Nokea
Which of the following conditions is characterized by excessive menstrual bleeding due to abnormal proliferation of endometrial tissue outside the uterus?
- A. Endometriosis
- B. Endometrial hyperplasia
- C. Leiomyomas (uterine fibroids)
- D. Adenomyosis
Correct Answer: A
Rationale: Endometriosis is a condition characterized by the abnormal growth of endometrial tissue outside the uterus. One common symptom of endometriosis is excessive menstrual bleeding, known as menorrhagia. This excessive bleeding is due to the presence of endometrial tissue in abnormal locations, leading to inflammation, scarring, and blood accumulation. In severe cases, endometriosis can lead to the formation of adhesions, cysts, and scar tissue, causing significant pain and fertility issues for affected individuals. Endometrial hyperplasia, leiomyomas (uterine fibroids), and adenomyosis are other gynecological conditions, but they do not involve the abnormal proliferation of endometrial tissue outside the uterus like endometriosis does.
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Nurse Adalynn explains to the mothers that early indication for hypovolemia caused by postpartum hemorrhage is _____.
- A. increasing pulse and decreasing blood pressure
- B. altered mental status and level of consciousness
- C. dizziness and increasing respiratory rate
- D. Cool, clammy skin, and pale mucous membranes
Correct Answer: A
Rationale: Nurse Adalynn explains to the mothers that early indication for hypovolemia caused by postpartum hemorrhage is an increasing pulse and decreasing blood pressure. Hypovolemia is a condition where there is a decreased volume of circulating blood in the body, often characterized by fluid loss such as through bleeding. As blood volume decreases, the heart rate increases in an attempt to maintain adequate perfusion to organs and tissues. This results in an elevated pulse rate. Additionally, as the blood volume decreases, the blood pressure may drop due to the reduced amount of blood being pumped around the body. Therefore, monitoring for an increasing pulse and decreasing blood pressure is crucial in detecting hypovolemia early, allowing for prompt intervention to prevent further complications.
A characteristic of qualitative research data is that they are what
- A. In text form
- B. Free of patterns
- C. Dichotomous
- D. Inappropriate for analysis
Correct Answer: A
Rationale: Qualitative research data are typically in text form rather than numeric or statistical data. This means that the data collected through qualitative research methods are descriptive and usually presented in the form of words, phrases, or narratives. Qualitative data often involve subjective interpretations, opinions, and in-depth insights, making text a more suitable format for capturing these nuances compared to numerical or quantitative data. The focus in qualitative research is on understanding experiences, meanings, and perspectives, which are best conveyed through textual data.
Which of the following salivary glands is located inferior and posterior to the mandible and produces serous saliva rich in enzymes?
- A. Parotid gland
- B. Sublingual gland
- C. Submandibular gland
- D. Submaxillary gland
Correct Answer: C
Rationale: The submandibular gland is located inferior and posterior to the mandible. It produces a mixed type of saliva, which is primarily serous (enzyme-rich) but also contains some mucous components. This gland plays a significant role in digestion, as its serous saliva contains enzymes such as amylase that help break down carbohydrates in the mouth before they reach the stomach.
Romy is diagnosed with small cell lung cancer (SCLC) a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE?
- A. Providing relief from symptoms.
- B. Reducing fatigue
- C. Providing psychological support.
- D. Advising treatment options
Correct Answer: A
Rationale: In the case of Romy being diagnosed with small cell lung cancer (SCLC) and undergoing palliative treatment, the most appropriate nursing action is to focus on providing relief from symptoms. Palliative care aims to improve the quality of life for patients with serious illnesses by managing their symptoms, such as pain, shortness of breath, nausea, and other side effects of treatment. As the cancer is advanced and the goal is not curative treatment but rather to keep the patient comfortable, symptom management becomes a priority to ensure Romy's physical comfort and well-being during this difficult time. Providing relief from symptoms is crucial in palliative care to help enhance the patient's quality of life and ensure they are as comfortable as possible.
You have observed presence of drainage in Claudia's eyes. Which of the following eye solution would you use in cleaning her eyes?
- A. Hydrochloric acid
- B. Mineral water
- C. Normal saline solution
- D. Soapsuds solution
Correct Answer: C
Rationale: Normal saline solution is the best choice for cleaning Claudia's eyes with drainage. It is a sterile solution that closely matches the natural pH of the eyes, making it gentle and safe for ocular use. Normal saline can help flush out any debris or discharge in the eye without causing further irritation or complications. On the other hand, hydrochloric acid is a corrosive substance that can cause significant harm if it comes into contact with the eyes. Mineral water may contain impurities that could further irritate the eyes. Soapsuds solution is not recommended for eye cleaning as it can cause irritation and damage to the delicate eye tissues. Therefore, normal saline solution is the most appropriate and safe option for cleaning Claudia's eyes in this situation.