June Monthly Long UPDATED Exam Questions and CORRECT Answers
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Course
June Monthly Long
Institution
June Monthly Long
June Monthly Long UPDATED Exam
Questions and CORRECT Answers
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
Which of the following should be done by nurse JC?
A. Refer to the municipal health office
B. Ask about the h...
June Monthly Long UPDATED Exam
Questions and CORRECT Answers
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
Which of the following should be done by nurse JC?
A. Refer to the municipal health office
B. Ask about the history of the incident
C. Wash the wound with soap and water
D. Immediately inject anti rabies medicine - Correct Answer- Ask about the history of the
incident
The nurse should be able to follow the nursing process. Assessment should always be a
priority. This is to establish a database about the client's response to health concerns or illness
and the ability to manage health care needs. The activities included in assessment are: obtain
a nursing health history, conduct physical assessment, review client's record, consult support
persons, and consult health professionals.
Option A: Nurses should not pass the back. It is important to obtain history and implement
Nursing intervention to the patient.
Options C: This is under implementation. Implementing is to assist the client to meet desired
goals/outcomes; promote wellness, prevent illness and disease; restore health; and facilitate
coping with altered functioning.
Option D: Immediately injecting anti rabies medicine without the doctor's order can place the
nurse to be liable of malpractice.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
,When assessment has been completed and nurse JC saw the wound, he should:
A. Wash the wound with soap and water
B. Ask prescription from the doctor
C. Apply ointment and dress the wound
D. Ask for immunoglobulin - Correct Answer- Wash the wound with soap and water
Before anything else, it is important that the wound must be washed with soap and water
immediately and thoroughly. Antiseptics such as povidone iodine or alcohol may be done.
Option B: This may be done after wound care. The patient may be given antibiotics and anti-
tetanus treatment.
Option C: There is usually no ointment applied and the wound may be left open
Option D: The post-exposure treatment is given to persons who are exposed to rabies. Passive
immunization- the process of giving an antibody to the persons (with head and neck bites,
multiple single deep bites, contamination of mucous membranes) in order to provide
immediate protection against rabies which should be administered within the first seven days
of active immunization. The effect of immunoglobulin is short term.
Source: Public Health Nursing in the Philippines page 290.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
In the nurse health teaching, which of the following is included?
A. Observe the dog for 14 days
B. Report to authorities
C. Kill the dog immediately
D. Give the dog immunization immediately - Correct Answer- Observe the dog for 14 days
,The maximum infectious stage of rabies in dogs and cats is ten days. If a dog or cat remains
healthy for 10 days after biting a person, it is safe to assume that rabies was not transmitted.
This quarantine/observation period is extended to 14 days for dogs and cats when the bite
occurs in a country with endemic canine rabies.
Option B: Although it is important to report to authorities, it is much more important to
quarantine or observe the dog for 14 days.
Option C: Killing the dog immediately is not advisable because it should be observed for 14
days for signs and symptoms of rabies.
Option D: Dogs and cats should be initially immunized at 3 months of age, re-immunized at
12 months after the first vaccination, with booster needed every three years if they are
vaccinated with a licensed rabies vaccine and the label indicates 3 years duration of
immunity. If an animal is vaccinated with a one-year rabies vaccine (label indicates 1 year
duration of immunity), then a booster is needed annually. In order to improve rabies
vaccination coverage, use of 3-year rabies vaccines is encouraged for dogs and cats.
However, there are no laboratory or epidemiologic data to support the annual or biennial
administration of 3-year vaccines following the initial series. Three months is considered to
be minimum age for primary vaccination.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
In the assessment, nurse JC must observe which of the following signs and symptoms
affecting deglutition?
A. Sensory changes
B. Muscle spasms
C. Headache
D. Fever - Correct Answer- Muscle spasms
It is characterized by spasmodic contraction of the larynx on attempts at swallowing. The
sight of water produces great fear, and often precipitates a spasm which is attended with great
, suffering; the dyspnea is great, and the convulsive action of the larynx and muscles of the
mouth causes the patient to emit guttural sounds, which, to the excited
Other options: Sensory changes, Headache and Fever does not affect swallowing.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an injection for
her son was bitten by a dog.
Nursing care of clients diagnosed with rabies is provisions of this comfortable environment
which is:
A. Adequately supplied with food and water
B. Quiet and dark
C. Provided with soft music
D. Accessible to medications - Correct Answer- Quiet and dark
The first clinical symptoms are generally non-specific and may be flu-like (i.e. malaise, fever
and headache). Pain and abnormal feelings (paresthesia) at the wound site are also common.
Clinical disease quickly progresses to an acute neurologic phase with symptoms including
one or more of the following: anxiety, confusion, hallucinations, hydrophobia, aerophobia,
photophobia and insomnia. Since the patient develops photophobia, the environment should
be dimmed as well as quiet to decrease stimuli.
http://www.rabies.net/cont_36.faq.php#19
Option A: People with rabies experiences spasms of the muscles of deglutition making it
difficult for them to swallow food and water. They also experiences hydrophobia.
Option C: The environment should be quiet as much as possible to decrease the stimuli
because the patient is usually hyperactive and there is hyper excitability.
Option D: Once symptoms appear in humans, rabies can not be cured therefore, accessibility
to medications is not a priority. There have been only a few human rabies survivors, and
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