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A client has been scheduled for a Schilling test. What instruction will the nurse give the client?
- A. Take nothing mouth fro 12 hours prior to the test
- B. Collect his urine for 12 hours
- C. Administer a fleet enema the evening before the test
- D. Empty his bladder immediately before the test
Correct Answer: B
Rationale: The correct instruction the nurse will give to the client scheduled for a Schilling test is to collect his urine for 12 hours. The Schilling test is a diagnostic test used to assess the body's ability to absorb vitamin B12. The test involves collecting urine samples over a period of 24 hours after the client ingests a small amount of radioactive vitamin B12. By collecting urine for 12 hours, the healthcare provider will be able to analyze the excretion of the vitamin and determine the client's ability to absorb vitamin B12. Instructions such as fasting, enema administration, or emptying the bladder before the test are not typically associated with the Schilling test procedure.
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The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately
- A. 1 wk of age
- B. 2 wk of age
- C. 3 wk of age
- D. 4 wk of age
Correct Answer: A
Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.
A male client is suspected of an immune system disorder. Which of the ff important factors will the nurse document while assessing the client?
- A. The client's diet
- B. The client's family member's history of
- C. The client's drug history chronic diseases
- D. The client's ability to produce antibodies
Correct Answer: D
Rationale: Assessing the client's ability to produce antibodies is a crucial factor in determining immune system function. Antibodies are proteins produced by the immune system to help fight off infections and other harmful substances. In a male client suspected of an immune system disorder, understanding his ability to produce antibodies can provide valuable insights into the functionality of his immune system. This assessment can help healthcare providers identify potential deficiencies or abnormalities in the immune response, leading to appropriate diagnosis and treatment strategies.
A 3-week-old neonate is brought to the emergency department because of a three-day history of intermittent vomiting. His mother reports that he has not urinated for eight hours. On physical examination, his eyes are sunken. Which of the following will MOST likely require correction before surgery is performed?
- A. Hypochloremia
- B. Hyperkalemia
- C. Hypernatremia
- D. N/A
Correct Answer: A
Rationale: Hypochloremia is often associated with dehydration and metabolic alkalosis, which may need correction before surgery.
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?
- A. 10
- B. 15
- C. 20
- D. 25
Correct Answer: C
Rationale: Infants typically double their birth weight by around 6 months of age. Since the infant weighed 7 pounds at birth, it is reasonable to expect the infant to weigh approximately 14 pounds at the age of 6 months. Therefore, the closest option among the choices provided is 20 pounds.
A college student goes to the college clinic and asks the best way to avoid contracting an STD. The nurse provides the clinic's standard STD teaching. Which statement by the student indicates the need for additional instruction?
- A. "There is no guarantee that I won't contract an STD if I choose to be sexually active."
- B. "Abstinence is the only sure way to avoid an STD."
- C. "If I use a condom with spermicide, I will be safer than if I don't use one."
- D. "If I question my partner about past sexual encounters, I can avoid STDs."
Correct Answer: D
Rationale: The statement "If I question my partner about past sexual encounters, I can avoid STDs" indicates a need for additional instruction. While communication with a partner about sexual history is important, relying solely on questioning a partner is not a foolproof method of avoiding STDs. Some individuals may not disclose their complete sexual history or may be unaware that they have an STD. It is crucial to emphasize the importance of using protection such as condoms consistently and correctly, getting tested regularly, and practicing safe sex in general.