Nokea
The patient asks you about goiter. You describe this disorder as ___________-.
- A. A condition produced by excessive endogenous or exogenous thyroid hormone
- B. The enlargement of the thyroid gland and usually caused by an iodine-deficient diet
- C. None of the choices
- D. Inflammation of the thyroid gland that may lead to chronic hypothyroidism
Correct Answer: B
Rationale: Goiter is a condition characterized by the enlargement of the thyroid gland. The most common cause of goiter worldwide is iodine deficiency, which is required for the production of thyroid hormones. When there is insufficient iodine intake, the thyroid gland enlarges in an attempt to produce more hormones, leading to the development of goiter. While other factors can also contribute to the development of goiter, such as autoimmune diseases and certain medications, the primary cause associated with the condition is an iodine-deficient diet.
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Nurse Nilda immediately responds to any cry from her pediatric patients because it is, which of the following reasons?
- A. to attend to her patients who cannot communicate verbally
- B. to check if the child is hungry or wet
- C. to lessen the noise overload in the Unit
- D. a powerful influence over that individual's interactions with others for the remainder of his/her 1ife
Correct Answer: A
Rationale: Nurse Nilda immediately responds to any cry from her pediatric patients to attend to her patients who cannot communicate verbally. Crying is one of the few ways infants and young children communicate their needs and discomforts. By responding promptly to their cries, Nurse Nilda can assess and address potential issues such as hunger, pain, discomfort, or other needs that the child may have. This enhances the quality of care provided and helps in comforting and soothing the child, ultimately promoting their well-being and building trust between the nurse and the patient.
What is the appropriate sequence of steps in the assessment of a conscious trauma patient?
- A. Airway, breathing, circulation, disability, exposure (ABCDE).
- B. Circulation, airway, breathing, disability, exposure (CABDE).
- C. Breathing, airway, circulation, disability, exposure (BACDE).
- D. Exposure, disability, circulation, airway, breathing (EDCAB).
Correct Answer: A
Rationale: The appropriate sequence of steps in the assessment of a conscious trauma patient is the ABCDE approach, which stands for Airway, Breathing, Circulation, Disability, and Exposure.
A patient presents with recurrent episodes of epistaxis, particularly after blowing the nose or during dry weather. Anterior rhinoscopy reveals a friable, vascular lesion in Little's area. Which of the following interventions is most appropriate for managing this condition?
- A. Nasal packing with anterior nasal tampons
- B. Application of silver nitrate cautery
- C. Endoscopic cauterization of the sphenopalatine artery
- D. Surgical excision of the nasal polyp
Correct Answer: B
Rationale: The clinical scenario described is consistent with a diagnosis of anterior epistaxis due to a prominent vascular lesion located in Little's area, which is an important site for nosebleeds. Silver nitrate cautery is the most appropriate intervention for managing this condition. Silver nitrate cautery is a commonly used method to chemically cauterize and eliminate the friable blood vessels responsible for recurrent epistaxis. It is a cost-effective and minimally invasive technique that can be easily performed in an outpatient setting. Nasal packing with anterior nasal tampons might be considered in cases of severe or refractory epistaxis, but in this scenario, where the source of bleeding is localized and identifiable, silver nitrate cautery is the treatment of choice. Endoscopic cauterization of the sphenopalatine artery and surgical excision of a nasal polyp are unnecessary and overly invasive for the described scenario.
Nurse Maris oftentimes encounter barriers. Select a barrier to goal setting between the nurse and the family.
- A. Eeducational attainment
- B. Nature of employment
- C. Failure of family to perceive existence of problem
- D. Socio economic status
Correct Answer: C
Rationale: The barrier to goal setting between the nurse and the family in this scenario is the failure of the family to perceive the existence of the problem. Goal setting in healthcare generally requires mutual agreement and understanding between the healthcare provider (nurse) and the patient/family. If the family does not perceive that there is an existing problem that needs to be addressed, there will likely be resistance or lack of motivation to set goals and work towards resolving the issue. This barrier can hinder effective communication, collaboration, and ultimately, the successful achievement of healthcare goals. It is important for the nurse to address this barrier through education, communication, and building trust to ensure that all parties are on the same page and actively participate in goal setting and care planning.
A patient with chronic respiratory failure secondary to severe restrictive lung disease requires long-term oxygen therapy to maintain adequate oxygenation. Which of the following oxygen delivery devices is most appropriate for delivering continuous supplemental oxygen in this patient?
- A. Nasal cannula
- B. Venturi mask
- C. Partial rebreather mask
- D. Non-rebreather mask
Correct Answer: D
Rationale: The most appropriate oxygen delivery device for a patient with chronic respiratory failure secondary to severe restrictive lung disease requiring continuous supplemental oxygen is a non-rebreather mask. A non-rebreather mask is designed to deliver high-flow oxygen and is typically used for short-term medical treatment in emergency situations or for critically ill patients. It is ideal for providing the highest concentration of oxygen available for inhalation, making it suitable for patients with severe hypoxemia.