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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.
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A pediatric client is admitted to the emergency department with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg, respiratory rate 28 and irregular. What does the nurse suspect based on these data?
- A. Spinal cord injury
- B. Increased intracranial pressure
- C. Typical for sleep
- D. Improvement
Correct Answer: B
Rationale: The vital signs of bradycardia, hypertension, and irregular respirations indicate increased intracranial pressure. Bradycardia (heart rate of 48), hypertension (blood pressure of 148/74 mmHg), and irregular respirations are typical signs of increased intracranial pressure in a pediatric client with a traumatic brain injury and loss of consciousness.
A nurse administers naloxone (Narcan) to a post-op patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication?
- A. Drowsiness
- B. Tics and tremors
- C. Increased Pain
- D. Nausea and vomiting
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which strategy is most effective in preventing existing challenging behaviors?
- A. Ignoring the behaviors
- B. Individualized interventions
- C. Providing flexible rules
- D. Punishment
Correct Answer: B
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.
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.