Nokea
Children exposed to second-hand tobacco smoke have increased frequency of
- A. middle ear effusions
- B. bacterial respiratory illnesses
- C. otitis externa
- D. sinusitis
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:
- A. blurred vision.
- B. diaphoresis.
- C. nausea.
- D. weakness. 117
Correct Answer: B
Rationale: Diaphoresis, which refers to excessive sweating, is a common clinical feature seen in a hypoglycemic reaction. Hypoglycemia occurs when the blood sugar level drops too low, leading to symptoms like sweating, shakiness, confusion, and rapid heartbeat. On the other hand, ketoacidosis is a serious complication of diabetes that occurs when there is a lack of insulin, causing high blood sugar levels and the body to break down fat for energy. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, and fruity-smelling breath, but diaphoresis is not typically a prominent feature. Therefore, diaphoresis can help clinicians differentiate between hypoglycemic and ketoacidosis reactions.
A patient is prescribed fluconazole (Diflucan) for a vaginal yeast infection. The nurse should be concerned if the patient is also taking which medication?
- A. Losartan (Cozaar)
- B. Simvastatin (Zocor)
- C. Lisinopril (Zestril)
- D. Hydrochlorothiazide (HCTZ)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which "related-to" phrase should the nurse add?
- A. Related to bone demineralization resulting in pathologic fractures
- B. Related to exhaustion secondary to an accelerated metabolic rate
- C. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
- D. Related to tetany secondary to a decreased serum calcium level
Correct Answer: A
Rationale: Chronic hyperparathyroidism can lead to excessive bone demineralization due to increased levels of parathyroid hormone. This can weaken the bones and increase the risk for pathologic fractures. Therefore, the most appropriate "related-to" phrase to add to the nursing diagnosis of Risk for injury for a client with chronic hyperparathyroidism would be bone demineralization resulting in pathologic fractures. This accurately reflects the potential risk for injury associated with the client's condition.
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:
- A. Large PDA
- B. Severe mitral incompetence
- C. Aortic rheumatic carditis with mitral valvulitis
- D. Large atrial septal defect
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.