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The public health nurse must participate in the essential services that are relevant and accessible to the family and the community. These include:
- A. Working in enforcing laws to regulate health and ensure safety.
- B. Diagnosing and investigating health problems of the country.
- C. Informing, educating, and empowering the people about health.
- D. Monitoring health status and completing a community assessment.
Correct Answer: C
Rationale: The public health nurse's participation in the essential services that are relevant and accessible to the family and the community includes informing, educating, and empowering the people about health. This is a critical aspect of the role of a public health nurse as it involves engaging with individuals and communities to provide them with accurate information about health promotion, disease prevention, and access to healthcare services. By informing, educating, and empowering the people about health, public health nurses can help individuals and communities make informed decisions about their health and well-being, leading to improved health outcomes and overall community health.
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A patient presents with a painful, vesicular rash in a dermatomal distribution on the left thorax. The patient reports a history of chickenpox during childhood. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex virus infection
- B. Herpes zoster (shingles)
- C. Varicella (chickenpox)
- D. Impetigo
Correct Answer: B
Rationale: The presentation of a painful, vesicular rash in a dermatomal distribution on the left thorax, specifically in a patient with a history of chickenpox, is most suggestive of herpes zoster, commonly known as shingles. Herpes zoster is caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve cells and can reactivate years later to cause shingles. The rash in herpes zoster typically progresses through different stages, including red patches leading to fluid-filled blisters. The characteristic rash typically appears unilaterally and is usually preceded by pain, burning, or tingling in the affected area. Unlike herpes simplex virus infection, which can cause similar lesions but is not typically localized to a specific dermatome, herpes zoster presents as a distinct unilateral cluster of vesicles along
While performing the assessment your are guided that the organs found in the epigastrium include which of the following?
- A. Protion of duodenum & jejunum, left kidney, appendix & ovary
- B. Duodenum, pancreas, portion of the liver and pyloric end of the stomach.
- C. Stomach, spleen, tail of pancreas and adrenal gland
- D. Gallblader, duodenum, gallbladder and portion of the right kidney.
Correct Answer: B
Rationale: The epigastrium is the upper middle region of the abdomen, lying above the umbilical region and between the hypochondriac regions. It contains several organs including the duodenum, pancreas, portion of the liver, and the pyloric end of the stomach. The duodenum is the first part of the small intestine, the pancreas is a crucial organ for digestion and hormone regulation, the liver aids in digestion and detoxification, and the pyloric end of the stomach connects the stomach to the small intestine for further digestion and absorption of nutrients. These organs are typically assessed and examined when focusing on the epigastrium during a physical examination.
Which of the following characteristics of Cushing disease is TRUE? The disease occurs in women between 20 to 40 year of age. II.The use of Corticosteroids for multiple immune conditions is a cause of the disease process. III. Condition is aggravated by excessive production of ACTH. IV.The surgical treatment of choice is Transphenoidal hypophysectomy
- A. II & III
- B. I, II, III, & IV
- C. I, II, & III
- D. I & Il
Correct Answer: A
Rationale: Statement II is correct because the use of corticosteroids for multiple immune conditions can lead to the development of Cushing's disease.
A risk is any event that causes problems or benefits on the healthcare institution. The Medical Director knows that potential risks must be identified across the hospital in order to prevent the following, EXCEPT
- A. financial loss
- B. accidents
- C. incident reports
- D. injuries
Correct Answer: C
Rationale: Incident reports are a crucial tool for capturing data on adverse events, near misses, and other incidents within a healthcare institution. These reports help in analyzing patterns, identifying areas for improvement, and implementing quality and safety measures. Therefore, incident reports themselves are not something that needs to be prevented; instead, they are a critical part of the risk management process to enhance patient safety and quality of care.
A patient presents with a yellowish-white spot on the cornea, surrounded by a ring of inflammation. Slit-lamp examination reveals branching, filamentous opacities extending from the corneal lesion. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex keratitis
- B. Bacterial keratitis
- C. Fungal keratitis
- D. Acanthamoeba keratitis
Correct Answer: C
Rationale: The described presentation of a yellowish-white spot on the cornea with branching, filamentous opacities is characteristic of fungal keratitis. Fungal keratitis is typically associated with agricultural injuries, trauma involving plant material, or contact lens wear in agricultural environments. Fungal keratitis can be serious and may require intensive antifungal treatment to prevent vision loss. Prompt diagnosis and initiation of appropriate antifungal therapy are essential in managing fungal keratitis.