Nokea
What advice should be given to the owner of the dog in case of dog bite
- A. Give away the animal
- B. Impound the dog
- C. Kill the dog
- D. Feed well and observe
Correct Answer: D
Rationale: The correct advice to give to the owner of the dog in case of a dog bite is to feed the dog well and observe its behavior closely. It is not necessary to give away, impound, or kill the dog immediately after a bite incident. By feeding the dog well and observing its behavior, the owner can see if there are any underlying issues that may have caused the dog to bite. Additionally, observing the dog can help the owner determine if the dog has any health issues that need to be addressed. This approach allows the owner to make an informed decision about the dog's future while ensuring the safety of others.
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A patient admitted to the ICU develops acute renal failure requiring renal replacement therapy (RRT). What intervention should the healthcare team prioritize to initiate RRT?
- A. Insertion of a temporary hemodialysis catheter.
- B. Placement of a peritoneal dialysis catheter.
- C. Initiation of continuous renal replacement therapy (CRRT).
- D. Administration of loop diuretics to enhance urine output.
Correct Answer: C
Rationale: In a critically ill patient admitted to the ICU with acute renal failure requiring renal replacement therapy (RRT), the healthcare team should prioritize the initiation of continuous renal replacement therapy (CRRT). CRRT is preferred in critically ill patients with hemodynamic instability as it allows for slow and continuous removal of solutes and fluids, making it a safer option compared to intermittent hemodialysis. CRRT can also provide better control of volume status and electrolyte imbalances over a longer period, which is beneficial in critically ill patients who are hemodynamically unstable. Peritoneal dialysis is not commonly used in the ICU setting for acute renal failure requiring RRT, and loop diuretics are not effective in treating acute renal failure. Temporary hemodialysis catheters may also be used, but CRRT is generally preferred in critically ill patients for better hemodynamic tolerance and control of solute and fluid removal.
Past medical history section of Krini contains. the following, but NOT______
- A. Prenatal history
- B. Current history
- C. Child hood illness
- D. Birth history
Correct Answer: B
Rationale: The past medical history section typically includes information about a person's medical background before the current point in time. This would involve details such as prenatal history, birth history, childhood illnesses, surgeries, and medical conditions that have occurred in the past. "Current history" would be more appropriate for the present medical status and ongoing health issues, hence it does not belong in the past medical history section.
Which of the following structures is responsible for storing and concentrating bile produced by the liver until it is needed for digestion?
- A. Liver
- B. Gallbladder
- C. Pancreas
- D. Spleen
Correct Answer: B
Rationale: The gallbladder is the structure responsible for storing and concentrating bile produced by the liver until it is needed for digestion. Bile is a digestive fluid that helps in the breakdown of fats during the digestive process. When food containing fats enters the small intestine, the gallbladder contracts and releases bile into the small intestine to aid in the digestion and absorption of fats. The gallbladder acts as a reservoir for bile, storing it until it is needed for digestion.
Should the nurse encounter patients who are stressed due to their health condition, the BEST way to communicate is through which one of the following?
- A. Sympathizing
- B. Sharing
- C. Empathizing
- D. Listening
Correct Answer: C
Rationale: When encountering patients who are stressed due to their health condition, the best way for a nurse to communicate is through empathizing. Empathy involves understanding and sharing the feelings of another person, which can help the nurse connect with the patient on an emotional level. Empathizing allows the nurse to show genuine care and concern for the patient's well-being, fostering a trusting and supportive relationship. This approach can help alleviate the patient's stress and make them feel understood and supported during a difficult time. Sympathizing and sharing may come across as insincere or minimize the patient's experiences, while listening is important but combining it with empathy enhances the overall communication experience.
If more than one vaccine is given, the following guidelines should be observed, EXCEPT.
- A. Do not give more than one dose of the same vaccine in one session.
- B. Do not use the same arm or leg for more than one injection.
- C. Give doses of the same vaccine at the correct intervals.
- D. Use the same syringe and needle in administering two vaccines.
Correct Answer: D
Rationale: It is NOT recommended to use the same syringe and needle in administering two different vaccines. This is to prevent contamination or mixing of different vaccines, which could potentially affect their effectiveness or pose a risk to the individual receiving the vaccines. It is important to use separate syringes and needles for each vaccine to ensure proper administration and prevent any adverse reactions.