Nokea
Acute inflammatory mastitis can be prevented postnatally by encouraging breastfeeding mothers to
- A. Use prophylactic antibiotics
- B. Use bras of the right size
- C. Wash the breasts thoroughly before breastfeeding
- D. Empty the breast completely after breastfeeding
Correct Answer: D
Rationale: Emptying the breast completely when breastfeeding prevents mastitis by ensuring proper drainage of milk.
You may also like to solve these questions
Vitamin K prevents hemorrhagic disease of the neonate by
- A. Activating the white blood cells
- B. Activating the dormant clotting factors
- C. Adopting a fibrinogen sparing mechanism
- D. Altering the red blood cell count
Correct Answer: B
Rationale: Vitamin K activates clotting factors, thus preventing hemorrhagic disease of the neonate.
Persistent nausea and vomiting related to pregnancy is indicative of
- A. Morning sickness
- B. Multiple gestation
- C. Hyperemesis gravidarum
- D. Hypertensive disorders
Correct Answer: C
Rationale: Persistent nausea and vomiting is a hallmark of hyperemesis gravidarum.
Complications of unrepaired cleft lip and palate include
- A. Pneumonia and retarded growth
- B. Mental retardation and blindness
- C. Failure to thrive and deafness
- D. Impaired speech and convulsions
Correct Answer: D
Rationale: Failure to thrive and impaired speech are common complications due to feeding and developmental issues with cleft lip and palate.
The AGACNP is treating a patient with ascites. After a regimen of 200 mg of spironolactone daily, the patient demonstrates a weight loss of 0.75 kgday. The best approach to this patients management is to
- A. Continue the current regimen
- B. D/C the spironolactone and begin a loop diuretic
- C. Add a loop diuretic to the spironolactone
- D. Proceed to large-volume paracentesis Which of the following is a true statement with respect to the use of corticosteroids in posttransplant patients?
Correct Answer: B
Rationale: The best approach to managing the patient with ascites who has responded to spironolactone with weight loss is to add a loop diuretic to the current regimen. Spironolactone is an aldosterone antagonist that primarily works on the distal convoluted tubule, while loop diuretics, such as furosemide, act on the thick ascending limb of the loop of Henle. Combining these two diuretics can result in a synergistic effect, increasing diuresis and reducing fluid retention in patients with ascites. This combination therapy is often used in patients who do not respond adequately to spironolactone alone, and it is considered a common strategy in the management of ascites due to cirrhosis. Therefore, adding a loop diuretic to the spironolactone regimen is the most appropriate next step to optimize diuresis and fluid management in this patient.
The AGACNP knows that when managing a patient with acute cardiogenic shock after myocardial infarction, all of the following pharmacologic agents may be used except
- A. Opioids
- B. Diuretics
- C. Beta-adrenergic antagonists
- D. Anticholinergics
Correct Answer: A
Rationale: Anticholinergics are not typically used in the management of acute cardiogenic shock after myocardial infarction. Anticholinergic medications may worsen tachycardia and exacerbate myocardial ischemia by increasing heart rate and myocardial oxygen demand. Therefore, the AGACNP should avoid using anticholinergics in this patient population.