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CRAMSHEET PART1

QuestionAnswer
R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled? Location of the workplace in relation to health facilities
A business firm must employ an occupational health nurse when it has at least how many employees? 101 employees
When the occupational health nurse employs ergonomic principles, she is performing which of her roles? Environmental manager
A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of the factory workers? Public health nurse of the RHU of their municipality
What is the primary goal of Occupational Health Nursing? PROMOTE AND PROTECT WORKERS’ HEALTH AND SAFETY
What is the most effective level of prevention in Occupational Health Nursing? PRIMARY PREVENTION
What government agency primarily enforces occupational safety and health standards in the Philippines? DEPARTMENT OF LABOR AND EMPLOYMENT (DOLE)
What is the causative agent of meningococcemia? Neisseria meningitidis (BACTERIA)
What is the mode of transmission of meningococcemia? DROPLET PRECAUTIONS
What is the characteristic skin manifestation of meningococcemia? PETECHIAE TO PURPURIC (PURPLISH-RED) RASH
What is the most life-threatening complication of meningococcemia? SEPTIC SHOCK
What is the priority antibiotic treatment for meningococcemia? CEFTRIAXONE (3rd GENERATION CEPHALOSPORIN)
What isolation precaution is required for a patient with meningococcemia? DROPLET PRECAUTIONS (UNTIL 24 HOURS AFTER EFFECTIVE ANTIBIOTICS)
What is the primary goal of the DOH Measles Rubella Supplemental Immunization Activity (MR SIA)? STOP MEASLES & RUBELLA TRANSMISSION
Who are the target recipients of the MR Supplemental Immunization Activity? CHILDREN 6–59 MONTHS OLD
Should a child receive the MR vaccine during SIA even if previously vaccinated? YES babies vaccinated with measles vaccine at 6 months will still be vaccinated with the primary dose of measles at 9 and 12 months
What type of vaccine is used in the MR Supplemental Immunization Activity? LIVE ATTENUATED VACCINE
What is the route of administration of the MR vaccine? SUBCUTANEOUS (SC)
What is the common site of injection for the MR vaccine? LEFT UPPER ARM SUBCUTANEOUS
What is the contraindication to receiving the MR vaccine? SEVERE IMMUNOCOMPROMISED STATE OR PREVIOUS ANAPHYLAXIS TO THE VACCINE
What diseases are prevented by the MMR vaccine? MEASLES, MUMPS, AND RUBELLA
At what age is the first dose of MMR routinely given under the DOH EPI? 9 MONTHS OLD
At what age is the second dose of MMR routinely given? 12 MONTHS OLD
What is the usual injection of needle for the MMR vaccine in children? 45 degree angle
What is the meaning of Zero Balance Billing (ZBB)? NO OUT-OF-POCKET PAYMENT
Who are the primary beneficiaries of the PhilHealth Zero Balance Billing policy? INDIGENT AND SPONSORED MEMBERS (ELIGIBLE MEMBERS)
In what type of health facilities is the ZBB policy implemented? DOH HOSPITALS AND PHILHEALTHACCREDITED GOVERNMENT HOSPITALS
What expenses are covered under the Zero Balance Billing policy? CASE RATE AND INCLUDED HOSPITAL CHARGES
What is the main objective of the PhilHealth Zero Balance Billing policy? FINANCIAL RISK PROTECTION
How many herbal medicines are officially endorsed by the DOH? 10 HERBAL MEDICINES
Which DOH herbal medicine is used for urinary stones and edema? SAMBONG
Which DOH herbal medicine is used for fungal infection? AKAPULKO
Which DOH herbal medicine is used for gouty arthritis? ULASIMANG BATO
Which DOH herbal medicine is used for intestinal worms like ascariasis? NIYOG-NIYOGAN
Which DOH herbal medicine is used for wound washing Bayabas
Which DOH herbal medicine is commonly used for lowering blood sugar in patients with diabetes? AMPALAYA
