There are three demographic variables in population growth. Which one is NOT included?
- A. Fertility
- B. Morbidity
- C. Migration
- D. Mortality
Correct Answer: B
Rationale: Morbidity refers to the state of being diseased or unhealthy, which is not directly related to population growth. On the other hand, fertility, mortality, and migration are three fundamental demographic variables that significantly influence population growth. Fertility refers to the ability of a population to produce offspring, mortality deals with death rates within a population, and migration involves the movement of individuals into or out of a particular area. These three variables play crucial roles in shaping the size and composition of a population over time.
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A patient with a history of chronic kidney disease presents with pruritus, pale skin, and easy bruising. Laboratory findings reveal anemia, thrombocytopenia, and elevated blood urea nitrogen (BUN) and creatinine levels. Which of the following conditions is most likely?
- A. Uremic encephalopathy
- B. Uremic pericarditis
- C. Uremic bleeding diathesis
- D. Uremic neuropathy
Correct Answer: C
Rationale: The given patient with chronic kidney disease (CKD) is likely experiencing uremic bleeding diathesis. Uremic bleeding diathesis is a complication of CKD characterized by abnormal platelet function, leading to a tendency for bleeding. The presence of anemia, thrombocytopenia (low platelet count), pale skin, easy bruising, and elevated blood urea nitrogen (BUN) and creatinine levels are all consistent with uremic bleeding diathesis.
What is the FIRST step in the qualitative research process?
- A. Data analysis
- B. Review of literature
- C. Sample
- D. Study design
Correct Answer: B
Rationale: The first step in the qualitative research process is typically conducting a review of existing literature on the topic of interest. This involves exploring existing research studies, theories, and findings related to the area being studied. By reviewing the literature, researchers can gain a better understanding of the current knowledge and identify gaps in the existing research that their study can address. This step helps researchers define the research question, refine the study design, and establish a strong theoretical framework for the study.
A patient is prescribed an anticoagulant for the prevention of venous thromboembolism (VTE). Which laboratory parameter should the nurse monitor closely during anticoagulant therapy?
- A. Platelet count
- B. International normalized ratio (INR)
- C. Serum sodium levels
- D. Blood urea nitrogen (BUN)
Correct Answer: B
Rationale: The nurse should monitor the International Normalized Ratio (INR) closely during anticoagulant therapy for the prevention of VTE. The INR measures the clotting ability of the blood and is used to monitor the effectiveness of anticoagulant therapy, such as warfarin. Maintaining the INR within the target therapeutic range is crucial to prevent both excessive bleeding due to over-anticoagulation and clotting events due to under-anticoagulation. Close monitoring of the INR helps healthcare providers adjust the anticoagulant dosage as needed to ensure optimal therapeutic outcomes and minimize risks. Platelet count, serum sodium levels, and blood urea nitrogen (BUN) are important laboratory parameters to monitor for other medical conditions but are not specific to anticoagulant therapy.
A patient presents with recurrent episodes of postnasal drip, chronic cough, and halitosis. Nasal endoscopy reveals a foul-smelling, yellowish discharge draining from the middle meatus. Which of the following conditions is most likely responsible for this presentation?
- A. Chronic rhinosinusitis with nasal polyps
- B. Allergic rhinitis
- C. Nasal vestibulitis
- D. Adenoid hypertrophy
Correct Answer: A
Rationale: The patient's presentation of recurrent episodes of postnasal drip, chronic cough, halitosis, and foul-smelling, yellowish discharge from the middle meatus is highly suggestive of chronic rhinosinusitis. The presence of nasal polyps further supports this diagnosis. Chronic rhinosinusitis with nasal polyps is characterized by inflammation of the paranasal sinuses, leading to symptoms such as nasal congestion, postnasal drip, cough, and a reduced sense of smell. The yellowish discharge and foul odor are typical findings in cases of chronic rhinosinusitis with secondary bacterial infection. Nasal endoscopy may reveal edematous nasal mucosa and polyps obstructing the middle meatus, contributing to the symptoms described by the patient. Management typically involves a combination of medical therapies such as intranasal corticosteroids, saline irrigation, and antibiotics, and in some cases, surgical intervention
A postpartum client who delivered vaginally reports difficulty emptying the bladder completely and experiences urinary frequency. What nursing intervention should be prioritized to address this issue?
- A. Assessing for signs of urinary retention or bladder distention
- B. Encouraging the client to increase fluid intake to promote urination
- C. Recommending the use of warm compresses to the suprapubic area
- D. Teaching the client pelvic floor exercises to improve bladder control
Correct Answer: A
Rationale: The priority nursing intervention in this situation is to first assess the client for signs of urinary retention or bladder distention. Difficulty in emptying the bladder completely and experiencing urinary frequency can be indications of urinary retention, which can lead to bladder distention and possible complications such as urinary tract infection. By assessing the client, the nurse can determine the cause of the issue and implement appropriate interventions. It is crucial to address potential complications promptly to promote the client's health and well-being postpartum. Once the assessment is completed, further interventions such as recommending appropriate measures, like warm compresses or pelvic floor exercises, can be considered based on the assessment findings.