Nokea
A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is
- A. admission to the hospital
- B. referral to psychiatrist
- C. referral to dietician
- D. make an scheduled OP visit to you and to psychiatrist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Indications of severe exacerbation of asthma include the following EXCEPT
- A. breathlessness
- B. accessory muscle use
- C. labored breathing
- D. PEF or FEV1 value <70% of personal best
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The pediatric nurse, who cares for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation on noting:
- A. a heart rate of 50 beats/min.
- B. a temperature of 102°F (38.9°C).
- C. reports of leg pain.
- D. fluid overload or pulmonary edema.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Childhood vasculitis encompasses a broad spectrum of diseases that share inflammation of blood vessels. The disease that affects predominantly large blood vessels is
- A. Henoch-Schonlein purpura
- B. polyarteritis nodosa
- C. Kawasaki disease
- D. Takayasu arteritis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is recommended as helpful in minimizing allergy to house dust mites?
- A. Maximizing time spent in the house to a single room such as the bedroom
- B. Washing bedding weekly in cold water
- C. Installing new carpet
- D. Keeping household humidity to less than 50%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented.
- B. Infants do not feel pain as adults do.
- C. This is not a good reason for refusing immunizations.
- D. A topical anesthetic, EMLA, can be applied before injections are given.
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.