Nokea
All the following are parasomniac disorders EXCEPT
- A. sleepwalking
- B. sleepterror
- C. confusional arousal
- D. nightmare
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Contact lenses are associated with
- A. contact allergy
- B. allergic conjunctivitis
- C. vernal keratoconjunctivitis
- D. giant papillary conjunctivitis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
- A. Explain the procedure to the patient's family
- B. Observe the patient for bleeding
- C. Administer an analgesic to the patient
- D. Drape the biopsy site
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
Associated anomalies have been reported in up to 30% of congenital diaphragmatic hernia cases; these include the following EXCEPT
- A. pulmonary hypoplasia
- B. CNS lesions
- C. esophageal atresia
- D. cardiovascular lesions
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In the presence of convincing history of a severe systemic reaction, the next diagnostic step for those with initially negative skin test is
- A. in vitro serum assay for venom-specific IgE
- B. repeat skin test after 4-6 weeks
- C. serum tryptase level
- D. plasma histamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Physiologic jaundice in a newborn can be caused by:
- A. fetal-maternal blood incompatibility.
- B. destruction of red blood cells as a result of antibody reaction.
- C. liver's inability to bind bilirubin adequately for excretion.
- D. immature kidneys' inability to hydrolyze and excrete bilirubin.
Correct Answer: C
Rationale: Physiologic jaundice in a newborn, also known as neonatal jaundice, is a common condition in newborns characterized by yellow discoloration of the skin and eyes due to elevated levels of bilirubin in the blood. In newborns, the liver is not fully developed, leading to an inability to efficiently process and excrete bilirubin. Bilirubin is a byproduct of the breakdown of red blood cells, and in newborns, the liver may not yet be able to efficiently bind bilirubin for excretion, leading to its accumulation in the blood and manifesting as jaundice. Physiologic jaundice typically occurs around 2 to 4 days after birth and usually resolves on its own without treatment as the baby's liver matures and becomes more efficient at processing bilirubin.