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A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
- A. Hemodialysis is not used in pediatrics.
- B. Peritoneal dialysis has no complications.
- C. Peritoneal dialysis removes fluid at a slower, more controlled rate, which minimizes complications.
- D. Peritoneal dialysis is more efficient than hemodialysis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the goal of pharmacologic therapy in the treatment of Parkinson’s disease?
- A. To increase the amount of acetylcholine at the pre-synaptic neurons
- B. To reduce the amount of dopamine available in the substantia nigra
- C. To balance cholinergic and dopaminergic activity in the brain
- D. To block dopamine receptors in pre-synaptic and post-synaptic neurons
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement fosters cultural competence?
- A. Treat everyone the same regardless of their culture
- B. Provide an outline of your beliefs as a starting point
- C. Acknowledge and respond to influences of cultural beliefs in the intervention plan
- D. Ask the family to outline how their beliefs will influence therapy
Correct Answer: C
Rationale: Cultural competence involves recognizing and considering the impact of cultural beliefs on individuals. By acknowledging and responding to these cultural influences in the intervention plan, professionals can tailor their approach effectively and respectfully. This approach helps build trust, enhances communication, and improves outcomes in culturally diverse settings.
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
- A. Increased total serum complement levels
- B. An above-normal anti-deoxyribonucleic
- C. Negative antinuclear antibody test acid
- D. Negative lupus erythematosus cell test
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.
One of the following is microcytic hypochromic anemia:
- A. Aplastic anemia
- B. Iron deficiency anemia
- C. Leukemia
- D. Sickle cell anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
- A. Vital signs and neurologic checks hourly
- B. Small, frequent formula feedings
- C. Elevate the head of the bed
- D. Daily head circumference measurements
Correct Answer: C
Rationale: Elevating the head of the bed in a child with hydrocephalus can potentially increase intracranial pressure. This can be counterproductive and may lead to complications after shunt placement surgery. Keeping the head of the bed flat or slightly elevated is often recommended to optimize cerebral perfusion and reduce the risk of increased intracranial pressure.