What color garbage receptacle is used for infectious/pathological waste under DOH Health Care Waste Management? YELLOW
What environmental issue is primarily caused by increased greenhouse gas emissions? CLIMATE CHANGE
What is the minimum recommended distance of a toilet from a water source? 25 METERS (≈80 FEET)
What type of water supply is recommended in urbanized areas? WATERWORKS SYSTEM
What is an example of a water-borne disease? CHOLERA
What is the best method to prevent amoebiasis in the community? BOIL DRINKING WATER
What is the most effective community strategy to prevent sanitation-related diseases? SAFE WATER SUPPLY AND PROPER SANITATION
What is the primary goal of Participatory Action Research (PAR)? COMMUNITY EMPOWERMENT
Who actively participates in Participatory Action Research? COMMUNITY MEMBERS
What is the role of the nurse in Participatory Action Research? FACILITATOR/ ADVISER
What is the first step in Participatory Action Research? IDENTIFY THE COMMUNITY PROBLEM
What is the most important principle of Participatory Action Research? ACTIVE COMMUNITY PARTICIPATION
What is the causative agent of anthrax? Bacillus anthracis (GRAM-POSITIVE SPORE-FORMING BACTERIA)
What is the most common route of transmission of anthrax? CONTACT WITH INFECTED ANIMALS OR ANIMAL PRODUCTS
What is the characteristic lesion of cutaneous anthrax? BLACK ESCHAR (PAINLESS NECROTIC ULCER)
What is the first-line antibiotic for anthrax? CIPROFLOXACIN
What is the most common form of anthrax? CUTANEOUS ANTHRAX
What is the most life-threatening complication of inhalational anthrax? SEPTIC SHOCK
Is anthrax transmitted from person to person? NO (RARELY TRANSMITTED PERSON-TO-PERSON)
What is the causative agent of tuberculosis (TB)? Mycobacterium tuberculosis bacteria
What is the primary mode of transmission of TB? AIRBORNE
What is the diagnostic test recommended by the DOH as the initial test for presumptive pulmonary TB? XPERT MTB/RIF (GENEXPERT)
What is the standard treatment strategy under the DOH National TB Control Program? DOTS (DIRECTLY OBSERVED TREATMENT, SHORT-COURSE)
What is the standard first-line anti-TB regimen for drug-susceptible TB? 2HRZE / 4HR
What vaccine is given to prevent severe forms of tuberculosis in children? BCG VACCINE
What is the priority nursing responsibility during TB treatment? ENSURE TREATMENT ADHERENCE (DOTS)
What specimen is preferred for diagnosing pulmonary tuberculosis? EARLY MORNING SPUTUM
What type of sputum specimen should the patient collect? DEEP COUGH SPUTUM (NOT SALIVA)
How many sputum collection ideally be performed? three
How much sputum specimen is usually required for TB testing? 2–5 mL
What instruction should the nurse give before sputum collection? RINSE THE MOUTH WITH WATER ONLY (NO TOOTHPASTE OR MOUTHWASH)
What is the priority infection-control precaution during sputum collection? AIRBORNE PRECAUTIONS (USE AN N95 RESPIRATOR and PLACE IN PRIVATE ROOM WITH NEGATIVE PRESSURE)
What tissue does a sarcoma originate from? CONNECTIVE TISSUE
What is the most common early manifestation of sarcoma? PAINLESS ENLARGING MASS
Sarcoma refers to a large group of cancers in bone and/or soft tissue
What is the most common site of metastasis of sarcoma? LUNGS
What is the primary treatment for localized sarcoma? SURGICAL EXCISION
What diagnostic test confirms the diagnosis of sarcoma? BIOPSY
What is the priority nursing assessment for a patient with sarcoma of an extremity? NEUROVASCULAR ASSESSMENT (CMS: CIRCULATION, MOVEMENT, SENSATION)
What law promotes the use of generic drugs in the community? REPUBLIC ACT NO. 6675 (GENERICS ACT OF 1988)
What is the primary goal of the Generics Act in Community Health Nursing? AFFORDABLE AND ACCESSIBLE MEDICINES FOR ALL
