Because of the significant association of lead intoxication with poverty, the Centers for Disease Control and Prevention (CDC) recommends blood lead screening at
- A. 6 and 12 months
- B. 12 and 24 months
- C. 24 and 36 months
- D. 36 and 48 months
Correct Answer: B
Rationale: Blood lead screening is recommended at 12 and 24 months.
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The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
- A. Limit visits by family members
- B. Encourage the client to use a wheelchair
- C. Use the smallest needle possible for injections
- D. Maintain accurate fluid intake and output records Situation: AIDS cases has been all over the country and yet only few are reported cases due to the stigma attach to it.
Correct Answer: C
Rationale: Thrombocytopenia is a condition characterized by a low platelet count in the blood, which can lead to abnormal bleeding and bruising. Using the smallest needle possible for injections helps minimize the risk of causing bleeding or bruising in clients with thrombocytopenia. Larger needles can cause more tissue damage and increase the chances of bleeding complications in these individuals. Therefore, using the smallest needle possible is the best way to protect the client from potential harm related to their condition.
Which term refers to a newborn born before completion of week 37 of gestation, regardless of birth weight?
- A. Postterm
- B. Preterm
- C. Low birth weight
- D. Small for gestational age
Correct Answer: B
Rationale: The term "preterm" refers to a newborn born before completion of week 37 of gestation, regardless of birth weight. Preterm birth can lead to various health issues for the newborn, as they may not have fully developed before being born. It is important for healthcare providers to closely monitor preterm infants to ensure they receive the proper care and support for their development.
The nurse is providing dietary instructions to a client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend:
- A. increasing saturated fat intake and fasting in the afternoon.
- B. increasing intake of vitamins B and D and taking iron supplements.
- C. eating a candy bar if light-headedness occurs.
- D. consuming a low-carbohydrate, high-protein diet and avoiding fasting.
Correct Answer: D
Rationale: Consuming a low-carbohydrate, high-protein diet and avoiding fasting is the best recommendation to control hypoglycemic episodes in clients. When someone has hypoglycemia, their blood sugar levels drop too low. A diet that is low in carbohydrates and high in protein can help regulate blood sugar levels and prevent sudden drops that lead to hypoglycemic episodes. Additionally, avoiding fasting helps maintain a consistent intake of nutrients throughout the day, which is important for managing blood sugar levels. It is essential to eat regular, balanced meals and snacks to keep blood sugar levels stable and prevent hypoglycemia.
Because of the significant association of lead intoxication with poverty, the Centers for Disease Control and Prevention (CDC) recommends blood lead screening at
- A. 6 and 12 months
- B. 12 and 24 months
- C. 24 and 36 months
- D. 36 and 48 months
Correct Answer: B
Rationale: Blood lead screening is recommended at 12 and 24 months.
Which patient would benefit most from a capped IV catheter that is used intermittently rather than continuously?
- A. The patient with pneumonia who needs fluids and antibiotics.
- B. The patient who has had major blood loss after a motor vehicle accident.
- C. The young child who is dehydrated.
- D. The elderly patient who is receiving a diuretic for fluid overload.
Correct Answer: D
Rationale: The elderly patient who is receiving a diuretic for fluid overload would benefit most from a capped IV catheter used intermittently rather than continuously. Diuretics cause the body to expel excess fluid, so the patient may require intermittent IV fluid replacement to maintain hydration while avoiding overloading the system with excessive fluids. By using the IV catheter intermittently, healthcare providers can closely monitor the patient's fluid status and adjust fluid administration as needed to prevent dehydration or fluid overload. This approach allows for more precise management of the patient's fluid balance compared to continuous IV infusion.