All the following are compatible with the definition of obstructive sleep apnea EXCEPT
- A. episodes of prolonged upper airway obstruction
- B. repeated apnea
- C. 230% reduction in airflow
- D. 2-30% O2 desaturation
Correct Answer: D
Rationale: Oxygen desaturation of 2-30% is too low to define mild-to-moderate sleep apnea.
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Which is the most appropriate vision acuity test for a child who is in preschool?
- A. Cover test
- B. Ishihara test
- C. HOTV chart
- D. Snellen letter chart
Correct Answer: C
Rationale: The HOTV chart is the most appropriate vision acuity test for a child who is in preschool. The HOTV chart is specifically designed for young children who may not yet know their letters. It uses simple shapes (H, O, T, V) instead of letters for visual acuity testing, making it more suitable and engaging for preschool-aged children. This chart allows for an accurate assessment of a child's visual acuity even before they are able to recognize letters, ensuring early detection of any vision problems that may affect their learning and development. The other options, such as the Cover test, Ishihara test, and Snellen letter chart, are more commonly used for older children and adults.
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses objects and actions in combination
- C. gross motor to solve problems
- D. fine motor and symbolic thought
Correct Answer: D
Rationale: At this age, building a tower involves fine motor skills and symbolic thinking.
A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:
- A. Helping the client cope with body image
- B. Maintaining a patent airway.
- C. Preventing injury.
- D. Ensuring adequate nutrition.
Correct Answer: B
Rationale: In a client with esophageal cancer who is experiencing difficulty swallowing, maintaining a patent airway is the highest priority. The client is at risk for aspiration due to the compromised ability to swallow, which could lead to respiratory distress, choking, or aspiration pneumonia. Adequate oxygenation is essential for the client's survival and must be addressed as the priority issue. While coping with body image, preventing injury, and ensuring nutrition are important aspects of care, they are secondary to ensuring the client's airway remains open and clear to prevent respiratory complications.
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
- A. radiotherapy
- B. concomitant chemotherapy-radiotherapy
- C. another surgery
- D. observation
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply.)
- A. Weight loss
- B. Facial edema
- C. Cloudy smoky brown-colored urine
- D. Fatigue
Correct Answer: B
Rationale: Facial edema is a common clinical manifestation of nephrotic syndrome due to fluid retention and protein loss in the urine.