What is the nurse’s role regarding generic medicines in the community? HEALTH EDUCATION AND PROMOTION OF GENERIC DRUGS
How should medicines be prescribed under the Generics Act? BY GENERIC NAME
During what months is the National School Based Deworming Program commonly conducted by the DOH and DepEd? JANUARY AND JULY
Who are the primary beneficiaries of the National Deworming Program? CHILDREN 1–12 YEARS OLD (SCHOOL-AGE AND PRESCHOOL CHILDREN)
What is the first-line drug used in the National Deworming Program? ALBENDAZOLE
What is the usual single dose of Albendazole for deworming? 400 mg SINGLE DOSE
What intestinal parasites are primarily targeted by the deworming program? SOIL-TRANSMITTED HELMINTHS (ASCARIS, TRICHURIS, AND HOOKWORM)
What is the primary goal of the National Deworming Program? REDUCE SOIL-TRANSMITTED HELMINTH INFECTION AND IMPROVE CHILD HEALTH
Besides deworming, what community intervention should nurses emphasize to prevent reinfection? PROPER HANDWASHING, SANITATION, AND USE OF TOILETS
How often is mass deworming conducted in endemic areas? TWICE A YEAR (EVERY 6 MONTHS)
What parasites are primarily targeted by the deworming program? ASCARIS, TRICHURIS, AND HOOKWORM
Is parental or guardian consent required before school-based deworming? YES (PARENTAL/GUARDIAN CONSENT IS REQUIRED)
What should the nurse assess before administering a deworming drug? NO SEVERE ILLNESS OR ABDOMINAL PAIN/VOMITING
When should Albendazole be given to a child? AFTER A MEAL
Who administers the deworming medication during school-based deworming? TRAINED TEACHERS OR HEALTH WORKERS (INCLUDING NURSES)
1. What is the primary goal of the DOH Ligtas Tigdas Campaign? PROTECT CHILDREN AGAINST MEASLES AND RUBELLA
What vaccine is administered during the Ligtas Tigdas Campaign? MEASLES-RUBELLA (MR) VACCINE
Which vital statistic best reflects the longevity of a community? SWAROOP’S INDEX
Which vital statistic best reflects the nutritional status of a population? 1–4 YEAR AGE-SPECIFIC MORTALITY RATE
What graph is best used to compare the leading causes of mortality? BAR GRAPH
What graph is best used to show the trend of births or deaths over several years? LINE GRAPH
What is the formula for the Crude Death Rate (CDR)? TOTAL DEATHS ÷ MID-YEAR POPULATION × 1,000
What vital statistic measures the number of deaths among infants less than one year of age per 1,000 live births? INFANT MORTALITY RATE (IMR)
What are vital statistics? NUMERICAL DATA ON BIRTHS, DEATHS, FETAL DEATHS, MARRIAGES, AND OTHER VITAL EVENTS USED TO ASSESS COMMUNITY HEALTH
Best reflects the general well-being or overall health status of the community” SWAROOP’S INDEX
Most sensitive indicator of the GENERAL WELLBEING of a community” Infant Mortality Rate (IMR)
What are the vital statistics records birth certificate, death certificate, marriage certificate and even illnesses
What is the most common cause of non-toxic goiter worldwide? IODINE DEFICIENCY
How are thyroid hormone levels in non-toxic goiter? NORMAL (EUTHYROID)
What is the characteristic manifestation of nontoxic goiter? ENLARGED THYROID GLAND WITHOUT HYPERTHYROIDISM
What is the most common symptom of a large non-toxic goiter? NECK SWELLING
What should the nurse assess in a patient with a large non-toxic goiter? AIRWAY COMPRESSION (DYSPNEA/DYSPHAGIA)
What is the best dietary measure to prevent iodine deficiency goiter? USE IODIZED SALT
What is the definitive treatment for a large symptomatic non-toxic goiter? THYROIDECTOMY
What law regulates vaping and electronic cigarettes in the Philippines? REPUBLIC ACT NO. 11900 (VAPORIZED NICOTINE AND NON-NICOTINE PRODUCTS REGULATION ACT)
