Nokea
A 3-year-old child has recurrent attacks of screaming, vomiting, and biting other children, these attacks lasts 2-5 minutes and occurs once or twice weekly, the child looks well between the attacks.
- A. autism
- B. traumatic brain injury
- C. cognitive impairment
- D. temper tantrums
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The patient with bipolar disorder is being treated with lithium and has a new prescription for captopril for hypertension. The combination of these two drugs makes which assessment particularly important?
- A. Potassium level
- B. Lithium level
- C. Creatinine level
- D. Blood pressure
Correct Answer: B
Rationale: When captopril, an ACE inhibitor, is combined with lithium, it can lead to lithium accumulation. Therefore, monitoring lithium levels is crucial to prevent toxicity. While ACE inhibitors like captopril can cause hyperkalemia, renal insufficiency, and hypotension, the risk of these effects is not increased by the combination of lithium and captopril.
At what age may an infant close their eyes to bright lights and show improved head control?
- A. 30-33 weeks after conception
- B. 34-36 weeks after conception
- C. Less than 30 weeks after conception
- D. 37-40 weeks after conception
Correct Answer: A
Rationale: Around 30-33 weeks after conception, infants usually start closing their eyes in response to bright lights and exhibit enhanced head control. This developmental milestone indicates progress in their visual and motor abilities, reflecting the maturation of their neurological system. As preterm infants continue to grow and develop, they gradually acquire these skills, showcasing the natural progression of their sensory and motor functions.
The age by which the child can make a tower of 9 cubes and imitates a circular stroke is
- A. 24 mo
- B. 30 mo
- C. 36 mo
- D. 42 mo
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which type of food is the most difficult to swallow?
- A. Raw Vegetables
- B. Strained Fruit
- C. Chopped Meat
- D. Mashed Vegetables
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning care to address nutritional needs for a preschooler with cystic fibrosis. Which interventions should the nurse include in plans?
- A. Administer pancreatic enzymes 2 hours after meals.
- B. Monitor and adjust the use of pancreatic enzymes if steatorrhea develops.
- C. Encourage adequate fluid intake based on the child's needs.
- D. Increase fat content in the child's diet to 40% of total calories.
Correct Answer: D
Rationale: Increasing fat content in the diet is essential for meeting the high energy needs of a child with cystic fibrosis. Cystic fibrosis impairs the absorption of nutrients, particularly fats, so increasing the fat content in the child's diet to 40% of total calories helps ensure adequate caloric intake. This intervention can help maintain the child's nutritional status and support growth and development.