Nokea
Immunotherapy provides symptomatic improvement in all of the following EXCEPT
- A. ragweed allergy
- B. local reaction to bee sting
- C. anaphylaxis to a wasp sting
- D. house dust mite allergy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
- A. It will have no effect.
- B. it will cause wide fluctuations in the
- C. it will decrease the need insulin. need for insulin
- D. It will increase the need for insulin.
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.
Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?
- A. GI function
- B. Locomotion
- C. Sucking ability
- D. Respiratory status
Correct Answer: C
Rationale: A cleft lip (CL) can significantly impact a baby's ability to create a proper seal while sucking. Sucking ability is crucial for a newborn's feeding process, as it is necessary for obtaining nutrition from breast milk or formula. A compromised sucking ability can lead to difficulties in feeding, inadequate intake of nutrients, and poor weight gain. Therefore, Nurse Barbara should be particularly alert to the potential challenges that baby Jonathan may face in establishing a sufficient sucking mechanism.
After administering Gardasil, the HPV vaccine, to an 11-year-old girl, the healthcare provider informs the parent that routine screening with which diagnostic test is needed?
- A. Beta hCG
- B. Chlamydia test
- C. PAP test
- D. Mammogram
Correct Answer: C
Rationale: Following the administration of Gardasil, the HPV vaccine, routine screening with a PAP test is necessary. While Gardasil protects against certain types of HPV, it does not cover all strains that could lead to cervical cancer. Therefore, individuals who have received the vaccine should still undergo regular PAP tests to screen for cervical abnormalities caused by other HPV strains.
Concerning acute bronchiolitis, all of the following are true except:
- A. Epidemics often occur during winter
- B. The disease typically affects infants younger than 2 years of age
- C. Immunodeficiency is an indication for treatment with ribavirin
- D. The disease is more benign in infants born prematurely
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Regarding Hodgkin's disease, all the following are true Except:
- A. Less common than Non-Hodgkin's lymphoma
- B. Most common site is cervical lymph nodes
- C. Extra-lymphatic spread is common
- D. Related to Epstein-Barr virus infection
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.