Which does not cause genital ulceration?
- A. syphilis
- B. herpes simplex infection
- C. HIV
- D. lymphogranuloma venereum
Correct Answer: C
Rationale: HIV no direct ulcers; syphilis, herpes, LGV, chancroid carve sores. Nurses rule this chronic outlier.
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For care of a patient who has oral cancer, which task would be appropriate to delegate to the LPN/LVN?
- A. Assist the patient to brush and floss
- B. Explain when brushing and flossing are contraindicated
- C. Give antacids and sucralfate suspension as ordered
- D. Recommend saliva substitutes
Correct Answer: C
Rationale: LPN/LVNs excel in medication administration within their scope, making giving antacids and sucralfate ordered for oral cancer's mucosal protection ideal. Brushing and flossing assistance fits nursing assistants, a basic task. Explaining contraindications requires RN-level judgment to assess risks like bleeding or infection. Recommending saliva substitutes needs physician or pharmacist input, beyond LPN/LVN authority. Medication delivery leverages their training, easing symptoms like pain or ulcers, ensuring safe, supervised care in oral cancer's complex management, a practical delegation choice.
When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
- A. The UAP assists the patient to use dental floss after eating.
- B. The UAP adds baking soda to the patient's saline oral rinses.
- C. The UAP puts fluoride toothpaste on the patient's toothbrush.
- D. The UAP has the patient rinse after meals with a saline solution.
Correct Answer: A
Rationale: Pancytopenia low everything means flossing risks bleeding and infection in a mouth with no platelets or immunity; baking soda , fluoride , and saline are safe. Nurses in oncology stop this UAP need soft-brush guidance, not floss, to protect fragile mucosa.
The nurse is caring for four clients on a post-surgical unit. The nurse understands that monitoring the client for which post-operative complication takes priority?
- A. Nausea
- B. Constipation
- C. Pneumonia
- D. Urinary retention
Correct Answer: C
Rationale: Post-op lungs falter pneumonia from atelectasis or aspiration tops risks, a breathing threat per ABCs over nausea's discomfort. Constipation or retention nag, not kill. Nurses watch breathing, pushing incentive spirometry, a priority catch in this surgical haze.
In the UK, appropriate statements concerning the trauma network include:
- A. Major trauma centres, but not minor trauma units, need facilities to deal with polytrauma patients.
- B. Hospitals dealing with trauma are expected to contribute data to the Trauma Audit Research Network (TARN) database.
- C. Within their network, trauma units have transfer arrangements for moving seriously injured patients to major trauma centres.
- D. Trauma networks have an ambulance protocol for bypassing the nearest unit for injuries that may be best treated at a distant specialist centre.
Correct Answer: B
Rationale: The UK trauma network, established pre-2014, enhances care coordination. Major trauma centres (MTCs) handle polytrauma; trauma units manage less severe cases, though both need capabilities severity dictates MTC referral. TARN collects data from all trauma-receiving hospitals, tracking outcomes (e.g., mortality) to improve standards, a core network feature. Transfer protocols ensure escalation from trauma units to MTCs for complex injuries. Ambulance bypass protocols prioritize specialist MTCs (e.g., neurosurgery) over proximity, per triage tools. Rehabilitation is included in network responsibilities. TARN's mandatory data submission drives quality, transparency, and research, distinguishing the system's evidence-based evolution.
Which of the following management activities is not part of the nursing care of a patient with COPD?
- A. Achieving airway clearance and improving breathing patterns
- B. Ensuring the patient stays in bed and does not exert themselves causing increased dyspnoea
- C. Improving activity tolerance and assisting with lifestyle modification
- D. Monitoring and managing potential complications
Correct Answer: B
Rationale: COPD nursing pushes clearance, tolerance, and complication watch active goals. Bedrest flops deconditions, worsens breathlessness, a chronic care no-no nurses dodge.