Nokea
The parents of a 4-year-old girl have sought care because their daughter has admitted to chewing and swallowing imported toy figurines that have been determined to be made of lead. Which of the following blood tests should the care team prioritize?
- A. White blood cell levels with differential
- B. Red blood cell levels and morphology
- C. Urea and creatinine levels
- D. Liver function panel
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A patient with endometriosis is prescribed medroxyprogesterone acetate (Provera). What should the nurse include in the patient education?
- A. Medroxyprogesterone should be taken at the same time each day to maintain consistent hormone levels.
- B. Medroxyprogesterone can be taken with food to reduce gastrointestinal upset.
- C. Medroxyprogesterone should be discontinued if side effects occur.
- D. Medroxyprogesterone should be taken once a week to maintain effectiveness.
Correct Answer: A
Rationale: Medroxyprogesterone should be taken at the same time each day to maintain consistent hormone levels and effectiveness in treating endometriosis.
A 10-year-old male presents to his primary care provider reporting wheezing and difficulty breathing. History reveals that both of the child's parents suffer from allergies. Which of the following terms would be used to classify the child?
- A. Desensitized
- B. Atopic
- C. Hyperactive
- D. Autoimmune
Correct Answer: B
Rationale: In this case, the correct term to classify the child is 'Atopic.' Atopic individuals have a genetic predisposition to developing allergic conditions. 'Desensitized' refers to reduced sensitivity to an allergen, 'Hyperactive' relates to an exaggerated response, and 'Autoimmune' involves the immune system attacking its own cells, none of which accurately describe the child's classification based on the provided history.
A physician is noting the recent vital signs for several clients on an acute medical ward of a hospital. Which hospital client with a noninfectious diagnosis would be most likely to have a fever?
- A. A 71-year-old female with limited mobility, chronic obstructive pulmonary disease (COPD), and vascular dementia
- B. A 33-year-old female with a postoperative deep vein thrombosis and pulmonary embolism
- C. A 51-year-old obese male with hepatic encephalopathy secondary to alcohol abuse
- D. A 71-year-old male with congestive heart failure and peripheral edema
Correct Answer: B
Rationale: Pulmonary emboli can produce fever, even without infection.
A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?
- A. Blood glucose levels
- B. Liver function tests
- C. Kidney function tests
- D. Blood pressure
Correct Answer: B
Rationale: Liver function tests should be monitored during estradiol therapy due to the potential for liver dysfunction.
A patient has been prescribed clomiphene citrate (Clomid) for infertility. What should the nurse include in the teaching plan about the use of this medication?
- A. Clomiphene is taken daily for 5 days at the beginning of the menstrual cycle.
- B. Clomiphene is taken once daily throughout the menstrual cycle.
- C. Clomiphene is taken twice daily for 5 days at the end of the menstrual cycle.
- D. Clomiphene is taken three times daily for 10 days at the beginning of the menstrual cycle.
Correct Answer: A
Rationale: Clomiphene is typically taken daily for 5 days at the beginning of the menstrual cycle to stimulate ovulation.