Nokea
Upon seeing warning signs of child abuse, the BEST nursing action that Nurse Alma should make is to report the noted observation to __________.
- A. Dept of Social Welfare Development (DSWD)
- B. Headnurse
- C. Philippine National Police (PNP)
- D. Attending Pediatrician
Correct Answer: A
Rationale: Reporting observed signs of child abuse to the Department of Social Welfare Development (DSWD) is the best nursing action in cases of suspected child abuse. DSWD is the government agency tasked with protecting the welfare of children and families. They have the necessary authority and resources to investigate and intervene in cases of child abuse. Reporting to DSWD ensures that professional social workers and experts will step in to assess the situation, provide necessary interventions, and ensure the safety of the child. It is important to involve the appropriate authorities who are trained to handle cases of child abuse effectively. Reporting to the DSWD helps in safeguarding the well-being of the child and taking the necessary steps to address the situation appropriately.
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To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures?
- A. Bathing the newborn
- B. Doing first aid
- C. Proper bandaging
- D. Doing makeup
Correct Answer: B
Rationale: Attending a lecture-demonstration on doing first aid is essential for the growth of a student nurse as it equips them with crucial knowledge and skills to respond effectively in emergency situations. First aid training teaches basic life-saving techniques and how to provide immediate care until medical professionals arrive. This knowledge is vital in the healthcare field, allowing the student nurse to provide immediate assistance and potentially save lives. By learning first aid procedures, the student nurse can enhance their skills, confidence, and overall capability to care for patients in various settings. This continuous learning and improvement are key to personal growth and professional development in the healthcare industry.
Which of the following gives cues to the nurse that the patient may be grieving for loss?
- A. Thoughts, feelings , behavior, and physiologic complaints
- B. Hallucination, panic 1evel of anxiety, sense of impending doom
- C. Sad affect, anger anxiety, and sudden change of mood
- D. Complaints of abdominal pain, diarrhea, loss of appetite
Correct Answer: A
Rationale: A grieving individual may show a range of cues across different aspects of their life. Thoughts may include constant preoccupation with the loss, difficulties in concentrating, or intrusive thoughts. Feelings may involve sadness, anger, guilt, confusion, or relief. Behavioral cues may include changes in sleep patterns, appetite, energy levels, social withdrawal, or the use of substances. Physiologic complaints can manifest as headaches, stomach issues, fatigue, or other physical symptoms. Therefore, when a nurse observes cues related to thoughts, feelings, behavior, and physiologic complaints in a patient, it can suggest that the patient is grieving for a loss.
Which of the following clinical manifestations would the nurse expect to find in the client with rhinitis?
- A. Nasal congestion, rhinorrhea and sneezing
- B. Headache, sore throat and sneezing
- C. Nasal congestion, pyrexic and rhinorrhea
- D. Nasal congestion, headache and sore throat
Correct Answer: A
Rationale: Rhinitis is inflammation of the nasal mucosa, and common clinical manifestations include nasal congestion (blockage or stuffiness), rhinorrhea (runny nose), and sneezing. These symptoms are often present in both allergic and non-allergic rhinitis. While headaches, sore throat, and fever can occur in some cases, they are not as specific to rhinitis as nasal congestion, rhinorrhea, and sneezing.
A patient presents with a small, painless, well-defined nodule on the lateral aspect of the neck, just above the clavicle. Fine-needle aspiration cytology reveals clusters of polygonal cells with abundant granular cytoplasm. Which of the following conditions is most likely responsible for this presentation?
- A. Thyroglossal duct cyst
- B. Branchial cleft cyst
- C. Lymphadenopathy
- D. Parathyroid adenoma
Correct Answer: D
Rationale: The presentation described is characteristic of a parathyroid adenoma. Parathyroid adenomas are benign neoplasms that can present as painless, well-defined nodules usually located in the lower pole of the thyroid gland or in close proximity, such as the lateral aspect of the neck above the clavicle. Fine-needle aspiration cytology of a parathyroid adenoma typically reveals polygonal cells with abundant granular cytoplasm, often referred to as chief cells. This is key in differentiating it from other conditions mentioned in the question.
A patient presents with recurrent episodes of vertigo, nausea, and nystagmus, often triggered by head movements. Dix-Hallpike maneuver elicits positional vertigo and rotary nystagmus. Which of the following conditions is most likely responsible for this presentation?
- A. Ménière's disease
- B. Benign paroxysmal positional vertigo (BPPV)
- C. Vestibular neuritis
- D. Labyrinthitis
Correct Answer: B
Rationale: The patient's presentation with recurrent episodes of vertigo, nausea, and nystagmus triggered by head movements, along with a positive Dix-Hallpike maneuver eliciting positional vertigo and rotary nystagmus, is classic for Benign Paroxysmal Positional Vertigo (BPPV). BPPV is the most common cause of vertigo due to a mechanical problem in the inner ear. In BPPV, brief episodes of vertigo are typically triggered by specific head movements, such as rolling over in bed or looking up. The characteristic rotary nystagmus observed in BPPV is consistent with the brief, intense episodes of vertigo that patients experience. The Dix-Hallpike maneuver, commonly used to diagnose BPPV, involves moving the patient from sitting to a supine head-hanging position and can induce vertigo and nystagmus in affected