Since nadine is Four years old, Nurse Alma needs to determine the routines and rituals concerning, which of the following, EXCEPT ______.

Correct Answer: D

Rationale: Since Nadine is just four years old, determining her favorite toys is not a critical aspect for Nurse Alma to consider in terms of routines and rituals. While knowing Nadine's favorite toys may help provide comfort or distraction, it is not as essential as ensuring proper feeding, sleep patterns, and toilet training for a young child's well-being and development. The focus should primarily be on aspects that directly impact her physical health, growth, and daily routines at this age.

Correct Answer: C

Rationale: The last and necessary part of any activity should involve an evaluation process. By evaluating the activity, the organizers can gather feedback on what worked well and what areas need improvement. This feedback is crucial for enhancing future activities that are similar in nature. It allows for reflections on the effectiveness of the activity, identifies strengths and weaknesses, and helps in making necessary adjustments for better outcomes in the future. Overall, evaluation ensures continuous improvement and development in organizing successful activities.

Correct Answer: C

Rationale: The nurse should reposition the patient to alleviate pressure on vulnerable areas. Pressure injuries can develop when there is prolonged pressure on specific areas of the skin, leading to reduced blood flow and tissue damage. Repositioning the patient helps to relieve the pressure and prevent the development of pressure injuries. Applying a pressure-relieving device may also be helpful, but the immediate action should be to reposition the patient to address the issue. Documenting the observation is important for documentation purposes, but the priority is to take action to prevent harm to the patient. Continuing with the positioning as planned without addressing the inadequate skin protection could lead to the development of pressure injuries, which should be avoided.

Correct Answer: C

Rationale: Uterine rupture is a serious obstetric emergency that involves a tear or rupture of the uterine wall during pregnancy. In this scenario, the pregnant woman with severe lower abdominal pain, vaginal bleeding, and a tender, distended abdomen is showing signs consistent with uterine rupture. These symptoms are typically not seen with other conditions listed.

Correct Answer: B

Rationale: The presentation of a pruritic rash with linear streaks and small, fluid-filled blisters following exposure to poison ivy is characteristic of allergic contact dermatitis. Poison ivy contains an oil called urushiol, which is known to cause this type of skin reaction in individuals who are sensitive to it. The linear streaks are often a result of the plant brushing against the skin. Pemphigus vulgaris is an autoimmune condition characterized by the formation of intraepidermal blisters, typically not associated with linear streaks or exposure to irritants like poison ivy. Bullous pemphigoid is characterized by subepidermal blisters, and herpes zoster presents with a painful rash following reactivation of the varicella-zoster virus in a dermatomal pattern, not typically in linear streaks.

Correct Answer: D

Rationale: The patient is presenting with symptoms and laboratory findings consistent with a paraneoplastic syndrome related to Hodgkin lymphoma. In this case, the fever, chills, generalized malaise, pancytopenia, circulating Reed-Sternberg cells, and bone marrow involvement are all indicative of a paraneoplastic syndrome associated with Hodgkin lymphoma. Paraneoplastic syndromes are a group of disorders that are triggered by an abnormal immune response to a neoplasm, such as Hodgkin lymphoma, leading to various systemic manifestations.

Correct Answer: C

Rationale: The correct statement regarding the use of decongestant nasal sprays is that "Nasal sprays should not be used for more than three days because it can worsen congestion." Prolonged use of decongestant nasal sprays can lead to rebound congestion, where the congestion worsens with extended use. Therefore, it is important to limit the use of these sprays to avoid this side effect. It is recommended to use decongestant nasal sprays for no longer than three consecutive days.

Correct Answer: A

Rationale: The primary purpose of splinting a fractured extremity in the pre-hospital setting is to immobilize the injured area in order to prevent further injury. By stabilizing the fracture, splinting helps to reduce movement, which can alleviate pain, prevent additional damage to surrounding tissues, and minimize the risk of causing more harm during transport or while providing care. Splinting also helps to maintain proper alignment of the bones, which is crucial for the healing process and long-term function of the injured limb.

Correct Answer: C

Rationale: The theory of Nursing as Caring was developed by Dr. Jean Watson, a renowned nurse theorist and professor. Watson's Theory of Human Caring focuses on the importance of the nurse-patient relationship, emphasizing the significance of caring in promoting healing and promoting holistic well-being. This theory emphasizes the humanistic aspects of nursing care and highlights the nurse's role in fostering a caring environment that encompasses physical, emotional, social, and spiritual dimensions. Watson's theory emphasizes the importance of empathy, compassion, and authentic presence in nursing practice, making it a valuable framework for guiding nursing care and promoting healing outcomes.