Which nursing diagnosis is NOT RELEVANT to sexual health?
- A. Anxiety-related inability to conceive after six months .
- B. Health-seeking behaviors related to reproductive functioning
- C. Sexual dysfunction related to an unknown cause.
- D. Risk for infection related to high-risk. sexual behaviors.
Correct Answer: B
Rationale: In the given situation, the nursing diagnosis that is NOT RELEVANT to sexual health is option B, Health-seeking behaviors related to reproductive functioning. This diagnosis focuses on the patient's proactive approach to seeking healthcare services related to reproductive health matters. However, in the situation presented of a pregnant patient with sickle cell anemia experiencing fever, painful swelling, and in labor pain, the immediate priority lies in addressing the health issues related to sickle cell disease and the current pregnancy. Sexual health is not the primary concern in this scenario compared to managing the complications of sickle cell anemia during pregnancy. Therefore, the diagnosis related to health-seeking behaviors related to reproductive functioning is not as pertinent in this specific case.
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The nurse specialist describe the stages of Hodgkin`s disease. Which of the following symptoms is MOST commonly an early indicator of Stage I?
- A. Chest and Back pains
- B. Unexplained fever, night sweats
- C. Subnormal body temperature
- D. Swelling of extremities
Correct Answer: B
Rationale: In Stage I of Hodgkin's disease, the most commonly seen early symptom is usually unexplained fever and night sweats. Other common symptoms at this stage may include unexplained weight loss, itching, and enlarged lymph nodes in the neck, underarms, or groin. Chest and back pains, subnormal body temperature, and swelling of extremities are not typically early indicators of Stage I Hodgkin's disease.
A postpartum client with a history of gestational diabetes expresses concern about managing blood sugar levels while breastfeeding. What nursing intervention should be prioritized to address the client's concerns?
- A. Educating the client about the importance of balanced nutrition and frequent monitoring of blood glucose levels
- B. Recommending insulin supplementation to maintain target blood sugar levels
- C. Encouraging the client to avoid breastfeeding to prevent fluctuations in blood sugar levels
- D. Referring the client to a dietitian for a specialized postpartum meal plan
Correct Answer: A
Rationale: Educating the client about the importance of balanced nutrition and frequent monitoring of blood glucose levels should be prioritized to address the client's concerns about managing blood sugar levels while breastfeeding. This intervention helps empower the client to make informed choices about her diet and monitor her blood sugar levels effectively. By focusing on balanced nutrition and regular blood glucose monitoring, the client can better manage her blood sugar levels during the postpartum period and while breastfeeding, reducing the risk of complications associated with gestational diabetes. It also promotes overall health and well-being for both the mother and the baby.
A patient presents with hoarseness, dysphonia, and occasional throat pain. Direct laryngoscopy reveals vocal cord nodules. Which of the following interventions is most appropriate for managing this condition?
- A. Vocal cord polypectomy
- B. Vocal cord injection with corticosteroids
- C. Voice therapy and vocal hygiene education
- D. Partial laryngectomy
Correct Answer: C
Rationale: Vocal cord nodules are benign growths on the vocal cords, typically caused by vocal abuse or misuse. The most appropriate intervention for managing vocal cord nodules is voice therapy and vocal hygiene education. Voice therapy aims to correct vocal habits and techniques that contribute to the formation of nodules, while vocal hygiene education focuses on maintaining vocal health through proper hydration, rest, and avoiding behaviors that strain the vocal cords. These interventions have been shown to be effective in reducing and eliminating vocal cord nodules without the need for surgical intervention. Surgery, such as vocal cord polypectomy or injection with corticosteroids, is typically reserved for cases that do not respond to conservative management or if there are significant complications. Partial laryngectomy is a more extensive surgical procedure that is not typically indicated for vocal cord nodules.
Nurse Myrna is taking care of a family chose there young children are sick with malnutrition particularly protein deficiency, which of the following behaviors is indicative of the family's positive coping index
- A. Observing erratic mealtime due to work schedule of parents
- B. Bringing children to health enter for consult only when needed.
- C. Serving foods that children like but with high in carbohydrates
- D. Cooking foods in variety that include meat, dairy products and beans.
Correct Answer: D
Rationale: Cooking foods in a variety that includes meat, dairy products, and beans demonstrates a positive coping index for the family in addressing the protein deficiency and malnutrition in their children. This behavior shows the family's understanding and effort to provide diverse sources of protein, which is essential for addressing protein deficiency. By including different protein-rich foods in their meals, the family is actively working towards improving the nutritional status of their children. This approach aligns with the goal of health education to change knowledge, attitudes, and practices to enhance individual, family, and community health.
When writting a memorandum, which of the following is the MOST important guideline
- A. Purpose is included
- B. Friendly tone
- C. Content clear
- D. One topic at a time
Correct Answer: C
Rationale: When writing a memorandum, clarity in the content is the most important guideline to follow. It is crucial that the information provided in the memorandum is clearly understood by the recipients. Clear content ensures that the intended message is effectively communicated, reducing the possibility of confusion or misinterpretation. By focusing on clarity, the purpose of the memorandum can be effectively conveyed, maintaining professionalism and ensuring that the recipients are well-informed.
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