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Questions and Answers
What effect does decreased organ perfusion have on kidney function?
What effect does decreased organ perfusion have on kidney function?
Which medication is indicated specifically for multiparous patients?
Which medication is indicated specifically for multiparous patients?
Which condition makes Methergine contraindicated?
Which condition makes Methergine contraindicated?
What is a potential consequence of fluid volume excess (FVE) in the lungs?
What is a potential consequence of fluid volume excess (FVE) in the lungs?
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What effect does Methergine have on blood pressure?
What effect does Methergine have on blood pressure?
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Which medication is primarily used for augmentation in labor for primi patients?
Which medication is primarily used for augmentation in labor for primi patients?
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What is a major risk associated with using Methergine in certain patients?
What is a major risk associated with using Methergine in certain patients?
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What does increased water in the lungs signify?
What does increased water in the lungs signify?
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What is preload in the context of heart function?
What is preload in the context of heart function?
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Which condition is characterized by the absence of clotting factor VIII?
Which condition is characterized by the absence of clotting factor VIII?
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What should be avoided in a patient who is immunocompromised?
What should be avoided in a patient who is immunocompromised?
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What is the priority management for a patient experiencing a vaso-occlusive crisis in sickle cell disease?
What is the priority management for a patient experiencing a vaso-occlusive crisis in sickle cell disease?
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Which of the following statements is TRUE regarding the inferior vena cava during certain positions?
Which of the following statements is TRUE regarding the inferior vena cava during certain positions?
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What does desmopressin treat in patients with diabetes insipidus?
What does desmopressin treat in patients with diabetes insipidus?
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What is NOT a recommended action if a child has impetigo?
What is NOT a recommended action if a child has impetigo?
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What physiological response occurs during an infection that leads to erythema?
What physiological response occurs during an infection that leads to erythema?
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What is the primary focus of health promotion in a community?
What is the primary focus of health promotion in a community?
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What does the term 'high salience' indicate regarding health issues?
What does the term 'high salience' indicate regarding health issues?
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Why is conducting a preliminary kineme important in community health?
Why is conducting a preliminary kineme important in community health?
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What should be emphasized when educating about the consequences of health issues?
What should be emphasized when educating about the consequences of health issues?
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What is significant about the concept of accessibility in community health services?
What is significant about the concept of accessibility in community health services?
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What is the expected outcome of amniocentesis when instructing a patient?
What is the expected outcome of amniocentesis when instructing a patient?
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What is an important sign of impaired gas exchange in newborns?
What is an important sign of impaired gas exchange in newborns?
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What does endometriosis primarily refer to?
What does endometriosis primarily refer to?
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Study Notes
Pre-Entry Phase
- Conducting a preliminary assessment of the community to identify areas with the greatest health needs.
- This information is crucial for prioritizing and planning future interventions.
Accessibility of Health Services
- Establishing a benchmark for accessibility of health services: 35 kilometers within 30 minutes.
Health Education
- Health education is the most effective strategy to promote health and prevent illness.
- Sharing information about the consequences of unhealthy behaviors is essential for primary prevention.
Community Health Nursing
- Community health nurses can play a vital role in promoting health and improving health outcomes.
Stress and Crisis
- A foreseeable crisis refers to a predictable event or situation causing stress.
- The salience of a crisis is the perceived urgency and importance of a problem.
- A crisis is considered high salience if it requires immediate attention.
- A crisis is considered moderate salience if it is recognized as a problem that requires some attention.
- A crisis is considered low salience if it is perceived as insignificant and "natural".
Physiologic Jaundice
- Physiologic jaundice is a common condition in newborn babies caused by an immature liver.
- The immature liver is unable to efficiently process bilirubin, leading to a buildup of bilirubin in the bloodstream.
- This buildup of bilirubin causes the baby's skin and sclera to appear yellow.
Sickle Cell Anemia
- Sickle cell anemia is a genetic disorder that affects the shape of red blood cells.
- Individuals with sickle cell anemia have a mutation in the HBS gene, which causes RBCs to become crescent shaped.
- These crescent-shaped RBCs are more likely to clump together, leading to a blockage of blood flow (vaso-occlusive crisis).
- Hydration is crucial for individuals with sickle cell anemia because it helps to flush out the clumped RBCs and prevent vaso-occlusive crisis.
Eczema
- Eczema is a skin condition that causes inflammation, redness, and itching.
- In severe cases, scratching can lead to infections, which can further exacerbate the condition.
- Infections trigger an immune response in the body, leading to inflammation and swelling.
- This inflammation can result in vaso-occlusive crisis due to overcrowding of blood cells at the site of infection.
Hemophilia A
- Hemophilia A is a genetic disorder that causes a deficiency in clotting factor VIII, also known as "classic hemophilia".
- Individuals with Hemophilia A have difficulty controlling bleeding, due to the absence of clotting factor VIII.
Immunization and Impetigo
- It is not recommended to vaccinate a child with impetigo.
Labor and Delivery
- The presenting part of the fetus should be pushed, not the umbilical cord.
Ritodrine
- Ritodrine is a medication used to prevent premature labor.
- It is a beta-adrenergic agonist, resulting in vasodilation and a drop in blood pressure.
- This decrease in blood pressure can lead to decreased organ perfusion, causing a decrease in glomerular filtration rate (GFR).
- Reduction in GFR leads to fluid retention, resulting in fluid overload and potentially pulmonary edema.
Methergine
- Methergine (methylergonovine) is a medication used to prevent postpartum hemorrhage.
- It is a vasoconstrictor, causing an increase in blood pressure and should not be administered to individuals with peripheral vascular disease, as it can worsen the condition.
- Methergine is preferred for multiparous women, whereas oxytocin is preferred for primiparous women.
Preload
- Preload refers to the stretching of the ventricles due to the filling of blood.
- When preload is increased, the heart is stretched more, resulting in greater force of contraction.
Early Recovery of Newborns
- Early identifies RR and temperature.
- R = Respiratory Rate
- r = Rectal Temperature
- ay = Appearance (color)
- na = Activity (muscle tone)
- E = Energy (level of alertness)
- p = Pulse (heart rate)
- itu = Temperature
- lo = Oxygen (level of oxygen saturation)
- bi = Blood sugar
- li = Liver (size)
- CEN = Central Nervous System
- SUFFer = Suctioning (need for)
- Feed (method)
Immunocompromised Individuals
- Individuals undergoing chemotherapy are immunocompromised and should avoid exposure to fresh flowers, lettuce.
Working Phase of Nursing Process
- The working phase involves implementing the nursing interventions and documenting the client's response to care.
Medications
- Desmopressin is a synthetic antidiuretic hormone used for patients with diabetes insipidus.
- Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) which is contraindicated for patients with kidney problems or heart conditions.
Drug Use
- Withdrawal from substance use can lead to depression.
Client Safety
- It is important to maintain client safety during nursing interventions, including preventing injury during care.
- It is important to avoid inserting anything into the mouth of a client with a compromised airway.
Community Health Nursing
- Community health nurses use readily available resources and people in their work.
- They encourage clients to tweak their behaviors to satisfy the study.
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Description
This quiz covers essential concepts in community health nursing, including the preliminary assessment of community health needs and the role of health education in preventing illness. Additionally, it explores stress management and crisis response strategies for health practitioners.
