the health status of the population defines which of the core public health functions?
- A. Quality assurance
- B. Policy development
- C. Assessment
- D. Health promotion
Correct Answer: C
Rationale: The core public health function of assessment involves systematic data collection on the population's health status, monitoring changes in health, and making information available to the public. In this context, collecting data and monitoring the health status of the population directly aligns with the assessment function of public health. Quality assurance focuses on ensuring that health services meet established standards, policy development involves creating policies to address public health issues, and health promotion involves empowering individuals to improve their health. While these functions are also essential in public health, the act of collecting data and monitoring health status specifically falls under the assessment core function.
In the performance of her role and functions a school nurse, which guiding principle should be consider very IMPORTANT?
- A. Health is an integral part of the education process.
- B. The nurse is in full authority over the children
- C. The local health authority supervises the school health
- D. School nursing is more focused on socialization
Correct Answer: A
Rationale: The guiding principle that health is an integral part of the education process is of utmost importance for a school nurse in performing their role and functions. This principle emphasizes the interconnectedness of health and academic success, highlighting that healthy students are better able to learn and succeed in school. As a school nurse, understanding and prioritizing this principle means focusing on promoting health and wellness, providing healthcare services, and implementing health education programs to support the overall well-being and academic achievement of students. By recognizing the significance of this principle, school nurses can effectively contribute to creating a healthy and supportive school environment that fosters student growth and development.