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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A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?
- A. Biots respiration
- B. Chaney Stokes respiration
- C. tachypnea
- D. Bradypnea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Regarding swaddling, one of the following is correct
- A. swaddling is effective if practiced during a crying episode
- B. swaddling is effective if practiced before a crying episode
- C. there is no place for swaddling to calm a crying infant
- D. swaddling may interfere with vascular supply
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 4-year-old hospitalized with failure to thrive (FTT) has orders for daily weights, strict I&O, and calorie counts. Which action by the nurse is a concern?
- A. Weighing the child every morning after breakfast.
- B. Weighing the child with only undergarments on.
- C. Sitting with the child while she eats her meals.
- D. Weighing the child after she has been fed.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is teaching a patient who has a new prescription for spironolactone (Aldactone). Which statement by the patient indicated that the teaching was effective?
- A. I will use salt substitutes to lower my sodium intake
- B. I will increase my intake of foods that are high in potassium
- C. I will call my doctor if I begin having menstrual irregularities
- D. I will take this medication at bedtime each evening
Correct Answer: C
Rationale: Spironolactone is a potassium-sparing, aldosterone-blocking diuretic. As such, it can cause endocrine effects, such as gynecomastia, menstrual irregularities, impotence, hirsutism, and deepening of the voice. Patients taking spironolactone should avoid salt substitutes because they contain potassium; high-potassium foods should be avoided with this drug. Ideally, all diuretics should be taken in the morning to prevent nocturia.
The healthcare professional is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: 4 oz of Pedialyte, One-half of an 8-oz cup of clear orange Jell-O, Two graham crackers, 200 mL of D5 1/2 sodium chloride IV. Output: 345 mL of urine, 50 mL of loose stool. How many milliliters should the healthcare professional document as the client's total intake? Give the numerical answer only. Do not include any units of measurement.
- A. 440
- B. 400
- C. 410
- D. 450
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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