Nokea
Which of the following characteristics of Cushing disease is TRUE? The disease occurs in women between 20 to 40 year of age. II.The use of Corticosteroids for multiple immune conditions is a cause of the disease process. III. Condition is aggravated by excessive production of ACTH. IV.The surgical treatment of choice is Transphenoidal hypophysectomy
- A. II & III
- B. I, II, III, & IV
- C. I, II, & III
- D. I & Il
Correct Answer: A
Rationale: Statement II is correct because the use of corticosteroids for multiple immune conditions can lead to the development of Cushing's disease.
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Before finishing the check up, which of the following principles is NOT included among the principles of guidance in handling Richard?
- A. Controlling temper tantrums
- B. Basing her expectations within the child's limitations.
- C. Acceptance of masturbation as a normal phenomenon to be discouraged in public.
- D. Reinforcing the correct use of language.
Correct Answer: D
Rationale: The principles of guidance in handling Richard involve understanding and addressing the behaviors and needs of the child, such as controlling temper tantrums, basing expectations within the child's limitations, and acceptance of certain behaviors like masturbation as normal but to be discouraged in public. However, reinforcing the correct use of language is not typically included as a principle specifically in handling Richard. Therefore, this choice is NOT included among the principles of guidance in this context.
You encounter a conscious adult choking on a piece of food. The person is coughing forcefully but unable to speak or breathe effectively. What is the most appropriate action?
- A. Encourage continued coughing.
- B. Perform abdominal thrusts (Heimlich maneuver).
- C. Deliver back blows.
- D. Administer rescue breaths.
Correct Answer: B
Rationale: The most appropriate action in this situation is to perform abdominal thrusts, also known as the Heimlich maneuver. This technique is used to clear a blocked airway caused by a choking obstruction. Encouraging continued coughing may not be effective if the person is unable to dislodge the obstruction on their own. Delivering back blows can sometimes be effective, but abdominal thrusts are more commonly recommended in cases of choking in adults. Administering rescue breaths is not recommended if the person is conscious and able to cough, as it may worsen the situation by pushing the obstruction further down. By quickly performing abdominal thrusts, you can help dislodge the obstruction and potentially save the person's life.
The public health nurse must participate in the essential services that are relevant and accessible to the family and the community. These include:
- A. Working in enforcing laws to regulate health and ensure safety.
- B. Diagnosing and investigating health problems of the country.
- C. Informing, educating, and empowering the people about health.
- D. Monitoring health status and completing a community assessment.
Correct Answer: C
Rationale: The public health nurse's participation in the essential services that are relevant and accessible to the family and the community includes informing, educating, and empowering the people about health. This is a critical aspect of the role of a public health nurse as it involves engaging with individuals and communities to provide them with accurate information about health promotion, disease prevention, and access to healthcare services. By informing, educating, and empowering the people about health, public health nurses can help individuals and communities make informed decisions about their health and well-being, leading to improved health outcomes and overall community health.
Choose the step of nursing process that identiffies the famiilyy health seeking behavior.
- A. Assesment
- B. Planning
- C. Implementation
- D. Evaluation Situation
Correct Answer: A
Rationale: The step of the nursing process that identifies the family's health-seeking behavior is Assessment. During the assessment phase, the nurse gathers information about the family's health practices, beliefs, priorities, and past experiences related to seeking healthcare. This helps the nurse understand how the family approaches health and healthcare, which is crucial for providing tailored and effective care. By assessing the family's health-seeking behavior, the nurse can better collaborate with them to address their health needs and promote positive health outcomes.
A patient presents with knee pain and swelling following a fall onto a flexed knee. Physical examination reveals a palpable effusion and tenderness along the joint line. McMurray's test elicits pain and clicking with passive knee flexion and internal rotation. Which condition is most likely?
- A. Patellar tendinitis
- B. Medial meniscus tear
- C. Lateral collateral ligament (LCL) sprain
- D. uadriceps tendon rupture
Correct Answer: B
Rationale: The presentation of knee pain and swelling following a fall onto a flexed knee, along with a palpable effusion and tenderness along the joint line, is highly suggestive of a meniscus injury. The McMurray's test specifically evaluates for meniscal tears. In this case, the presence of pain and clicking with passive knee flexion and internal rotation indicates a medial meniscus tear as the most likely diagnosis. Patellar tendinitis usually presents with anterior knee pain that is worsened by activities such as jumping or running. Lateral collateral ligament (LCL) sprain typically presents with lateral knee pain and instability. Quadriceps tendon rupture would present with significant weakness and inability to fully extend the knee, which is not described in this scenario.