Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession.

Correct Answer: A

Rationale: The primary indicator that Nurse Mary observes FIDELITY in the practice of her profession is that she faithfully promotes health and prevents disease. Fidelity in nursing practice refers to being faithful, loyal, and committed to providing the best care and services to patients. By faithfully promoting health and preventing disease, Nurse Mary demonstrates her dedication to her profession, her patients, and the community she serves. This commitment includes following evidence-based practices, upholding ethical standards, being honest and trustworthy, and ensuring the well-being of those under her care. Ultimately, fidelity in nursing practice builds trust and confidence among patients, families, and colleagues, leading to better health outcomes and a stronger healthcare system.

Correct Answer: C

Rationale: The nurse should ask the mother information related to their daughter's menarche. Menarche refers to the first occurrence of menstruation in a girl, which is an important milestone in her development. By inquiring about the daughter's menarche, the nurse can gather essential information about the daughter's reproductive health, growth, and development. This allows the nurse to assess whether the daughter's menstrual cycle is regular and if there are any concerns related to her reproductive health. Understanding the daughter's menarche history is vital in providing appropriate healthcare and support for her.

Correct Answer: A

Rationale: A district hospital is an example of a secondary health facility. Secondary health facilities are the intermediate level of healthcare services, providing a higher level of care compared to primary health facilities like rural health units and barangay health stations. District hospitals typically offer more specialized medical services, diagnostic facilities, and inpatient care that are not available at lower-level health facilities. When Nurse Vince refers a patient to a district hospital, it means that the patient requires more extensive and specialized medical care beyond what can be provided at the primary level of care.

Correct Answer: A

Rationale: The correct answer is A) II & III. Explanation: - Choice II is correct because the prolonged use of corticosteroids for various immune conditions can lead to Cushing's disease due to their impact on the body's cortisol levels. - Choice III is correct because Cushing's disease is characterized by excessive production of adrenocorticotropic hormone (ACTH), which in turn stimulates the adrenal glands to produce high levels of cortisol. Why others are wrong: - Choice I is incorrect as Cushing's disease can occur in both men and women, not just women, and the age range can vary. - Choice IV is incorrect because the surgical treatment of choice for Cushing's disease is typically adrenalectomy, not transsphenoidal hypophysectomy. Educational context: It is crucial for nursing students to understand the pathophysiology of Cushing's disease, including its causes and characteristics, to provide effective care to patients with this condition. Understanding the role of corticosteroids and ACTH in the disease process is essential for identifying symptoms, making accurate diagnoses, and planning appropriate interventions. This knowledge helps nurses deliver comprehensive care and support to patients with endocrine disorders.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) perform hemoperfusion. Proper management of poisoning involves interventions aimed at removing or neutralizing the toxic substance from the body. Hemoperfusion is a technique that involves passing the patient's blood through an adsorbent material to remove toxins. However, hemoperfusion is not commonly used in the management of poisoning due to limited effectiveness and availability of other more efficient treatments. Option B) remove the toxin through dialysis is a valid intervention for certain types of poisoning where the toxin is dialyzable and can be effectively removed through this process. Dialysis is particularly useful for removing substances with a low molecular weight that can pass through the dialysis membrane. Option C) dilute the ingested substance is a supportive measure that can be used in some cases of poisoning to decrease the concentration of the toxin in the body. Dilution may help reduce the severity of the toxic effects by minimizing the absorption of the toxin. Option D) induce vomiting after ingestion of the caustic substance or petroleum distillate is generally contraindicated in cases of poisoning with corrosive substances. Inducing vomiting can lead to further damage to the esophagus or airway if the substance is regurgitated. In an educational context, understanding the appropriate management of poisoning is crucial for nurses to provide safe and effective care to patients. Nurses must be knowledgeable about the different treatment modalities available for poisoning and understand the rationale behind each intervention to make informed clinical decisions. It is essential to prioritize evidence-based practices and follow established protocols to ensure the best outcomes for patients.