All the following are recognizable teratogens EXCEPT
- A. ethanol
- B. antiepileptic medications
- C. toxoplasmosis
- D. hypothermia
Correct Answer: D
Rationale: Hypothermia is not traditionally considered a teratogen compared to others listed.
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A 2-year-old male child has an asymptomatic right flank mass discovered incidentally by the mother while bathing. Suspicion of Wilms tumor is raised. Of the following, the LEAST likely investigation to be performed in this child is
- A. plain abdominal radiography
- B. computerized tomography (CT) scan of the abdomen
- C. CT scan of the chest
- D. biopsy of the mass
Correct Answer: D
Rationale: Biopsy is generally avoided in suspected Wilms tumor to prevent upstaging the disease.
According to Piaget, the 6-month-old infant should be in which developmental stage?
- A. Use of reflexes
- B. Primary circular reactions
- C. Secondary circular reactions
- D. Coordination of secondary schemata
Correct Answer: B
Rationale: According to Piaget's theory of cognitive development, the 6-month-old infant would typically be in the stage known as primary circular reactions. This stage occurs from around 1 to 4 months of age up to about 1 year old. During this stage, infants begin to repeat actions that bring them pleasure or interesting results, such as sucking their thumb or repeating simple movements like kicking. These repetitive actions are circular in nature because they involve the infant's own body, and they serve as the building blocks for more complex interactions and understanding of the world. This stage is characterized by the infant's increasing ability to coordinate sensory information with motor actions, laying the foundation for further cognitive development.
Which should the nurse recommend for the diet of a child with chronic renal failure?
- A. High in protein
- B. Low in vitamin D
- C. Low in phosphorus
- D. Supplemented with vitamins A, E, and K
Correct Answer: C
Rationale: For a child with chronic renal failure, it is important to recommend a diet that is low in phosphorus. In chronic renal failure, the kidneys have difficulty filtering phosphorus from the blood, leading to high levels of phosphorus in the body. High phosphorus levels can contribute to bone problems and other complications in renal failure patients. By recommending a diet low in phosphorus, the nurse can help manage the child's condition and reduce the risk of further complications. It is also important to monitor other electrolyte levels such as calcium, potassium, and sodium, and adjust the diet accordingly to maintain proper balance.
In addition to antibiotics, which of the ff. recommendations can the nurse make to increase comfort in a patient experiencing sinusitis? Choose all answers that are correct. i. Coughing and deep breathing iv. Room humidifier ii. Sinus irrigation v. Percussion and postural drainage iii. Hot moist packs vi. Semi-fowler's position
- A. 1 ,2 and 5
- B. 1, 3, 4 and 5
- C. 3, 4 and 6
- D. 2, 4, 5 and 6
Correct Answer: B
Rationale: #NAME?
Wilma knew that James have an adequate respiratory condition if she notices that
- A. James' respiratory rate is 18
- B. James' Oxygen saturation is 91%
- C. There are frank blood suction from the tube
- D. There are moderate amount of tracheobronchial secretions
Correct Answer: A
Rationale: An adequate respiratory condition can be indicated by a normal respiratory rate. The normal adult respiratory rate typically ranges from 12 to 20 breaths per minute. In this case, if James' respiratory rate is 18, it falls within the normal range and would suggest that his respiratory condition is adequate. Oxygen saturation levels and the presence of blood suction or secretions are important factors to consider as well, but directly assessing the respiratory rate provides a more immediate indication of respiratory status.