Nokea
Which of the following is a hallmark symptom of premenstrual syndrome (PMS)?
- A. Pelvic pain
- B. Breast tenderness
- C. Postmenopausal bleeding
- D. Dyspareunia
Correct Answer: B
Rationale: Breast tenderness is a hallmark symptom of premenstrual syndrome (PMS), which occurs in the days leading up to menstruation. This symptom is often associated with hormonal fluctuations during the menstrual cycle. Women may experience increased sensitivity and soreness in their breasts, making them feel tender or swollen. It is a common symptom of PMS and can vary in severity from one individual to another. Pelvic pain, postmenopausal bleeding, and dyspareunia are not typically considered hallmark symptoms of PMS.
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After a throurough assessment by the physician-specialist, an order for an immediate sonogram was made specific for the medical condition?
- A. Operation Room
- B. Intervention
- C. Laboratory
- D. CT Scan
Correct Answer: B
Rationale: In this scenario, the physician-specialist assessed the patient and determined that an immediate sonogram is needed for the medical condition. An intervention is a specific action taken in response to a medical need or condition. Ordering an immediate sonogram falls under the category of an intervention because it involves a timely and targeted diagnostic procedure to address the medical situation identified by the physician. The other options (A. Operation Room, C. Laboratory, D. CT scan) do not accurately represent the specific action of ordering a sonogram in response to the medical condition assessed by the physician.
The nurse anticipates that the signs and symptoms of BPH do NOT include_________.
- A. frequency of urination
- B. pain on urination
- C. dribbling of urine
- D. hesitancy in starting urination
Correct Answer: B
Rationale: One of the signs and symptoms of Benign Prostatic Hyperplasia (BPH) is not pain on urination. BPH is a non-cancerous enlargement of the prostate gland which can cause urinary symptoms such as frequency of urination, dribbling of urine, hesitancy in starting urination, weak urine flow, feeling of incomplete bladder emptying, and increased urination at night (nocturia). Pain on urination is not typically associated with BPH, and it may suggest other urinary tract issues such as a urinary tract infection or a different medical condition.
Whose responsibility is it to obtain informed consent?
- A. Nurse Manager
- B. Physician
- C. Anesthesiologist
- D. Midwife
Correct Answer: B
Rationale: The responsibility of obtaining informed consent typically falls on the physician or the healthcare provider who is performing the procedure or treatment. Informed consent is a process where the healthcare provider explains the procedure, its risks, benefits, possible alternatives, and potential outcomes to the patient or their legal representative. The patient must have a comprehensive understanding of these aspects before agreeing to the treatment. While nurses, nurse managers, anesthesiologists, midwives, and other healthcare professionals may assist in the consent process by providing information or clarifications, the ultimate responsibility lies with the physician. This is because the physician is usually the one with the expertise and knowledge about the specific procedure or treatment being performed.
To be more responsible, a nurse needs to understand the elements of the communication process. When she initiates interpersonal communication, the element involved is
- A. referent
- B. message
- C. sender
- D. channel
Correct Answer: C
Rationale: The element involved when a nurse initiates interpersonal communication is the sender. In the communication process, the sender is the person who initiates the message or information to be conveyed to the receiver. In this case, the nurse is taking on the role of the sender by initiating the communication with the patient, another healthcare professional, or any other individual. The sender is responsible for encoding the message and selecting the appropriate channel to convey it effectively. Therefore, in this scenario, the nurse is the one initiating communication, making her the sender in the communication process.
The PRIORITY nursing action of the nurse for Jose due for oxygen therapy is _____.
- A. attach the humidifier and connecting tubing to the oxygen de livery device.
- B. connect the flow meter to the pipe in oxygen outlet.
- C. turn on the oxygen
- D. check the flow.
Correct Answer: C
Rationale: The PRIORITY nursing action of the nurse for Jose due for oxygen therapy is to turn on the oxygen. Ensuring that the oxygen is turned on is the necessary first step before any other actions can be effective in delivering oxygen to the patient. Without oxygen being turned on, all other steps such as attaching the humidifier, connecting tubing, or adjusting the flow rate would be ineffective in providing the necessary oxygen therapy to the patient. Therefore, turning on the oxygen is the most crucial initial step to take in this situation to ensure that the patient receives the needed oxygen promptly and safely.