Nokea
Which of the ff. actions would the nurse include in the plan of care to reduce the symptoms of the patient who has vertigo?
- A. Avoid noises
- B. Encourage fluid intake
- C. Avoid sudden movements
- D. Administer analgesics
Correct Answer: C
Rationale: Vertigo is a sensation of spinning or dizziness that can be caused by issues in the inner ear. One of the key strategies in managing vertigo is to avoid sudden movements that can trigger or worsen the symptoms. Sudden movements can disrupt the balance mechanisms in the inner ear and further exacerbate the feeling of dizziness and spinning. By advising the patient to avoid sudden movements, the nurse can help reduce the intensity and frequency of vertigo episodes, promoting greater comfort and quality of life for the patient.
You may also like to solve these questions
Which nursing action is most appropriate for the weak patient with osteoporosis?
- A. Maintain bedrest
- B. Ambulate with assistance
- C. Encourage fluids
- D. Provide a high-protein diet
Correct Answer: B
Rationale: For a weak patient with osteoporosis, it is important to promote mobility and weight-bearing activities to help maintain bone strength and prevent further bone loss. Ambulating with assistance can help improve muscle strength and balance, reducing the risk of falls and fractures. Maintaining bedrest can lead to further weakness and bone loss, so it is not the most appropriate action in this case. Encouraging fluids and providing a high-protein diet are important for overall health and healing but might not directly address the specific needs of a weak patient with osteoporosis.
Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant. Which should the nurse recommend as a substitute formula?
- A. Nutramigen
- B. Goat's milk
- C. Similac
- D. Enfamil
Correct Answer: A
Rationale: Nutramigen is a hypoallergenic formula specifically designed for infants with cow's milk allergy (CMA). It is extensively hydrolyzed, which means the cow's milk proteins are broken down into smaller pieces, making it easier for babies with CMA to digest without triggering an allergic reaction. Other options such as goat's milk, Similac, and Enfamil are not suitable substitutes for an infant with CMA as they may still contain proteins that can cause an allergic response in these infants. Therefore, Nutramigen is the most appropriate recommendation for a 6-month-old infant diagnosed with cow's milk allergy.
To prevent infection in a patient with a subdural intracranial pressure monitoring system in place, the nurse should;
- A. Use aseptic technique for the insertion site.
- B. Use clean technique for cleansing connections and aseptic technique for the insertion site.
- C. Use sterile technique when cleansing the insertion site
- D. Close any leaks in the tubing with tape. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought process disturbances.
Correct Answer: A
Rationale: To prevent infection in a patient with a subdural intracranial pressure monitoring system in place, the nurse should use aseptic technique for the insertion site. Aseptic technique involves maintaining a sterile field to prevent the introduction of microorganisms that could lead to infection. Using aseptic technique specifically for the insertion site helps reduce the risk of introducing pathogens into the patient's intracranial system, reducing the chances of infection. Additionally, maintaining a strict aseptic technique is crucial for preventing complications and ensuring patient safety when managing intracranial pressure monitoring systems.
An 11-month-old girl infant is found to have low weight and height consistent with FTT. She was exclusively breast feeding till the age of 4 month, and then artificial milk-formula was added. She has had a normal growth pattern till the age of 6 month when the mother introduced juices and cereals. Examination is unremarkable apart from significant decline of normal growth pattern. Of the following, the MOST likely cause is
- A. failed breast feeding
- B. improper formula preparation
- C. congenital syndromes
- D. congenital infections
Correct Answer: B
Rationale: Improper formula preparation can lead to inadequate nutrition, causing FTT. This scenario suggests a dietary issue rather than congenital or infectious causes.
A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan?
- A. Type I diabetes
- B. Respiratory disease
- C. Celiac disease
- D. Type II diabetes
Correct Answer: D
Rationale: Childhood obesity is strongly associated with an increased risk of developing Type II diabetes. When children are obese, their body's ability to utilize insulin properly can become compromised, leading to insulin resistance and eventually the development of Type II diabetes. This chronic condition can have serious long-term health consequences if not properly managed, making it crucial for parents to understand the link between childhood obesity and Type II diabetes in order to prevent or address it early on.