Comprehensive Nursing of Dire Dawa University

6. Nurse jemal is caring for a client recovering from gastro-intestinal bleeding. The nurse should: A. Plan care so the client can receive 8 hours of uninterrupted sleep each night B. Monitor vital signs every 2 hours C. Make sure that the client takes food and medications at prescribed intervals D. Provide milk every 2 to 3 hours

10. While monitoring a male client several hours after a motor vehicle accident, which assessment data suggest increasing intracranial pressure? A. Blood pressure is decreased from 160/90 to 110/70 B. Pulse is increased from 87 to 95, with an occasional skipped beat C. The client is oriented when aroused from sleep, and goes back to sleep immediately D. The client refuses dinner because of anorexia

14. Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn’t taken quickly, she might have which of the following reactions? A. Asthma attack B. Respiratory arrest C. Seizure D. Wake up on his own

35. A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental status. He’s being hydrated with I.V. fluids. 💉 When the nurse takes his vital signs, she notes he has a fever of 103°F (39.4°C) 🌡️, a cough producing yellow sputum, and pleuritic chest pain. The nurse suspects this client may have which of the following conditions? 🤔 A. Adult respiratory distress syndrome (ARDS) B. Myocardial infarction (MI) C. Pneumonia D. Tuberculosis

45. During endorsement, which of the following clients should the on-duty nurse assess first? A. The 58-year-old client admitted 2 days ago with heart failure, BP 126/76, RR 22 B. The 89-year-old client with end-stage right-sided heart failure, BP 78/50, and a “do not resuscitate” order C. The 62-year-old client admitted 1 day ago with thrombophlebitis receiving I.V. heparin D. The 75-year-old client admitted 1 hour ago with new-onset atrial fibrillation receiving I.V. diltiazem (Cardizem)

67. A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client: A. 9 U regular insulin and 21 U neutral protamine Hagedorn (NPH) B. 21 U regular insulin and 9 U NPH C. 10 U regular insulin and 20 U NPH D. 20 U regular insulin and 10 U NPH

12. : Which principle encourages nurse to monitor patient’s response to pain? 🏥🩺 a) Non-maleficence b) Fidelity c) Respect for autonomy d) Beneficence

10. : Most accurate method to verify small-bore NG tube placement? 🩺🔍 a) Gastric aspirate pH b) Auscultatory method c) Radiographic examination d) Residual volume measurement

የነርሲንግ አመራርና ሙያዊ አቅም ማጠናከሪያ ፕሮግራም ኢትዮጵያ ጥራት ያለውና ለሁሉም ተደራሽ የጤና አገልግሎት ለማረጋገጥ እንዲሁም የላቀ የታካሚ እንክብካቤ የሚሰጥ የጤና ሥርዓት ለመገንባት እያደረግን ባለው ጥረት ውስጥ፣ የነርሲንግ አመራርንና ሙያዊ ብቃትን ማጠናከር አስፈላጊ ነው። ለዚህ ብሔራዊ ጥረት አስተዋፅኦ ለማድረግ ፍላጎት ያላቸው የነርሲንግ ባለሙያዎች ፍላጎታቸውን እንዲያሳዩ እና እንዲመዘገቡ ጥሪ እናቀርባለን። 👇 ለማመልከትና ለመመዝገብ፦ https://ncep.mohdigitalhealth.gov.et

A nursing team has prepared a nursing care plan to provide a holistic care to HIV exposed infants. The mother has planned to stop breast feeding today. The team planned to do a rapid antibody test and appointed her for the next visit. What is the most appropriate time to do this test? (A) At birth (B) At 6 weeks (C) At 10 weeks (D) At 12 weeks

four-year-old child is brought to a health center with a complaint of cough of three days duration. On physical examination, the child has chest in drawing. His respiratory rate is 40/min, pulse rate is 90/min, and body temperature of 38°C. What is the appropriate management for this child? (A) Refer urgently to hospital (B) Provide oral Amoxicillin for 5 days (C) Treat with Ampicillin and gentamycin (D) Counsel the mother to give fluid

A 48-year-old male client visited outpatient department with complaint of chest pain and is diagnosed for atherosclerosis. On history, client used one pack of cigarette per day for the last ten years and he was a finance officer for a long period of time. The patient has no finding on laboratory investigation. What is the most appropriate management for this client? (A)Cessation of smoking (B) Treating hyperlipidemia (C) Reduce duration of seating (D)Prescribe high dose aspirin

A 20-year-old female client who is diagnosed with rheumatic fever is administered procaine penicillin via the intramuscular route. After two minutes, the client manifests severe dyspnea, cyanosis, and hypotension. What is the most likely diagnosis in this case? A. Dermatitis Medicamentosa B. Anaphylactic reaction C. Angioneurotic edema D. Allergic rhinitis

A 25-year-old female client is admitted to a medical ward with a diagnosis of stage 3 HIV/AIDS. On assessment, she has a history of nausea and vomiting, diarrhea, dysphagia, and odynophagia. Upon physical examination, there is dry oral mucosa, BP is 50/40 mmHg, PR is 110 beats/minute, RR is 24 breaths/minute, and temperature is 36.8 degrees centigrade. What is the most likely nursing diagnosis? A. Imbalanced nutrition: less than body requirements B. Altered thermoregulation C. Fluid volume deficit D. Knowledge deficit

A long-distance truck driver is found to be HIV positive. After post-test counseling, a nurse working in the unit wants to identify his disease status. What is the most likely indicator of an advanced HIV disease in this case? A. CD4 cell count greater than 500cells/mm3 B. CD4 cell count greater than 200cells/mm3 C. CD4 cell count greater than 200cells/mm3 D. WHO stage 1 and 2

A 37-year-old known hypertensive patient came to an eye care center with complaints of blurred and distorted vision. He cannot resist bright light. He does not have pain. Upon assessment, the pupil is milky white. What is the most likely diagnosis in this case? A. Glaucoma B. Cataract C. Keratoconus D. Trachoma

A 25-year-old male patient came to an eye care center with a complaint of a foreign body in the eye. A nurse planned to perform eye irrigation. What is the most appropriate solution to irrigate the eye in this case? A. Warm tap water B. Isotonic solution C. Hypotonic solution D. Hypertonic solutions

A 40-year-old female patient was admitted to a medical ward after she is presented with generalized edema, fever and headache. She had history of treatment for tonsillitis four weeks back. On urinalysis, her urine is brown in color and she has proteinuria of 3.7g/day. What is the most likely diagnosis of the patient? (A)Glomerulonephritis (B) Nephrotic syndrome (C) Pyelonephritis (D)Urolithiasis

A 65-year-old known diabetic patient came to a hospital with complaints of pain in and around eyes, and blurred vision. He has decreased visual acuity and visual field. He has also nausea and vomiting. The tonometer reading is 28mmHg. What is the most appropriate priority nursing diagnosis in this case? A. Acute pain B. Impaired vision C. Fluid volume deficit D. Disturbed sensory perception

A 12-year-old male student presented to a hospital with complaints of eye pain and tearing of the eyes for two weeks. Upon assessment, inward growth of eyelashes was seen. The physician diagnosed trachoma. What is the most likely stage of the disease in this case? A. Trachoma intense B. Trachoma scaring C. Trachoma trichiasis D. Trachoma folliculitis