Nokea
Which of the following is a common complication associated with hip fracture in elderly patients?
- A. Compartment syndrome
- B. Avascular necrosis of the femoral head
- C. Dislocation of the hip prosthesis
- D. Volkmann's contracture
Correct Answer: B
Rationale: Avascular necrosis of the femoral head, also known as osteonecrosis, is a common complication associated with hip fractures in elderly patients. It occurs when there is a loss of blood supply to the femoral head following the fracture, leading to bone tissue death. This can result in pain, limitation of motion, and potentially the collapse of the femoral head, causing further complications. Timely diagnosis and appropriate management are crucial in order to prevent further degeneration of the hip joint. Other complications such as compartment syndrome, dislocation of the hip prosthesis, and Volkmann's contracture are not typically associated with hip fractures in elderly patients.
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A patient expresses frustration with the long wait times in the healthcare facility. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that wait times are unavoidable.
- B. Listen actively to the patient's concerns, acknowledge the inconvenience, and offer support.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The nurse's best response in this situation is to listen actively to the patient's concerns, acknowledge the inconvenience they are experiencing, and offer support. It is essential to validate the patient's feelings and show empathy towards their frustration. By actively listening and addressing the patient's concerns, the nurse can help alleviate some of their frustration and build a positive rapport with the patient. This approach demonstrates respect for the patient's feelings and promotes effective communication in the healthcare setting. Dismissing or ignoring the patient's frustration can lead to further dissatisfaction and impact the quality of care provided.
If Baby Sharon develops dehydration, what is the FIRST sign to look for by Nurse Juvy?
- A. Oliguria
- B. Sunken fontanels
- C. Soft and depressed eyeballs
- D. Non-elastic skin/poor skin turgor on thighs and abdomen Situation 3 -
Correct Answer: B
Rationale: Sunken fontanels are one of the earliest signs of dehydration in infants. Fontanels are soft spots on an infant's head where the skull bones have not yet fused together. If a baby's fontanel appears sunken, it indicates that the baby is likely dehydrated. This occurs because when there is a lack of fluid in the body, the soft spots on the head will appear depressed or sunken. It is crucial for Nurse Juvy to closely monitor the fontanels of Baby Sharon, as identifying dehydration early is essential for prompt intervention and preventing complications.
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.
"Commitment to continual learning and active participation in the development and growth of the profession are commendable obligations" is contained in which of the following?
- A. Code of Ethics
- B. RA 7164
- C. RA 10912
- D. RA 9173
Correct Answer: A
Rationale: The statement "Commitment to continual learning and active participation in the development and growth of the profession are commendable obligations" is typically found in a profession's Code of Ethics rather than specific laws or regulations like RA 7164, RA 10912, or RA 9173. Codes of Ethics serve as guidelines for professionals to uphold ethical standards and behavior within their respective fields. These codes often emphasize the importance of ongoing learning and professional development to ensure that practitioners stay current and competent in their practice. Therefore, the statement is most likely to be part of a Code of Ethics that guides professionals in their conduct and responsibilities.
Nursing diagnosis commonly used when working with Sandro is
- A. ineffective role performance
- B. Compromised family coping
- C. impaired social interaction
- D. risk for injury.
Correct Answer: C
Rationale: When working with Sandro, who is taking an MAOI and needs to be educated on avoiding foods with tyramine, the nursing diagnosis commonly used would be "impaired social interaction." This nursing diagnosis focuses on the client's difficulty in establishing or maintaining meaningful relationships with others. In this case, Sandro's dietary restrictions due to his medication may cause challenges in social situations, leading to potential feelings of isolation or inability to engage in social activities involving food. By identifying impaired social interaction as a nursing diagnosis, the nurse can address these issues and support Sandro in maintaining social connections while adhering to his dietary requirements.