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A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?
- A. Use a peak flow meter daily.
- B. Administer the medication with meals.
- C. Provide a low-carbohydrate diet.
- D. Limit exposure to cold air.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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According to the Health Insurance Portability and Accountability Act, a healthcare facility may release patient information without obtaining permission from the patient or family when there is a request from a:
- A. consulting physician to evaluate the patient.
- B. lawyer regarding a child abuse case.
- C. school nurse to update the school records.
- D. teacher regarding behavioral issues.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
- A. Hypernatremia
- B. Metabolic acidosis
- C. Hypotonic dehydration
- D. Isotonic dehydration
Correct Answer: C
Rationale: The correct answer is hypotonic dehydration. The combination of high hemoglobin and hematocrit with low serum sodium indicates hypotonic dehydration. In this condition, there is an excess of solutes relative to water, leading to higher red blood cell concentration (elevated hemoglobin and hematocrit) and low serum sodium levels.
What is the next food texture after 'soft and bite-sized pieces of meltable and soft-solid foods'?
- A. Regular
- B. Liquidized
- C. Puréed
- D. Minced and Moist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
- A. three month
- B. eight month
- C. one year
- D. three year
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 1-week-old infant develops pulmonary hypertension following repair of a congenital diaphragmatic hernia. Which of the following lab findings is MOST likely to be a contributing factor to this patient's hypertension?
- A. PaCO2 50
- B. pH 7.50
- C. PaO2 150 mmHg
- D. N/A
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.