Nokea
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.
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Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS).
- A. Which therapeutic treatment option would the nurse expect the practitioner to order?
- B. Mammography
- C. Bone scan
- D. Transvaginal ultrasound
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. For a finding of ASCUS on a Pap smear, the next step would typically be to perform HPV testing to determine if further evaluation or treatment is needed. HPV testing helps to identify high-risk strains of the virus that may lead to cervical cancer. Based on the results of the HPV test, the healthcare provider would decide on the appropriate management plan, which could include colposcopy, repeat Pap smear, or other interventions. Therefore, the correct answer should involve HPV testing or further diagnostic procedures rather than therapeutic treatment options or imaging studies like mammography, bone scan, or transvaginal ultrasound.
The main commissural fiber in the brain is:
- A. Corpus callosum
- B. Anterior commissure
- C. Posterior commissure
- D. Hippocampal commissure
Correct Answer: A
Rationale: The correct answer is A: Corpus callosum. The corpus callosum is the main commissural fiber in the brain that connects the two cerebral hemispheres, allowing for communication and coordination between them. It is the largest and most prominent commissural fiber in the brain, making it the correct choice.
Summary of why other choices are incorrect:
B: Anterior commissure - Connects certain regions of the cerebral hemispheres, but not as prominent or as large as the corpus callosum.
C: Posterior commissure - Connects certain structures in the brainstem, not the cerebral hemispheres.
D: Hippocampal commissure - Connects the two hippocampi, not the cerebral hemispheres.
Which specific instruction should the nurse teach to assist a patient to regain control of her urinary sphincter?
- A. Perform Kegel exercises.
- B. C M U S N T O
- C. Void every hour while awak
Correct Answer: A
Rationale: Performing Kegel exercises strengthens the pelvic floor muscles, which can help improve urinary sphincter control. These exercises involve contracting and releasing the muscles that control urination. This instruction directly targets the issue of regaining control over the urinary sphincter. Choice B is nonsensical and irrelevant. Choice C, voiding every hour while awake, may not address the underlying muscle weakness causing the issue. Choice D is incomplete and does not provide any specific guidance on how to address the problem.
A demarcated unraised red-purple lesion caused by capillaries below the skin on a child's face is a
- A. nevus vasculosus (strawberry mark)
- B. nevus flammeus (port-wine stain)
- C. erythema toxicum
Correct Answer: B
Rationale: Port-wine stains are vascular malformations present at birth.
What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
- A. breast cancer
- B. cirrhosis of the liver
- C. insulin resistance
- D. insomnia
Correct Answer: C
Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.