Nokea
When caring for Mr. Reyes, the nurse should assess for
- A. Decreased carotid pulses
- B. Altered level of consciousness
- C. Bleeding from oral cavity
- D. Absence of deep tendon-reflexes
Correct Answer: B
Rationale: When caring for Mr. Reyes, the nurse should assess for an altered level of consciousness as it is a crucial indicator of his overall neurological status. Changes in consciousness can signify multiple underlying issues such as neurological, metabolic, or circulatory problems. It is important for the nurse to monitor Mr. Reyes closely for any signs of confusion, disorientation, agitation, drowsiness, or changes in behavior that could indicate a decline in his neurological function. Assessing and addressing alterations in consciousness promptly is essential for providing appropriate care and preventing further complications.
You may also like to solve these questions
The age at which the infant can see an object, grasp it, and bring it to the mouth is
- A. 4 months
- B. 5 months
- C. 6 months
- D. 7 months
Correct Answer: A
Rationale: This milestone is typically achieved around 4 months.
Nurse Melanie is teaching an adult class about the different types of hepatitis. Which statement does not pertain to hepatitis A?
- A. "Is caused by an RNA virus of the enterovirus family."
- B. "It spreads primarily by fecal-oral route, usually through the ingestion of infcetd food or liquids."
- C. "It may not be spread from sexual contact."
- D. "Type A hepatitis occurs worldwide, especially in areas with overcrowding and poor sanitation."
Correct Answer: A
Rationale: Statement A is incorrect because hepatitis A is not caused by an RNA virus of the enterovirus family. Instead, hepatitis A is caused by the hepatitis A virus (HAV), which belongs to the Picornaviridae family. Hepatitis A is primarily spread through the fecal-oral route, usually through the ingestion of contaminated food or water. Additionally, hepatitis A can be transmitted through close personal contact and sexual contact. While hepatitis A occurs worldwide, it is more prevalent in areas with poor sanitation and overcrowding.
Which finding is an early indicator of bladder cancer?
- A. Painless hematuria
- B. Nocturia
- C. Occasional polyuria
- D. Dysuria
Correct Answer: A
Rationale: Painless hematuria, which is the presence of blood in the urine without any associated pain, is an early indicator of bladder cancer. This symptom is often one of the first signs of this type of cancer and should be promptly evaluated by a healthcare provider. It is crucial not to ignore the presence of blood in the urine, as it can indicate various underlying conditions, including bladder cancer. While other symptoms like Nocturia (waking up at night to urinate), Occasional polyuria (increased urination), and Dysuria (painful urination) can also occur with bladder cancer, painless hematuria is a significant red flag for the disease.
Regarding the physical growth of preschool children (3-5 yr), all are true EXCEPT
- A. 7-8 kg weight increment/yr
- B. 6-7 cm height increment/yr
- C. brain myelinization stops by 8 yr
- D. 20 primary teeth erupted by 3 yr
Correct Answer: A
Rationale: Weight increment slows after infancy, making 7-8 kg/year incorrect.
A mother is upset because her newborn has erythema toxicum neonatorum. What information should the nurse base the response to the mother?
- A. Easily treated
- B. Benign and transient
- C. Usually not contagious
- D. Usually not disfiguring
Correct Answer: B
Rationale: Erythema toxicum neonatorum is a common benign and transient rash that affects newborns. It typically appears in the first days of life and presents as red or pink blotches with small white or yellow papules in the center. The rash is not harmful, usually resolves on its own within a few days, and does not require treatment. Educating the mother that erythema toxicum neonatorum is a benign and transient condition can help alleviate her concerns and reassure her that it is a normal occurrence in newborns.