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Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn 's Condition is used at how many minutes after birth?
- A. 1 to 10
- B. 1 to 7
- C. 1 to 3
- D. 1 to 5
Correct Answer: C
Rationale: The APCAR (Appearance, Pulse, Grimace, Activity, Respiration) score is used to evaluate a newborn's condition in the first few minutes after birth. This assessment typically occurs within the first 1 to 3 minutes after the baby is born. The score helps healthcare providers quickly assess the baby's overall well-being and determine if any immediate interventions or further monitoring are necessary.
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A postpartum client exhibits signs of postpartum psychosis, including hallucinations, delusions, and disorganized behavior. Which nursing intervention is most appropriate?
- A. Administering antipsychotic medication as ordered
- B. Encouraging the client to participate in group therapy sessions
- C. Providing education on coping skills and stress management
- D. Notifying the healthcare provider immediately
Correct Answer: D
Rationale: When a postpartum client exhibits signs of postpartum psychosis such as hallucinations, delusions, and disorganized behavior, it is crucial to involve the healthcare provider immediately. Postpartum psychosis is a psychiatric emergency that requires prompt assessment and intervention by mental health professionals. The healthcare provider can determine the appropriate course of action, which may include hospitalization, medication management, and specialized psychiatric care. Delaying notification can lead to serious consequences for both the client and her infant, so timely intervention is essential in managing postpartum psychosis.
Her diagnosis of obsessive-compulsive disorder constantly does repetitive cleaning. The nurse knows that this behavior is probably MOST basically, an attempt to _______.
- A. Decrease the anxiety to a tolerable level
- B. Focus attention on non-threatening tasks
- C. Control others
- D. Decrease time available for interaction with people
Correct Answer: A
Rationale: The behavior of repetitive cleaning in someone diagnosed with obsessive-compulsive disorder is likely an attempt to decrease the anxiety to a tolerable level. People with OCD often engage in compulsive behaviors, such as cleaning, in an effort to alleviate the distress and anxiety caused by obsessive thoughts. This repetitive action provides a sense of control and temporary relief from the anxiety associated with their obsessive thoughts. By engaging in cleaning rituals, individuals with OCD can try to reduce their anxious feelings and create a sense of order and cleanliness in their environment.
A nurse is preparing to assist with a peripherally inserted central catheter (PICC) insertion for a patient. What action should the nurse prioritize to maintain procedural asepsis?
- A. Wearing sterile gloves and a surgical mask during the procedure
- B. Cleansing the insertion site with alcohol-based antiseptic solution
- C. Using a sterile drape to cover the patient during the procedure
- D. Avoiding unnecessary movement or talking during the procedure
Correct Answer: B
Rationale: The nurse should prioritize cleansing the insertion site with an alcohol-based antiseptic solution to maintain procedural asepsis during a peripherally inserted central catheter (PICC) insertion. Proper skin preparation is essential in reducing the risk of introducing pathogens into the patient's bloodstream during the insertion process. Alcohol-based antiseptic solutions are effective in reducing the number of microorganisms on the skin surface. Wearing sterile gloves and following other sterile techniques are also crucial, but preparing the insertion site with the antiseptic solution is the initial step in maintaining asepsis during the procedure.
When the staff nurses in Pediatric Ward work more than they can handle, thus, losing their enthusiasm in their work, which of the following consequences is referred to/
- A. Lower patient care
- B. Low quality patient care
- C. Medical errors
- D. Burnout
Correct Answer: D
Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, when staff nurses in the Pediatric Ward are working more than they can handle, they may experience burnout. Burnout can lead to a decrease in enthusiasm for work, feelings of depersonalization, and a reduced sense of personal accomplishment. These consequences can ultimately impact the quality of patient care provided by the nurses. Burnout not only affects the well-being of the healthcare workers but can also result in lower patient care quality, medical errors, and decreased overall job performance. Addressing and preventing burnout is crucial in maintaining a high standard of care and ensuring the well-being of healthcare professionals.
Which is the best strategy to control Incidence of Rabies in the community
- A. Impound dogs
- B. Kill stray dogs
- C. Responsible pet owner
- D. Fine the owner
Correct Answer: C
Rationale: The best strategy to control the incidence of rabies in the community is to promote responsible pet ownership. Responsible pet owners ensure that their pets are vaccinated against rabies, kept on a leash or within a confined area, and are not allowed to roam freely. By doing so, the chances of their pets contracting and spreading rabies are greatly reduced. This approach focuses on prevention rather than reactive measures such as impounding or killing dogs, which may not effectively tackle the root cause of the problem. Additionally, fining the owner may serve as a deterrent, but it does not address the overall issue of preventing rabies transmission. Encouraging responsible pet ownership is a sustainable and humane way to reduce the incidence of rabies in the community.