Nokea
What is the appropriate management for a conscious patient experiencing a seizure?
- A. Restrain the patient to prevent injury.
- B. Place the patient in a supine position.
- C. Protect the patient from injury, clear the area, and monitor the duration of the seizure.
- D. Administer antiepileptic medication immediately.
Correct Answer: C
Rationale: The appropriate management for a conscious patient experiencing a seizure is to follow these steps:
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On the first postpartum day, a primiparous patient complains of perineal pain that was unrelieved by Ibuprofen 400 mg given two hours ago. Nurse Kayla should assess for which of the following?
- A. Vaginal laceration
- B. History of Drug Abuse
- C. Perineal hematoma
- D. Puerperal infection
Correct Answer: C
Rationale: In a primiparous patient who complains of unrelieved perineal pain on the first postpartum day, Nurse Kayla should assess for a perineal hematoma. A perineal hematoma is a collection of blood in the perineal tissues and can cause significant pain and discomfort. It can be a result of trauma during delivery or due to a blood vessel rupture. This condition requires prompt assessment and intervention to prevent complications such as infection or excessive bleeding. Vaginal laceration would typically be identified during the delivery process and would have been repaired by the healthcare provider. History of drug abuse, while important to know for overall patient care, is not as relevant in this immediate postpartum pain assessment. Puerperal infection usually presents with other signs such as fever, foul-smelling discharge, and uterine tenderness, which are not mentioned in this scenario.
Nurse bea wants to pursue higher education in Nursing for her career advancement. Aside from enrolling in graduate school, which of the following she could enhance her career?
- A. Participates in professional organization
- B. Attends seminars.
- C. Conduct research
- D. Attends symposium
Correct Answer: A
Rationale: Participating in professional organizations can be a valuable way for Nurse Bea to enhance her career in nursing aside from enrolling in graduate school. Professional organizations provide networking opportunities, access to resources and information, opportunities for professional development through workshops and conferences, and a platform for engaging in advocacy efforts to promote the nursing profession. By being an active member of a professional organization, Nurse Bea can further her knowledge, skills, and connections within the nursing field, which can contribute to her career advancement.
A patient is prescribed a proton pump inhibitor (PPI) for the treatment of gastroesophageal reflux disease (GERD). Which adverse effect should the nurse monitor closely in the patient?
- A. Hypoglycemia
- B. Hyperkalemia
- C. Clostridium difficile infection
- D. Osteoporosis
Correct Answer: D
Rationale: Patients prescribed proton pump inhibitors (PPIs) for the treatment of GERD should be closely monitored for the development of osteoporosis. PPIs have been associated with an increased risk of developing osteoporotic fractures, particularly in long-term users. This risk is thought to be due to decreased calcium absorption as stomach acidity is reduced by PPIs, leading to potential alterations in bone metabolism and density. Therefore, it is important for healthcare providers to assess bone health, educate patients on calcium and vitamin D supplementation, and consider other risk factors for osteoporosis in individuals taking PPIs long-term. While hypoglycemia, hyperkalemia, and Clostridium difficile infection may be seen as adverse effects with other medications or conditions, osteoporosis is the adverse effect most closely monitored in patients taking PPIs for GERD.
Which of the following IS TRUE about osteoporosis
- A. it is a silent disease
- B. It is more common in men
- C. it is not that alarming
- D. It is only discovered after a fracture
Correct Answer: A
Rationale: Osteoporosis is known as a "silent disease" because it develops slowly over time without any symptoms. Many people with osteoporosis are unaware of their condition until they experience a fracture. The loss of bone density and strength in osteoporosis occurs without any obvious warning signs, making it important for individuals at risk to undergo bone density testing to identify the condition early and prevent further bone loss.
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.