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A patient with Parkinson’s disease who takes levodopa/carbidopa (Sinemet) comes to the clinic for a semi-annual physical examination. Which question is the most important for that nurse to ask?
- A. Have you noticed any swelling in your feet?
- B. Are you having vivid dreams or hallucination?
- C. Have you noticed any changes in your stool?
- D. Have you had your flu vaccine?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse is providing dietary teaching to the parent of a school-age child with cystic fibrosis. Which of the following statements should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day
- B. Your child should decrease dietary fats to less than 10% of their caloric intake
- C. Your child will need to take a 1-gram sodium chloride tablet daily throughout their lifetime
- D. You should calculate your child's carbohydrate needs based on their daily activities
Correct Answer: A
Rationale: The parent should provide a well-balanced diet that is high in protein and calories for a child with cystic fibrosis. This diet helps meet the child's increased energy requirements. Offering high-protein meals and snacks throughout the day is essential to ensure adequate nutrition and energy intake for children with cystic fibrosis.
A 30-month-old apparently well child presented with stomping, hitting, head banging, and falling down for few minutes every few days.
- A. brain MRI
- B. serum ferritin
- C. skeletal survey
- D. EEG
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
- A. Increased PCO2 and respiratory acidosis
- B. Decreased PCO2 and respiratory alkalosis
- C. Low pH and low PCO2
- D. High pH and high PCO2
Correct Answer: A
Rationale: When a child's respirations are slow and shallow due to opioid administration, it results in hypoventilation. This leads to retaining carbon dioxide, indicated by an increased PCO2 level on arterial blood gas analysis, and subsequently causes respiratory acidosis due to the buildup of CO2 in the blood.
Which assessment finding for a 4-month-old infant would require further action by the nurse?
- A. The posterior fontanel is open.
- B. The infant has good head control when held upright.
- C. The infant is able to roll only from abdomen to back.
- D. The anterior fontanel is open and soft.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse provides dietary teaching to the guardian of a school-age child with cystic fibrosis. Which statement should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day.
- B. You should decrease your child's dietary fat intake to less than 10% of their caloric intake.
- C. You should restrict your child's calorie intake to 1,200 per day.
- D. You should give your child a multivitamin once weekly.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.