Nursing Elites

1. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

• A. Ringer's lactate
• B. Normal saline
• C. Dextrose
• D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

2. What is the term for the first contact between community members and other levels of health facilities?

• A. Secondary level health care
• B. Tertiary level of care
• C. Primary health care
• D. Intermediate level of care

Correct answer: C

Rationale: Primary health care is the initial point of contact between community members and higher levels of health facilities. It focuses on providing essential, accessible, and affordable health care services to individuals and communities. Primary health care plays a crucial role in promoting health, preventing diseases, and managing common health problems, making it an integral part of the healthcare system.

3. Which best describes the role of surveillance in public health?

• A. Monitoring the spread of diseases
• B. Providing direct patient care
• C. Offering health education workshops
• D. Conducting epidemiological research

Correct answer: A

Rationale: Surveillance in public health primarily involves monitoring the spread of diseases. By tracking patterns of diseases and behaviors in populations, public health officials can identify potential outbreaks, assess the effectiveness of interventions, and make informed decisions to protect and improve community health. Surveillance is crucial for early detection, timely response, and prevention of the spread of infectious diseases and other health threats.

4. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

5. Which term describes the absence of regular health check-ups?

• A. Health deficit
• B. Health threats
• C. Health problem
• D. Foreseeable crisis

Correct answer: A

Rationale: A health deficit refers to the lack or absence of something essential for maintaining good health, in this case, regular health check-ups. Not undergoing regular health check-ups can lead to undiagnosed health issues and prevent timely interventions, resulting in a health deficit.

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