Childhood psychosis may include all the following EXCEPT
- A. delusions
- B. loss of reality testing
- C. disorganized speech
- D. acute phobic hallucination
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Night terrors are associated with
- A. REM sleep
- B. overeating after 7:00 p.m.
- C. the use of antipsychotic medication
- D. inception in preschool years and sometimes somnambulism
Correct Answer: D
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.
The percentage of allergic rhinitis in asthmatic patients is 78%, while the percentage of asthma in patients with allergic rhinitis is
- A. 18%
- B. 28%
- C. 38%
- D. 48%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Atelectasis due to foreign body inhalation is characterized by each of the following EXCEPT:
- A. Mediastinum is pulled towards the affected side
- B. Intercostal spaces on the affected side may be narrowed
- C. Percussion note is usually normal
- D. Breath sounds are reduced
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
- A. A sudden raise in BP may occur during the first 1-3 hours after the initial dose
- B. A sudden drop in BP may occur during the first 1-3 hours after the initial dose
- C. A sudden drop in body temperature may occur during the first 1-3hours after the initial dose
- D. A sudden rise in pulse rate may occur during the first 1-3 hours after the initial dosage CARING WITH CLIENTS WITH CEREBROVASCULAR DISORDER
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.