Nokea
Which of the following is the PRIMARY reason for surgical repair of myelomeningocele? To ____________.
- A. Decrease risk of infection
- B. Correct the neurologic defect
- C. Prevent seizure disorders
- D. Prevent hydrocephalus
Correct Answer: B
Rationale: The primary reason for surgical repair of myelomeningocele is to correct the neurologic defect. This is because myelomeningocele is a type of neural tube defect where the spinal cord and its protective covering do not close properly. Surgical repair aims to close the opening in the spinal cord to prevent further damage, improve neurological function, and reduce the risk of complications such as paralysis and infection. The other choices are incorrect as they are not the primary goal of the surgery. Preventing infection (Choice A) is important but not the primary reason. Seizure disorders (Choice C) and hydrocephalus (Choice D) may be associated complications but are not the main purpose of the surgical repair.
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Which of the following structures is responsible for the production of digestive enzymes and bicarbonate-rich pancreatic juice?
- A. Liver
- B. Gallbladder
- C. Pancreas
- D. Spleen
Correct Answer: C
Rationale: The correct answer is C: Pancreas. The pancreas is responsible for producing digestive enzymes and bicarbonate-rich pancreatic juice. It secretes enzymes like amylase, lipase, and protease to break down carbohydrates, fats, and proteins in the small intestine. The bicarbonate-rich juice helps neutralize stomach acid. The liver (A) produces bile stored in the gallbladder (B), which aids in fat digestion. The spleen (D) is involved in immune function and blood filtration, not digestive enzyme production.
A patient receiving palliative care for end-stage cancer experiences intractable pain despite receiving opioid medications. What intervention should the palliative nurse prioritize to address the patient's pain?
- A. Increase the dosage of the current opioid medication.
- B. Switch to a different opioid medication with a different potency.
- C. Administer adjuvant analgesic medications to enhance pain relief.
- D. Refer the patient to a pain management specialist for evaluation.
Correct Answer: D
Rationale: The correct answer is D because referring the patient to a pain management specialist for evaluation is essential in this scenario. The specialist can conduct a comprehensive assessment to identify the underlying causes of the intractable pain and recommend a tailored pain management plan. This approach ensures a multidisciplinary approach to address the complex nature of the patient's pain.
Choice A is incorrect because simply increasing the dosage of the current opioid medication may not effectively address the underlying cause of the pain and can lead to potential side effects or opioid tolerance.
Choice B is incorrect as switching to a different opioid medication without a thorough evaluation may not guarantee better pain control and can increase the risk of adverse effects or inadequate pain relief.
Choice C is incorrect as administering adjuvant analgesic medications without addressing the root cause of the pain may not provide adequate pain relief and does not address the need for a specialized pain management plan.
During admission, the nurse needs to take the patient`s obstetric Al data. Which of the following the Most important?
- A. Laboratory results
- B. Prenatal check-up records
- C. Previous pregnancy experience
- D. Diagnostic test results
Correct Answer: C
Rationale: Step 1: Previous pregnancy experience is crucial for understanding the patient's obstetric history and potential risks.
Step 2: It helps in identifying any complications or issues that may arise during the current pregnancy.
Step 3: Laboratory results, prenatal check-up records, and diagnostic test results provide additional information but do not offer insights into the patient's past pregnancy experiences.
Summary: Choice C is the most important as it directly relates to the patient's obstetric history, while the other options focus on current data that may not provide the same level of context.
Informed consent in this study will be obtained by Myra from the
- A. six participants only
- B. parents only
- C. six participants and available relative
- D. six participants and their parents
Correct Answer: D
Rationale: The correct answer is D because informed consent should be obtained from both the participants and their parents to ensure full understanding and agreement from all parties involved. This is crucial when working with minors to protect their rights and ensure ethical standards are met. Choice A is incorrect as it excludes parental consent, which is necessary for minors. Choice B is also incorrect as it neglects the participants' direct involvement in consenting to participate. Choice C is incorrect because it only includes available relatives, which may not be legally authorized to provide consent on behalf of the participants.
For the past 6 months, several nurses are resigning. Some have verbalized in the exit interview that there are not happy anymore. Which of the following descriptions manifest BEST, a nurse who has job satisfaction?
- A. Competitive, self-centered, euphoric.
- B. Empowered, enthusiastic, ethical.
- C. Loner, egoistic, reactive.
- D. Outgoing, sensitive, competitive.
Correct Answer: B
Rationale: The correct answer is B because an empowered nurse feels in control and valued, leading to job satisfaction. Enthusiasm shows motivation and engagement with their work. Being ethical indicates a commitment to moral principles, contributing to a sense of fulfillment.
Choice A is incorrect as competitiveness and self-centeredness do not necessarily equate to job satisfaction. Euphoria may not be a sustainable indicator of satisfaction.
Choice C is incorrect because being a loner and egoistic are not traits associated with job satisfaction. Reactivity may suggest a lack of control or frustration.
Choice D is incorrect as being outgoing and competitive might not directly translate to job satisfaction. Sensitivity alone does not guarantee satisfaction in the workplace.