Nokea
Which of the following is the PRIORITY action of the nurse for Sonny who is on Oxygen therapy?
- A. Check the flow.
- B. Connect the flow meter to the pipe in oxygen outlet
- C. Turn on the oxygen .
- D. Attach the humidifier and connecting tubing to the oxygen delivery device.
Correct Answer: A
Rationale: Checking the flow of oxygen is the priority action because it ensures that Sonny is receiving the correct amount of oxygen prescribed by the healthcare provider. Before connecting the flow meter to the oxygen outlet, turning on the oxygen, or attaching the humidifier, it is crucial to verify that the flow rate is appropriate for Sonny's condition. Monitoring and adjusting the oxygen flow will help maintain the desired oxygen saturation levels and prevent potential complications related to oxygen therapy.
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During surgery, the nurse notices that the patient's temperature is dropping below the normal range. What should the nurse do?
- A. Increase the ambient room temperature in the operating room
- B. Administer a warming blanket or forced-air warming device
- C. Document the temperature trend in the patient's chart
- D. Continue monitoring the patient's temperature closely
Correct Answer: B
Rationale: In a situation where a patient's temperature is dropping below the normal range during surgery, the nurse should prioritize actively warming the patient to prevent hypothermia. Administering a warming blanket or using a forced-air warming device are effective methods to increase the patient's body temperature and prevent any complications that may arise from hypothermia. Increasing the ambient room temperature can help, but it may not be as direct or effective as applying targeted heat sources to the patient. Documenting the temperature trend in the patient's chart is important for record-keeping purposes, but immediate action to address the dropping temperature is necessary. Continuously monitoring the patient's temperature closely is important, but action should be taken promptly to prevent further decline.
Which of the following conditions is characterized by an abnormal enlargement of the prostate gland, leading to lower urinary tract symptoms such as urinary hesitancy, weak urinary stream, and incomplete bladder emptying?
- A. Prostate cancer
- B. Benign prostatic hyperplasia (BPH)
- C. Prostatitis
- D. Prostate adenoma
Correct Answer: B
Rationale: Benign prostatic hyperplasia (BPH) is a condition characterized by an abnormal enlargement of the prostate gland, which is non-cancerous. This enlargement can lead to lower urinary tract symptoms such as urinary hesitancy (difficulty starting the urine stream), weak urinary stream, incomplete bladder emptying, frequent urination, urgency, and nocturia. BPH is a common condition in aging men and is not usually associated with prostate cancer. Other conditions like prostate cancer, prostatitis, and prostate adenoma may present with similar symptoms, but BPH is specifically characterized by the non-cancerous enlargement of the prostate gland. Treatment for BPH may include medications to improve symptoms or surgical procedures to reduce the size of the prostate gland.
The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse CORRECT response is________.
- A. to determine diameters of the fetal skull
- B. increase sensitivity for common bile duct of the fetus
- C. useful to a visualized cystic duct of the fetus
- D. to assess fetus' well-being
Correct Answer: D
Rationale: Sonography, also known as ultrasound, is a non-invasive imaging technique that uses high-frequency sound waves to create images of structures inside the body. In the context of a patient who is pregnant, sonography is commonly used to assess the well-being of the fetus. It allows healthcare providers to monitor the growth and development of the fetus, evaluate the placenta, amniotic fluid levels, and detect any abnormalities that may be present.
To obtain her license to practice, she must do the following, EXCEPT:
- A. Must take the path to any government official
- B. Must register in the registration division of the PRC
- C. Must take the oath of professionals before any member of the PRBON
- D. Must be issued a certificate of Registration (COR) and profession identification card (PIN)
Correct Answer: A
Rationale: To obtain a license to practice, the individual must follow certain steps and fulfill specific requirements. Option A states that she must take the path to any government official, which is not accurate or necessary in the process of obtaining a professional license. The other options provided are correct in the usual process of getting a license: registering in the Professional Regulation Commission (PRC), taking the oath of professionals before a member of the Professional Regulatory Board of Nursing (PRBON), and being issued a certificate of Registration (COR) and a profession identification card (PIN).
The physician orders cromolyn sodium (nasal crom) for the client. The nurse instructs the client that the most effective administration schedule is ________.
- A. When manifestations peak only, with two or three doses per day
- B. At the start of the allergy season, with a dose of once-a-day
- C. One week before the allergy season begins, with four to six doses per day
- D. Just after manifestations begin, with a dose of twice-a-day
Correct Answer: D
Rationale: Cromolyn sodium (nasal crom) is a mast cell stabilizer that is commonly used to prevent symptoms of allergic rhinitis, such as sneezing, itching, and congestion. It works best when used before exposure to allergens. The most effective administration schedule for nasal crom is to start using it just after allergy symptoms begin, with a dose of twice-a-day. This helps to prevent the release of histamine and other inflammatory substances from mast cells, thereby reducing allergic symptoms. Using nasal crom in this way can help provide relief and improve the overall management of allergic rhinitis.