Nokea
The suture material which poses the highest risk of infection is
- A. Vicryl
- B. Chromic gut
- C. Silk
- D. Prolene
Correct Answer: C
Rationale: Silk braided, bacteria's nest tops infection risk, not Vicryl, gut's absorb, or slick Prolene, nylon. Nurses stitch this chronic trap warily.
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Postoperative care at the completion of bimaxillary surgery:
- A. Is likely to be complicated by the presence of intermaxillary fixation (IMF).
- B. Involves awake rather than asleep extubation.
- C. Requires gentle removal of the tracheal tube to avoid damage of mandibular plates and screws.
- D. Involves reinsertion of a nasal tracheal tube when complicated by airway bleeding or obstruction requiring emergency reintubation.
Correct Answer: A
Rationale: Bimaxillary surgery's postoperative phase is complex. Intermaxillary fixation (IMF) aligns jaws but restricts mouth opening, complicating airway management, vomiting, and oral care raising aspiration or obstruction risks. Awake extubation is preferred, ensuring airway reflexes return, critical with IMF and swelling. Gentle tube removal prevents surgical site trauma (e.g., plates), though mandibular hardware is internal, less tube-accessible. Emergency reintubation may use nasal routes due to IMF, addressing bleeding/obstruction. HDU care is case-specific, not mandatory. IMF's presence drives tailored strategies, prioritizing airway security and patient stability in this high-risk recovery period.
The nursing considerations that should be applied when assisting diabetics in management of their condition does not include:
- A. BGL monitoring, medications and compliance with treatment and medication
- B. Recognition and early intervention of potential complications
- C. Skin and foot care, including pressure area care when hospitalised
- D. Minimising exercise to prevent fatigue and foot ulcers
Correct Answer: D
Rationale: Diabetes nursing BGLs, meds, complication spots, skin/foot TLC all key. No exercise? Flops movement cuts sugar, boosts health, not ulcers. Nurses nix this, a chronic active push.
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
- A. Effect of endogenous insulin on transportation of glucose into cells
- B. Function of the liver in formation of glycogen and gluconeogenesis
- C. Impact of the client's family history on likelihood of developing diabetes
- D. Symptoms indicating that the client should contact the health care provider
Correct Answer: D
Rationale: Discharge teaching for type 2 diabetes post-hyperglycemia hinges on crisis prevention knowing when symptoms like thirst or confusion scream for help beats insulin mechanics, liver roles, or family odds. Clients need actionable cues to self-manage, not just theory; recognizing trouble and calling in keeps them out of the ER. Physiology's useful, genetics informative, but spotting escalation's life-saving, a chronic care must nurses drill into patients for real-world control.
During his internship at a general practice, a medical student is asked to check the blood glucose level in a 50-year-old patient with type 2 diabetes. The measurement is performed at a random moment and the carbohydrate intake has not been standardised before the measurement is taken. The result of the measurement is shown below. The general practitioner (GP) asks the student to report the result using standard medical terminology. Question: Which diagnosis is most consistent with the findings provided above?
- A. Hyperglycaemia
- B. Hypoglycaemia
- C. Hyperglycaemia with hyperosmolar state
- D. Normoglycaemia (euglycaemia)
Correct Answer: A
Rationale: Random high glucose in type 2 hyperglycaemia, no hypo, osmolar crash, or norm. Nurses call this, a chronic sugar spike.
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective?
- A. The biopsy will remove the cancer in my prostate gland.
- B. The biopsy will determine how much longer I have to live.
- C. The biopsy will help decide the treatment for my enlarged prostate.
- D. The biopsy will indicate whether the cancer has spread to other organs.
Correct Answer: C
Rationale: Prostate biopsy snags tissue to check if enlargement's benign (BPH) or malignant guiding treatment like surgery or radiation. It's not therapeutic , doesn't predict lifespan , and staging spread needs more (e.g., scans). Nurses in oncology stress this it's a diagnostic linchpin, setting the course for managing prostate issues, critical for patient buy-in and clarity.