Nokea
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.
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Nurse Pedrito is teaching a client with Parkinson's disease on ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to _________.
- A. Rest in supine position with his head elevated.
- B. Sleep only in dorsal recumbent position.
- C. Periodically lie in prone position without a neck pillow.
- D. Sleep on either side, but keep his back straight.
Correct Answer: C
Rationale: The correct answer is C: Periodically lie in prone position without a neck pillow. This position helps to prevent spinal flexion by promoting extension of the spine and stretching of the hip flexors. Prone positioning also helps maintain alignment of the spine and prevents contractures. Resting in supine position (choice A) with the head elevated does not promote spinal extension. Sleeping only in dorsal recumbent position (choice B) may lead to spinal flexion. Sleeping on either side (choice D) does not specifically address spinal flexion prevention.
A patient with a history of stroke is prescribed clopidogrel (Plavix) for secondary prevention of thrombotic events. Which laboratory test should the nurse monitor closely during clopidogrel therapy?
- A. Prothrombin time (PT)
- B. Activated partial thromboplastin time (aPTT)
- C. Platelet count
- D. International normalized ratio (INR)
Correct Answer: C
Rationale: The correct answer is C: Platelet count. Platelet count should be monitored closely during clopidogrel therapy because it works by inhibiting platelet aggregation, reducing the risk of clot formation. Monitoring platelet count helps assess the drug's effectiveness and prevent potential complications like bleeding or clotting events. Prothrombin time (A), activated partial thromboplastin time (B), and international normalized ratio (D) are tests that primarily assess the coagulation factors and are not directly affected by clopidogrel therapy, making them less relevant for monitoring this specific medication.
The nurse is working in a clinic that is designed to provide health education and immunization. As such, the clinic aims to provide_______________
- A. diagnosis and treatment
- B. Secondary prevention
- C. Primary prevention
- D. Tertiary prevention
Correct Answer: C
Rationale: The correct answer is C: Primary prevention. In this scenario, the clinic focuses on preventing disease before it occurs through health education and immunization. Primary prevention aims to promote general health and prevent the onset of diseases. It targets the entire population to reduce the risk of disease occurrence.
Incorrect Choices:
A: Diagnosis and treatment - This choice involves identifying and treating existing health conditions, which is not the primary focus of a clinic designed for health education and immunization.
B: Secondary prevention - This choice involves early detection and treatment of diseases to prevent complications, which is more focused on individuals who already have risk factors or symptoms, not on the general population.
D: Tertiary prevention - This choice involves managing and treating complications of diseases to prevent further deterioration, which is not the primary goal of a clinic focused on health education and immunization.
Which of the following regulates the practice of the nursing profession?
- A. Department of Health
- B. Professional Regulation Commission
- C. Civil Service Commision
- D. Professional Regulatory Board of Nursing
Correct Answer: D
Rationale: The correct answer is D: Professional Regulatory Board of Nursing. This board is specifically tasked with regulating the practice of the nursing profession, ensuring that nurses adhere to ethical and professional standards. The Department of Health (A) focuses on public health policies, not individual professional regulation. The Professional Regulation Commission (B) oversees various professions but does not specialize in nursing. The Civil Service Commission (C) deals with civil service matters, not professional nursing regulation. Therefore, the Professional Regulatory Board of Nursing is the most appropriate choice for regulating the nursing profession.
When patient record reach the Medical Records, the assigned staff will _____.
- A. store the charts in their respective shelves
- B. separate the medico-legal charts
- C. check the completeness of the charting of the doctors and nurses
- D. bind the chart immediately
Correct Answer: C
Rationale: The correct answer is C because checking the completeness of the charting by doctors and nurses ensures that all necessary information is accurately documented, facilitating proper patient care and treatment. This step helps identify any missing or incorrect information that may impact patient safety.
A: Storing the charts in respective shelves is a routine task that does not involve verifying the accuracy or completeness of the information.
B: Separating medico-legal charts is important but does not directly address the completeness of charting by doctors and nurses.
D: Binding the charts immediately is not necessary before ensuring the completeness and accuracy of the information documented.