Nokea
What is a primary objective of public health?
- A. Lowering the prevalence of chronic diseases
- B. Eliminating health disparities among populations
- C. Delivering health education
- D. Extending life expectancy
Correct Answer: B
Rationale: The correct answer is B: Eliminating health disparities among populations. This is the primary objective of public health as it focuses on ensuring that all individuals have equal access to healthcare and resources to achieve optimal health outcomes. By addressing disparities, public health aims to promote health equity and reduce inequalities in health status. Lowering chronic diseases (A) and extending life expectancy (D) are important goals but not the primary objective. Delivering health education (C) is a strategy within public health but not the main objective.
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What is the most effective method for preventing the spread of disease?
- A. Hand hygiene
- B. Vaccination
- C. Quarantine
- D. Use of personal protective equipment
Correct Answer: A
Rationale: The correct answer is A: Hand hygiene. Proper hand hygiene, including washing hands with soap and water or using hand sanitizer, is the most effective method for preventing the spread of disease. This is because hands can easily pick up and transfer germs from surfaces to our bodies. Regular handwashing can remove these germs and reduce the risk of infection.
Summary of other choices:
B: Vaccination is important in preventing certain diseases but may not be as effective in controlling the immediate spread of a disease outbreak.
C: Quarantine can help contain the spread of disease in specific situations but may not be as universally applicable as hand hygiene.
D: Use of personal protective equipment is crucial in certain settings, but it is not as practical or accessible for the general population compared to practicing good hand hygiene.
Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?
- A. Ringer's lactate
- B. Normal saline
- C. Dextrose
- D. Blood
Correct Answer: A
Rationale: The correct answer is A: Ringer's lactate. Ringer's lactate is used in managing GIT loss and burns due to its balanced electrolyte composition, which closely resembles the electrolyte content of plasma. It helps replace lost fluids and maintain electrolyte balance. Normal saline (B) lacks bicarbonate and may lead to metabolic acidosis. Dextrose (C) provides energy but does not address fluid and electrolyte losses. Blood (D) is not typically used for fluid resuscitation in these cases unless there is severe hemorrhage.
The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
- A. Awaken the client every two (2) hours.
- B. Monitor for increased intracranial pressure.
- C. Observe frequently for hypervigilance.
- D. Offer the client food every three (3) to four (4) hours.
Correct Answer: A
Rationale: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion.
Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.
What is a common challenge in promoting health literacy?
- A. Limited access to health resources
- B. Low literacy levels among patients
- C. Complex medical instructions
- D. Cultural barriers
Correct Answer: B
Rationale: The correct answer is B: Low literacy levels among patients. Health literacy refers to an individual's ability to understand and use health information. Low literacy levels can hinder a person's understanding of health-related information, leading to poor health outcomes. Limited access to health resources (A) can be a challenge, but it is not as common as low literacy levels. While complex medical instructions (C) can be a barrier, low literacy levels are more pervasive. Cultural barriers (D) can also impact health literacy, but the primary challenge is often low literacy levels among patients.
Match the following terms in column A with the correct definition in Column B:
- A. I. Topical anesthesia
C. The agent is applied directly to the skin and mucous membranes of the skin.
II. Epidural anesthesia
D. Injecting the anesthesia in the epidural mater of the spinal cord. - B. II. Epidural anesthesia
B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.
I. Topical anesthesia
C. The agent is applied directly to the skin and mucous membranes of the skin. - C. I. Topical anesthesia
C. The agent is applied directly to the skin and mucous membranes of the skin.
II. Epidural anesthesia
D. Injecting the anesthesia in the epidural mater of the spinal cord. - D. I. Topical anesthesia
C. The agent is applied directly to the skin and mucous membranes of the skin.
II. Epidural anesthesia
B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.
Correct Answer: A
Rationale: The correct answer is A because it correctly matches the terms with their definitions. Topical anesthesia is indeed applied directly to the skin and mucous membranes, matching with statement C. Epidural anesthesia involves injecting the anesthesia into the epidural space of the spinal cord, aligning with statement D. The other choices incorrectly match the terms with definitions that do not correspond to the actual procedures. Choice B incorrectly states that epidural anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5, which is not accurate. Choice C incorrectly states that topical anesthesia is applied directly to the skin and mucous membranes, which is inaccurate. Choice D incorrectly states that topical anesthesia is applied directly to the skin and that epidural anesthesia is introduced in the subarachnoid space, both of which are incorrect.