Nokea
What is the primary collaborative goal treatment for Ms. C?
- A. Resolve possible dysfunctional family roles as an adolescent
- B. Increase strong desire to eat
- C. Restore normal nutrition and weight
- D. Assist her to increase feelings of control over eating
Correct Answer: C
Rationale: The primary collaborative goal for the treatment of Ms. C should be to restore normal nutrition and weight. This is essential in addressing the potential health issues associated with anorexia nervosa, which is characterized by significantly low body weight and malnutrition. By focusing on restoring normal nutrition and weight, Ms. C can improve her physical health and overall well-being. Resolving possible dysfunctional family roles as an adolescent, increasing the desire to eat, and assisting her to increase feelings of control over eating are important aspects of treatment as well, but the most immediate goal should be to address the physical consequences of anorexia nervosa through restoring normal nutrition and weight.
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Which of the following actions is appropriate for managing a conscious patient with a foreign object lodged in the eye?
- A. Attempting to remove the object with tweezers.
- B. Rinsing the eye with sterile saline solution.
- C. Applying pressure to the eyelid to dislodge the object.
- D. Placing a bandage over the affected eye.
Correct Answer: B
Rationale: When managing a conscious patient with a foreign object lodged in the eye, the appropriate action is to rinse the eye with sterile saline solution. This helps to flush out the foreign object and reduce the risk of further injury or infection. Attempting to remove the object with tweezers or applying pressure to the eyelid can potentially cause more harm to the eye. Placing a bandage over the affected eye is not beneficial in this situation as it does not address the presence of the foreign object. Rinsing the eye with sterile saline solution is the safest and most effective initial step to take in managing a foreign object lodged in the eye.
A patient presents with urinary frequency, urgency, dysuria, and suprapubic pain. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?
- A. Acute glomerulonephritis
- B. Chronic kidney disease
- C. Urinary tract infection (UTI)
- D. Renal calculi
Correct Answer: C
Rationale: The patient's presentation of urinary frequency, urgency, dysuria, and suprapubic pain along with the urinalysis findings of pyuria (pus in the urine) and bacteriuria (bacteria in the urine) are highly suggestive of a urinary tract infection (UTI). UTIs are one of the most common types of bacterial infections seen in clinical practice. The symptoms described are classic for a lower urinary tract infection. The presence of pyuria and bacteriuria on urinalysis further supports the diagnosis of a UTI. Acute glomerulonephritis typically presents with hematuria, proteinuria, hypertension, and edema. Chronic kidney disease is often asymptomatic in early stages and presents with symptoms like fatigue, edema, and changes in urination later on. Renal calculi are associated with severe colicky flank pain that can radiate to the groin, and they may present with
A patient presents with fever, malaise, and a skin lesion resembling a "bull's eye" rash at the site of a tick bite. Which of the following is the most likely causative agent?
- A. Plasmodium falciparum
- B. Trypanosoma cruzi
- C. Borrelia burgdorferi
- D. Leishmania donovani
Correct Answer: C
Rationale: The most likely causative agent in this scenario is Borrelia burgdorferi, which is the bacterium responsible for causing Lyme disease. The classic presentation of Lyme disease includes fever, malaise, and a skin lesion resembling a "bull's eye" rash, known as erythema migrans. This rash typically appears at the site of a tick bite. If left untreated, Lyme disease can progress to involve multiple organ systems and lead to more severe complications. Plasmodium falciparum is the causative agent of malaria, which typically presents with symptoms such as fever, chills, and fatigue, but it does not cause a "bull's eye" rash. Trypanosoma cruzi is the parasite responsible for Chagas disease, which presents with symptoms such as fever, swelling at the site of entry (typically the bite wound), and enlarged lymph nodes, but it does not
Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ________.
- A. oath of professional for new nurses
- B. nursing practice act 7164
- C. code of ethics for nurses
- D. core competency standards
Correct Answer: C
Rationale: Ms. Sanchez is violating the code of ethics for nurses. Nurses are expected to uphold professional behavior and maintain a positive public image. Endorsing a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt may be seen as unprofessional and contrary to the image of a nursing professional. The code of ethics for nurses requires nurses to act with integrity, maintain professional boundaries, and avoid actions that could bring discredit to the profession. By engaging in this commercial, Ms. Sanchez is not upholding the ethical standards expected of nurses.
A patient with chronic kidney disease is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which laboratory parameter should be monitored closely during ESA therapy?
- A. Serum potassium
- B. Serum creatinine
- C. Hemoglobin
- D. Platelet count
Correct Answer: C
Rationale: Erythropoietin-stimulating agents (ESAs) are prescribed to manage anemia in patients with chronic kidney disease. Monitoring the hemoglobin level closely during ESA therapy is crucial to ensure that the treatment is effective in increasing red blood cell production without causing excessive elevation. Hemoglobin levels should be checked regularly to adjust the ESA dosage accordingly and prevent risks associated with high hematocrit levels, such as increasing blood viscosity and cardiovascular events. Monitoring serum potassium, creatinine, and platelet count are important in the management of chronic kidney disease for different reasons, but for ESA therapy, monitoring hemoglobin is the most essential parameter.