What is the minimum legal age to buy or use vape products under RA 11900? 18 YEARS OLD
Which government agency primarily regulates vape products under RA 11900? DEPARTMENT OF TRADE AND INDUSTRY (DTI)
What is the current position of the Department of Health (DOH) regarding vaping? DOH ADVOCATES A TOTAL BAN ON VAPES DUE TO HEALTH RISKS, ESPECIALLY AMONG THE YOUTH
Can vaping safer than cigarette smoking? NO they are both dangerous to health
What should be the distance of stores where vape products be sold from schools? more than 100 meters
What is the primary public health concern of the DOH regarding vaping? NICOTINE ADDICTION AMONG CHILDREN AND ADOLESCENTS
Who has the greatest influence on smoking initiation among adolescents? PEERS (PEER INFLUENCE)
What is the most effective nursing intervention to help a patient stop smoking? SMOKING CESSATION COUNSELING
What is the first nursing action when providing smoking cessation counseling? ASSESS THE PATIENT’S READINESS TO QUIT
What evidence-based framework is commonly used by nurses for smoking cessation? THE 5 A’S (ASK, ADVISE, ASSESS, ASSIST, ARRANGE)
What withdrawal symptom is most commonly experienced after smoking cessation? NICOTINE CRAVING
What pharmacologic therapy is commonly used to assist smoking cessation? NICOTINE REPLACEMENT THERAPY (NRT)
What is the primary goal of smoking cessation programs in adolescents? PREVENT NICOTINE ADDICTION AND TOBACCO-RELATED DISEASES
What is a pack-year? A MEASURE OF CIGARETTE SMOKING EXPOSURE
What is the formula for calculating pack-years? (PACKS PER DAY) × (YEARS SMOKED)
A client smoked 1 pack per day for 20 years. What is the pack-year history? 20 PACK-YEARS
A client smoked 2 packs per day for 15 years. What is the pack-year history? 30 PACK-YEARS
A client smoked ½ pack per day for 10 years. What is the pack-year history? 5 PACK-YEARS
What law requires graphic health warnings on cigarette packages in the Philippines? REPUBLIC ACT NO. 10643 (GRAPHIC HEALTH WARNINGS LAW)
Where should the Graphic Health Warning (GHW) be placed? on a cigarette packaging
How much of the front and back of a cigarette pack should be covered by the Graphic Health Warning? AT LEAST 50% OF THE PRINCIPAL DISPLAY AREA
What government agency provides the official Graphic Health Warning templates? DEPARTMENT OF HEALTH (DOH)
How often should Graphic Health Warning images be rotated? EVERY 24 MONTHS (2 YEARS)
What is the primary purpose of the Graphic Health Warnings? TO DISCOURAGE TOBACCO USE AND INFORM THE PUBLIC OF ITS HEALTH RISKS
What is the safest place for children to cross the road? PEDESTRIAN CROSSING (PEDESTRIAN LANE)
What should a child do first before crossing the street? STOP, LOOK LEFT-RIGHT-LEFT, AND LISTEN
What should children avoid while crossing the road? USING CELL PHONES OR OTHER GADGETS
Where should children walk if a sidewalk is available? ON THE SIDEWALK
Who has the primary responsibility for supervising young children near roads? PARENTS OR OTHER RESPONSIBLE ADULTS
What is the recommended maximum vehicle speed in areas where children are present? 30 KM/HOUR
What is the main goal of the DOH Child Road Traffic Injury Prevention Program? PREVENT ROAD TRAFFIC INJURIES AND DEATHS AMONG CHILDREN
What protective device should every child wear when riding a bicycle or similar wheeled vehicle? HELMET
What is the episodic, cyclical shedding of the uterine lining in response to hormonal changes? MENSTRUATION
During which phase are Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH) elevated to promote follicular development? FOLLICULAR (PROLIFERATIVE) PHASE
During which phase are estrogen and progesterone at their lowest levels? MENSTRUAL PHASE
Which hormone predominates during the luteal (secretory) phase? PROGESTERONE
