Community health nursing exam 10 Quizlet for your nursing review with rationale.
Nato is admitted to the labor and delivery unit. The critical laboratory result for this client would be:
a. Oxygen saturation
b. Iron binding capacity
c. Blood typing
d. Serum Calcium
Answer Key:
Blood type would be a critical value to have because the risk of blood loss is always a potential complication during the labor and delivery process. Approximately 40% of a woman’s cardiac output is delivered to the uterus, therefore, blood loss can occur quite rapidly in the event of uncontrolled bleeding.
Results
#1. Nurse Bina Monteno is aware that the most common condition found during the second-trimester of pregnancy is
Hemoglobin values and hematocrit decrease during pregnancy as the increase in plasma volume exceeds the increase in red blood cell production.
#2. Nurse Yeng is working in the triage area of an emergency department. She sees that several pediatric clients arrive simultaneously. The client who needs to be treated first is
The infant with an airway emergency should be treated first, because of the risk of epiglottitis.
#3. Reneil Asuncion in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected?
Placenta previa with painless vaginal bleeding.
#4. A young child named Richard Don Sarmiento is suspected of having pinworms. The community nurse collects a stool specimen to confirm the diagnosis. The nurse should schedule the collection of this specimen for
Based on the nurse’s knowledge of microbiology, the specimen should be collected early in the morning. The rationale for this timing is that, because the female worm lays eggs at night around the perineal area, the first bowel movement of the day will yield the best results. The specific type of stool specimen used in the diagnosis of pinworms is called the tape test.
#5. In doing a child’s admission assessment, Nurse Betty should be alert to note which signs or symptoms of chronic lead poisoning?
Lead poisoning primarily affects the CNS, causing increased intracranial pressure. This condition results in irritability and changes in the level of consciousness, as well as seizure disorders, hyperactivity, and learning disabilities.
#6. To evaluate a woman’s understanding about the use of diaphragm for family planning, Nurse Trish asks her to explain how she will use the appliance. Which response indicates a need for further health teaching?
The woman must understand that, although the “fertile” period is approximately mid-cycle, hormonal variations do occur and can result in early or late ovulation. To be effective, the diaphragm should be inserted before every intercourse.
#7. Hypoxia is a common complication of laryngotracheobronchitis. Nurse Oliver should frequently assess a child with laryngotracheobronchitis for:
In a child, restlessness is the earliest sign of hypoxia. Late signs of hypoxia in a child are associated with a change in color, such as pallor or cyanosis.
#8. How should Nurse Michelle Antonio guide a child who is blind to walk to the playroom?
This procedure is generally recommended to follow in guiding a person who is blind.
#9. When assessing a newborn diagnosed with ductus arteriosus, Nurse Micheal Camanya should expect that the child most likely would have an:
A loud, machinery-like murmur is a characteristic finding associated with patent ductus arteriosus.
#10. The reason nurse Christopher Agag keeps the neonate in a neutral thermal environment is that when a newborn becomes too cool, the neonate requires:
When cold, the infant requires more oxygen and there is an increase in metabolic rate. Non-shivering thermogenesis is a complex process that increases the metabolic rate and rate of oxygen consumption, therefore, the newborn increases heat production.
