Nokea
What is the FIRST priority which the nurse must observe in caring for patient with seizure?
- A. Safety
- B. Nutrition
- C. Airway
- D. Mobility
Correct Answer: A
Rationale: The first priority for a nurse caring for a patient experiencing a seizure is safety. Ensuring the safety of the patient is crucial to prevent injury during the seizure episode. This includes clearing the area around the patient of any harmful objects, preventing the patient from falling or hitting their head, placing them in a safe position to prevent aspiration if they vomit, and staying with the patient until the seizure ends. Once the patient is safe, the nurse can then focus on other aspects of care such as assessing airway, providing emotional support, and monitoring for complications.
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A woman in active labor is experiencing persistent occiput posterior position despite position changes. What nursing intervention is most appropriate to facilitate fetal rotation?
- A. Encourage the mother to remain in a side-lying position.
- B. Assist the mother into a hands-and-knees position.
- C. Administer intravenous oxytocin to augment contractions.
- D. Perform manual rotation of the fetus during vaginal examination.
Correct Answer: B
Rationale: The most appropriate nursing intervention to facilitate fetal rotation in a woman experiencing persistent occiput posterior position is to assist the mother into a hands-and-knees position. This position can help encourage the baby to rotate into the optimal occiput anterior position for delivery. By being on her hands and knees, gravity can assist in aiding the rotation of the baby. This position can also help relieve pressure on the mother's back and potentially reduce discomfort during labor. Additionally, hands-and-knees position can help open up the pelvis and create more space for the baby to turn. It is a non-invasive and generally well-tolerated intervention to promote fetal rotation in labor.
Which of the following organisms is the MOST common causative agent of urinary tract infection (UTI)?
- A. Staphylococcus
- B. Pseudomonas
- C. Klebsiella
- D. Escherichia coli
Correct Answer: D
Rationale: Escherichia coli (E. coli) is the MOST common causative agent of urinary tract infection (UTI), accounting for approximately 80-85% of all cases. E. coli is a type of bacteria that naturally resides in the gastrointestinal tract and can easily migrate to the urinary tract, causing infection. Its prevalence in UTIs is due to various factors such as its ability to adhere to the uroepithelial cells and form biofilms, leading to persistent infections. Therefore, E. coli is the most common organism responsible for UTIs in both community and healthcare settings.
A profession is characterized by the following except:
- A. Body of knowledge
- B. Code of ethics
- C. member of professional organization
- D. Engages in research
Correct Answer: C
Rationale: A profession is characterized by having a body of knowledge, a code of ethics, and engaging in research. However, being a member of a professional organization is not a defining characteristic of a profession. While many professionals may choose to join professional organizations for networking, support, and career advancement reasons, membership in such organizations is not universally required or exclusive to being considered a professional in a particular field. Hence, the presence or absence of professional organization membership does not determine the professional status of an individual.
Chief Nurse cirila formulates strategies to address the short staffing in her hospital. Which of the following strategies s the BEST?
- A. Continuing Professional Development such as post-graduate study
- B. Entry salary of nurses to at par with that of government nurses
- C. Research engagement
- D. Evaluation and recognition for good performances thru reward system
Correct Answer: A
Rationale: Continuing Professional Development such as post-graduate study is the best strategy among the options provided for addressing short staffing in the hospital. By encouraging nurses to pursue post-graduate studies, Chief Nurse Cirila is investing in the long-term growth and development of her nursing workforce. Post-graduate studies can enhance the knowledge, skills, and expertise of nurses, making them more competent in their roles. This can lead to improved patient care outcomes, increased job satisfaction among nurses, and ultimately help in retaining and attracting talent in the hospital. Additionally, supporting nurses in their professional development can boost morale and motivation, which are crucial factors in addressing short staffing issues.
A patient presents with recurrent episodes of fever, sore throat, and cervical lymphadenopathy. Laboratory tests reveal leukocytosis with atypical lymphocytes on peripheral blood smear and positive heterophile antibody test (Monospot test). Which of the following conditions is most likely to cause these findings?
- A. Infectious mononucleosis (Epstein-Barr virus infection)
- B. Cytomegalovirus (CMV) infection
- C. HIV/AIDS
- D. Toxoplasmosis
Correct Answer: A
Rationale: The clinical presentation of recurrent fever, sore throat, cervical lymphadenopathy, leukocytosis with atypical lymphocytes, and positive heterophile antibody test (Monospot test) is highly indicative of infectious mononucleosis caused by the Epstein-Barr virus (EBV). EBV is a member of the herpesvirus family and is a common cause of infectious mononucleosis. The atypical lymphocytes seen on peripheral blood smear are reactive T lymphocytes responding to the EBV infection. The Monospot test detects heterophile antibodies produced in response to EBV infection.