What hormone surge triggers ovulation? LUTEINIZING HORMONE (LH)
What is the best menstrual hygiene practice recommended for adolescents? USE UNSCENTED SANITARY PRODUCTS AND CHANGE PADS REGULARLY
What menstrual hygiene practice should be avoided to reduce irritation and infection? AVOID SCENTED WIPES OR SCENTED FEMININE PRODUCTS
What is Premenstrual Syndrome (PMS)? A GROUP OF PHYSICAL, EMOTIONAL, AND BEHAVIORAL SYMPTOMS THAT OCCUR BEFORE MENSTRUATION
During which phase of the menstrual cycle does PMS usually occur? LUTEAL PHASE
Which hormone predominates during the luteal phase when PMS occurs? PROGESTERONE
What is the most common emotional manifestation of PMS? MOOD SWINGS / IRRITABILITY
What is the most common physical manifestation of PMS? BREAST TENDERNESS
What is the first-line nursing intervention for managing mild PMS? LIFESTYLE MODIFICATION (REGULAR EXERCISE, ADEQUATE SLEEP, HEALTHY DIET, STRESS MANAGEMENT)
What dietary advice should the nurse give to reduce PMS symptoms? LIMIT CAFFEINE, SALT, AND ALCOHOL; EAT A BALANCED DIET
What is hepatic encephalopathy? A REVERSIBLE DECLINE IN BRAIN FUNCTION CAUSED BY LIVER FAILURE AND ACCUMULATION OF AMMONIA
What is the primary toxin responsible for hepatic encephalopathy? AMMONIA (NH₃)
What is the most common underlying cause of hepatic encephalopathy? LIVER CIRRHOSIS
What is the hallmark neurological sign of hepatic encephalopathy? ASTERIXIS (FLAPPING TREMOR)
What characteristic breath odor is associated with hepatic encephalopathy? FETOR HEPATICUS (MUSTY OR SWEET BREATH ODOR)
What laboratory value is commonly elevated in hepatic encephalopathy? SERUM AMMONIA
What is the first-line medication for hepatic encephalopathy? LACTULOSE
How does lactulose help treat hepatic encephalopathy? IT REDUCES AMMONIA ABSORPTION BY TRAPPING AMMONIA IN THE COLON AND PROMOTING ITS EXCRETION THROUGH STOOL
What is the therapeutic goal when administering lactulose? 2–3 SOFT BOWEL MOVEMENTS PER DAY
Which antibiotic is commonly used with lactulose to decrease ammonia-producing intestinal bacteria? RIFAXIMIN
What is the most common precipitating factor of hepatic encephalopathy? GASTROINTESTINAL (GI) BLEEDING
Name other common precipitating factors of hepatic encephalopathy CONSTIPATION, INFECTION, HYPOKALEMIA, DEHYDRATION, HIGH-PROTEIN INTAKE, AND SEDATIVE USE
Which electrolyte imbalance commonly precipitates hepatic encephalopathy? HYPOKALEMIA
What level of consciousness changes are commonly seen in hepatic encephalopathy? CONFUSION, DISORIENTATION, LETHARGY, STUPOR, AND COMA
What is the most common primary cancer of the liver? HEPATOCELLULAR CARCINOMA (HCC)
What is the strongest risk factor for developing hepatocellular carcinoma? LIVER CIRRHOSIS
Which viral infections are major risk factors for hepatocellular carcinoma? CHRONIC HEPATITIS B AND HEPATITIS C
Which tumor marker is most commonly elevated in hepatocellular carcinoma? ALPHA-FETOPROTEIN (AFP)
What is the classic triad of hepatocellular carcinoma? RIGHT UPPER QUADRANT PAIN, WEIGHT LOSS, AND HEPATOMEGALY
What imaging study is commonly used to confirm hepatocellular carcinoma? CONTRAST-ENHANCED CT SCAN OR MRI OF THE LIVER
What is the definitive treatment for early-stage hepatocellular carcinoma? LIVER TRANSPLANTATION OR SURGICAL RESECTION
What targeted therapy is commonly used for advanced hepatocellular carcinoma? SORAFENIB
What nursing assessment finding may indicate worsening liver cancer? INCREASING ASCITES, JAUNDICE, OR HEPATIC ENCEPHALOPATHY
What is the best preventive measure against hepatocellular carcinoma? HEPATITIS B VACCINATION AND EARLY TREATMENT OF CHRONIC LIVER DISEASE
What is choledocholithiasis? THE PRESENCE OF GALLSTONES IN THE COMMON BILE DUCT (CBD)
