Nursing Elites

1. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

2. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

3. James' illness can be classified as:

• A. Pneumonia
• B. Very severe illness
• C. Severe pneumonia
• D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

4. A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called “ulasimang bato.” What is its common name?

• A. Lagundi
• B. Pancit-pancitan
• C. Bayabas
• D. Sambong

Correct answer: B

Rationale: The traditional plant 'ulasimang bato,' known as pancit-pancitan, is used to lower uric acid levels and treat rheumatism. It is important to recognize the common names of medicinal plants to understand their uses and benefits.

5. What best describes the role of health education in community health?

• A. To inform and empower individuals to make healthy choices
• B. To provide clinical care to patients
• C. To advocate for policy changes
• D. To reduce healthcare costs

Correct answer: A

Rationale: The primary role of health education in community health is to inform and empower individuals to make healthy choices. By providing knowledge and resources, individuals can make informed decisions that lead to better health outcomes and contribute to the overall well-being of the community.

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