Nokea
Which of these does not need treatment of the sexual partner?
- A. trichomonas vaginalis
- B. bacterial vaginosis
- C. candida
- D. chlamydia
Correct Answer: B
Rationale: BV vaginal flora shift, not partner-fed; trich, chlamydia, gonorrhea, candida swap. Nurses skip this chronic duo fix.
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A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which tasks would be appropriate to delegate to the LPN/LVN?
- A. Develop a quit plan
- B. Explain the application of a nicotine patch
- C. Discuss strategies to avoid relapse
- D. Suggest ways to deal with urges for a tobacco
Correct Answer: B
Rationale: LPN/LVNs shine in standardized teaching like explaining nicotine patch application, a medication-focused task within their scope, detailing placement and timing to aid cessation. Developing a quit plan requires RN-level planning and assessment of individual needs. Discussing relapse strategies involves behavioral counseling, an RN forte. Suggesting urge-coping methods needs tailored insight, beyond LPN/LVN training. Patch explanation leverages their skills, supporting lung cancer prevention through practical cessation aid, a delegated task enhancing team efforts while keeping complex planning with RNs.
The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan). Which assessment finding would require the most rapid action by the nurse?
- A. Shortness of breath
- B. Shivering and chills
- C. Muscle aches and pains
- D. Temperature of 100.2°F (37.9°C)
Correct Answer: A
Rationale: Rituximab, a monoclonal antibody, can trigger anaphylaxis shortness of breath yells airway trouble, needing stat infusion halt over chills , aches , or mild fever . Nurses in oncology jump breathing trumps flu-like norms, a life-or-death call.
The body has several mechanisms to increase the blood glucose level in case of hypoglycaemia. Question: Which of the following options best describes the role of glucagon and adrenaline in hypoglycaemia?
- A. Glucagon and adrenaline stimulate glycogenolysis in the liver
- B. Glucagon and adrenaline inhibit the insulin-stimulated glucose uptake in the muscles
- C. Glucagon stimulates glycogen synthase and adrenaline stimulates glycogenolysis in the liver
- D. Glucagon and adrenaline stimulate glycogen synthase en adrenaline stimulates glycogenolysis in the muscles
Correct Answer: A
Rationale: Hypo hits glucagon and adrenaline rip glycogen apart in liver, sugar surges. No muscle block, no synthase flip straight breakdown's the play nurses watch this, a chronic rescue duo.
Self-management is an important principle in optimal management and prevention of exacerbation. In order for the patient to self-manage appropriately, which of the following is not required?
- A. Understanding of the pathophysiology of disease, nature of inflammation and bronchoconstriction and trigger avoidance
- B. Education on medication compliance, use of devices and correct inhalation technique, as well as when to increase dosage
- C. Assessment by multidisciplinary team to address additional health concerns
- D. Development of an action plan in knowledge on when to implement and when to seek assistance
Correct Answer: C
Rationale: Asthma self-rule needs know-how pathology, meds, triggers, action plans not a full team probe. That's extra, not must-have; core's patient-led. Nurses train this, a chronic solo skill.
Your junior trainee has been in theatre for 5 h with a patient undergoing a femorodistal bypass procedure. He is yawning and seems withdrawn. The trainee's fatigue is likely to be improved by:
- A. Imbibing one 60 ml shot of espresso coffee.
- B. Taking a 1-h nap.
- C. Increasing the brightness of the theatre lighting.
- D. Walking around and chatting to other members of staff.
Correct Answer: B
Rationale: Fatigue during long procedures impairs performance. A 60 ml espresso shot (50-100 mg caffeine) boosts alertness temporarily (20-30 minutes onset), but its effect wanes after 5 hours of sustained effort. A 1-hour nap restores cognitive function and vigilance significantly, countering sleep pressure per sleep research (e.g., NASA nap studies), with benefits lasting hours. Bright lighting enhances alertness via circadian stimulation but is less effective mid-fatigue. Walking and chatting provide a break, mildly boosting arousal, but lack restorative depth. Microsleeps signal severe fatigue, worsening performance. A nap's superiority lies in addressing accumulated sleep debt, critical in high-stakes settings like surgery, offering sustained recovery over stimulants or environmental tweaks.