Nokea
A nasogastric tube for suction is ordered for a neonate diagnosed with a diaphragmatic hernia. Which complication related to gastric drainage is the priority when planning care for this neonate?
- A. Weight loss
- B. Metabolic alkalosis
- C. Dehydration
- D. Hyperbilirubinemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following is TRUE regarding hepatitis A virus
- A. Several serotypes have been recognized
- B. Common source of outbreak is food and water contamination
- C. Maternal-neonatal transmission is possible
- D. Mainly occurs via hematogenous mode of transmission
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is a common extra-articular manifestation of rheumatoid arthritis?
- A. Interstitial lung disease
- B. Cardiovascular disease
- C. Neuropathy
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What causes meconium aspiration syndrome?
- A. Hypoglycemia
- B. Carbon dioxide retention
- C. Bowel obstruction with meconium
- D. Aspiration of meconium in utero or at birth
Correct Answer: D
Rationale: Meconium aspiration syndrome occurs when a newborn inhales (aspirates) a mixture of meconium (the baby's first stool) and amniotic fluid while in the uterus or during delivery. This can lead to respiratory distress and obstruction of the airways. The presence of meconium in the lungs can cause inflammation, airway obstruction, and in severe cases, can result in pneumonia or respiratory failure. Bowel obstruction with meconium (Choice C) does not directly cause meconium aspiration syndrome.
In a 28-year-old female client who is being successfully treated for Cushing syndrome, the nurse would expect a decline in:
- A. serum glucose level.
- B. bone mineralization.
- C. hair loss
- D. menstrual flow.
Correct Answer: D
Rationale: In a 28-year-old female client who is being successfully treated for Cushing syndrome, a decline in menstrual flow would be expected due to the normalization of the hormonal imbalances associated with Cushing syndrome. Cushing syndrome can lead to elevated levels of cortisol, which can disrupt the normal menstrual cycle by affecting the production of reproductive hormones. As treatment successfully addresses the underlying cause of the hormonal imbalance, such as surgery to remove the source of excessive cortisol production or medication to control cortisol levels, the menstrual cycle is likely to return to normal, resulting in a decline in menstrual flow. This improvement in menstrual regularity is a positive indicator of successful treatment for Cushing syndrome in female clients.
Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
- A. Poison ivy does not itch and needs further investigation.
- B. Scratching the lesions will not cause a problem.
- C. Scratching the lesions will cause the poison ivy to spread.
- D. Scratching the lesions may cause them to become secondarily infected.
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.