Nokea
A nurse is educating the parent of a preschool-age child about nutrition. Which is the best snack choice for the nurse to recommend to the parent?
- A. Fruit snacks
- B. Mini wheat bagel with peanut butter
- C. White toast with jelly
- D. Sports drink
Correct Answer: B
Rationale: The best snack choice for a preschool-age child recommended by the nurse would be a mini wheat bagel with peanut butter. This option provides a good balance of carbohydrates, protein, and healthy fats, making it a more nutritious choice compared to the other options. Fruit snacks may contain added sugars and lack essential nutrients. White toast with jelly is high in simple carbohydrates and sugars, providing less sustained energy. Sports drinks are often high in sugar and not necessary for a preschool-age child's snack.
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What is the most likely complication for a client receiving TPN who suddenly develops tremors, dizziness, and diaphoresis?
- A. Fluid volume overload
- B. Sepsis
- C. Hyperglycemia
- D. Hypoglycemia
Correct Answer: D
Rationale: The correct answer is D, Hypoglycemia. When a client receiving TPN suddenly develops tremors, dizziness, and diaphoresis, it is indicative of hypoglycemia. TPN provides a high concentration of glucose, and if it is abruptly stopped or the infusion rate is reduced, it can lead to hypoglycemia. Choices A, B, and C are incorrect as they do not directly correlate with the symptoms described in the scenario. Fluid volume overload typically presents with edema and hypertension, sepsis with fever and increased heart rate, and hyperglycemia with polyuria, polydipsia, and blurred vision.
To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct Answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
In alcoholic patient, the nurse knows that the vitamin deficient to these types of clients that leads to psychoses is:
- A. Thiamine C. Niacin
- B. Vitamin C D. Vitamin A
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The purpose of ECT in clients with depression is to:
- A. Stimulation in the brain to increase brain conduction and counteract depression
- B. Mainly Biologic, increasing the norepinephrine and serotonin level
- C. Creates a temporary brain damage that will increase blood flow to the brain
- D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:
- A. straddling a chair with arms and head resting on the back of the chair
- B. lying on the unaffected side with the bed elevated 30-40 degrees
- C. lying prone with the head of the bed lowered 15-30 degrees
- D. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.