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.
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The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
- A. early signs of ADHD
- B. primary restless legs syndrome
- C. sleep terrors
- D. sleep-onset association disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is NOT a seronegative spondyloarthropathy?
- A. Ankylosing spondylitis
- B. Reactive arthritis
- C. Psoriatic arthritis
- D. Rheumatoid arthritis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. How should this question be considered?
- A. Unnecessary information because child is age 3 years
- B. An important part of the family history
- C. An important part of the child's past history
- D. An important part of the child's review of systems TestBankWorld.org
Correct Answer: C
Rationale: Asking about developmental milestones such as the age at which a child started walking without assistance is considered an important part of the child's past medical history. This information helps the nurse assess if the child is meeting typical developmental milestones for their age. It also provides valuable insight into the child's growth and development, aiding in early identification of any potential developmental delays or concerns. Therefore, in the context of interviewing the mother of a 3-year-old child, inquiring about such developmental milestones is relevant and important for the child's past history.
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.
A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _______ beats/min.
- A. 60
- B. 70
- C. 90 to 110
- D. 110 to 120
Correct Answer: A
Rationale: Digoxin is a medication commonly used to treat infants with heart conditions. One of the primary concerns with digoxin therapy is the risk of toxicity, which can lead to serious cardiac arrhythmias. Bradycardia, or a heart rate less than 60 beats per minute, is a common sign of digoxin toxicity. Therefore, if a 6-month-old infant receiving digoxin has an apical pulse rate of less than 60 beats/min, the nurse should notify the practitioner and withhold the medication to prevent further complications.