What is the most common cause of choledocholithiasis? MIGRATION OF GALLSTONES FROM THE GALLBLADDER
What is the classic triad of acute cholangitis caused by choledocholithiasis? CHARCOT’S TRIAD (FEVER, JAUNDICE, AND RIGHT UPPER QUADRANT PAIN)-
Which laboratory finding is commonly elevated in choledocholithiasis? BILIRUBIN AND ALKALINE PHOSPHATASE (ALP)
What imaging study is the initial diagnostic test for suspected choledocholithiasis? ABDOMINAL ULTRASOUND
What is the gold standard for diagnosing and treating choledocholithiasis? ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP)
What serious complication can occur if choledocholithiasis is left untreated? ACUTE CHOLANGITIS OR ACUTE PANCREATITIS
What dietary instruction should be given to patients with choledocholithiasis? FOLLOW A LOW-FAT DIET
What nursing assessment finding suggests obstructive jaundice due to choledocholithiasis? CLAY-COLORED STOOLS AND DARK URINE
What definitive surgical treatment is commonly performed after stone removal to prevent recurrence? CHOLECYSTECTOMY
What is a T-tube (bile bag)? A DRAIN PLACED IN THE COMMON BILE DUCT TO DRAIN BILE AFTER BILIARY SURGERY
After which surgery is a T-tube most commonly inserted? CHOLEDOCHOTOMY OR COMMON BILE DUCT EXPLORATION
What is the primary purpose of a T-tube? TO DECOMPRESS THE BILIARY TREE AND PROMOTE BILE DRAINAGE
What color is normal T-tube drainage? GREENISH TO GOLDEN-BROWN BILE
What is the priority nursing intervention for a patient with a T-tube? KEEP THE DRAINAGE BAG BELOW THE LEVEL OF THE ABDOMEN
Should the nurse clamp or irrigate a T-tube routinely? NO, UNLESS SPECIFICALLY ORDERED BY THE PHYSICIAN
What complication should the nurse suspect if there is sudden absence of bile drainage with right upper quadrant pain? T-TUBE OBSTRUCTION
What finding may indicate a bile leak after T-tube insertion? FEVER, SEVERE ABDOMINAL PAIN, ABDOMINAL RIGIDITY, OR BILE LEAKING AROUND THE TUBE
What laboratory value should improve as bile drainage becomes adequate? SERUM BILIRUBIN
Before permanent removal of the T-tube, what is commonly done to assess if bile can flow normally into the duodenum? CLAMP THE T-TUBE TEMPORARILY (CLAMPING TRIAL) AS PRESCRIBED TO ASSESS TOLERANCE AND NORMAL BILE FLOW
What is the preferred long-term vascular access for hemodialysis? ARTERIOVENOUS (AV) FISTULA
What assessment finding confirms that an AV fistula is functioning properly? PALPABLE THRILL AND AUDIBLE BRUIT
What diet is recommended for a patient undergoing peritoneal dialysis? HIGH-PROTEIN DIET
What is the most common complication of peritoneal dialysis? PERITONITIS
What is the earliest sign of peritonitis in a patient receiving peritoneal dialysis? CLOUDY DIALYSATE EFFLUENT
What nursing precaution should always be observed during peritoneal dialysis exchanges? STRICT ASEPTIC TECHNIQUE
What should the nurse NEVER do on the arm with an AV fistula? NO BLOOD PRESSURE, IV INSERTION, OR VENIPUNCTURE
What is the hallmark manifestation of Alzheimer’s disease? PROGRESSIVE MEMORY LOSS
What is the most common type of dementia? ALZHEIMER’S DISEASE
Which neurotransmitter is decreased in Alzheimer’s disease? ACETYLCHOLINE
What is the priority nursing intervention for a client with Alzheimer’s disease? MAINTAIN SAFETY
What pathological findings are characteristic of Alzheimer’s disease? BETA-AMYLOID PLAQUES & NEUROFIBRILLARY TANGLES
What communication technique should the nurse use for patients with Alzheimer’s disease? SIMPLE, SHORT, ONE-STEP INSTRUCTIONS
What is the most common cause of death in patients with advanced Alzheimer’s disease? ASPIRATION PNEUMONIA
Created by: lessuy
 

 



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