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How does an occupational therapist use clinical guidelines to inform practice with children and youth?
- A. Modify guidelines to fit the specific environment
- B. Establish systems to monitor outcomes
- C. Select the most recent guidelines without considering the client
- D. Consider guidelines that fit one's clientele and environment
Correct Answer: C
Rationale: When using clinical guidelines to inform practice with children and youth, it is crucial for occupational therapists to not solely rely on the most recent guidelines but to consider the individual needs and contexts of each client. Selecting guidelines based solely on recency without considering the specific client can lead to ineffective or inappropriate interventions.
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All the following are parasomniac disorders EXCEPT
- A. sleepwalking
- B. sleepterror
- C. confusional arousal
- D. nightmare
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child has Wilms' tumor and is scheduled for surgery. Which of the following actions should the nurse include in the plan of care?
- A. Palpate the child's abdomen daily for tumor size.
- B. Reposition the child frequently.
- C. Prepare the child for chemotherapy.
- D. Avoid palpating the abdomen.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the routine exam of an infant the parents state a 5th degree family history of adenomatous polyposis. The statement that should be included during the discussion is the infant is at increased risk of colonic adenocarcinoma
- A. the infant is at increased risk of acute lymphocytic leukemia
- B. the infant is at increased risk of intestinal Burkitt lymphoma
- C. the infant is at increased risk of hepatoblastoma
- D. the infant is at increased risk of germ cell tumor
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The patient with bipolar disorder is being treated with lithium and has a new prescription for captopril for hypertension. The combination of these two drugs makes which assessment particularly important?
- A. Potassium level
- B. Lithium level
- C. Creatinine level
- D. Blood pressure
Correct Answer: B
Rationale: When captopril, an ACE inhibitor, is combined with lithium, it can lead to lithium accumulation. Therefore, monitoring lithium levels is crucial to prevent toxicity. While ACE inhibitors like captopril can cause hyperkalemia, renal insufficiency, and hypotension, the risk of these effects is not increased by the combination of lithium and captopril.
A healthcare professional is planning care for an infant who has a colostomy. Which of the following actions should the healthcare professional take?
- A. Change the ostomy pouch every day.
- B. Use baby wipes to clean the stoma.
- C. Avoid using soap to clean the stoma.
- D. Apply barrier ointment to the skin around the stoma.
Correct Answer: D
Rationale: When caring for an infant with a colostomy, it is essential to apply barrier ointment to the skin around the stoma. This helps in preventing skin breakdown and irritation caused by exposure to stool or urine. Changing the ostomy pouch as needed, using appropriate cleaning supplies such as warm water and mild soap (avoiding harsh chemicals like alcohol), and ensuring gentle cleaning of the stoma with a soft cloth or gauze are also important steps in colostomy care. Using baby wipes may not be recommended as they can contain chemicals that may irritate the sensitive skin around the stoma.