is softening of the bones as result of nutritional deficiencies or limited exposure to sunlight :
- A. COXA
- B. scoliosis
- C. Rickets
- D. Talipes
Correct Answer: C
Rationale: Rickets is a condition that involves softening and weakening of the bones in children, usually due to a vitamin D deficiency, inadequate calcium intake, or lack of exposure to sunlight. Vitamin D is essential for the absorption of calcium and phosphorus in the body, which are important for bone health. Without sufficient vitamin D, the body is unable to properly mineralize the bones, leading to softening and deformities. Common symptoms of rickets include bowed legs, delayed growth, and muscle weakness. Treatment typically involves vitamin D supplementation, dietary changes, and adequate exposure to sunlight.
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. A client with a suspected left sided heart failure is scheduled to undergo a multigated acquisition scan. Which of the following actions is required before undergoing the test?
- A. Diuretics are administered
- B. Client should avoid fluid intake 6 hours
- C. Client is medicated to relieve cough before the test
- D. Client is administered analgesics
Correct Answer: C
Rationale: Before undergoing a multigated acquisition scan, a client with suspected left sided heart failure should be medicated to relieve cough. Coughing can disrupt the accuracy of the scan results by affecting the heart's movement and leading to motion artifacts. Therefore, it is essential to address any coughing issues before the test to ensure reliable and accurate imaging of the heart's function. The other options, such as administering diuretics, avoiding fluid intake, and administering analgesics, are not directly related to optimizing the imaging quality of the multigated acquisition scan for a client with suspected left sided heart failure.
When instructing the client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of which of the following?
- A. Restricting fluids
- B. Forcing fluids
- C. Restricting sodium
- D. Restricting potassium
Correct Answer: C
Rationale: For clients diagnosed with hyperparathyroidism, it is important to restrict sodium in the diet. High sodium intake can worsen calcium loss from the bones and increase the risk of kidney stones, both of which are concerns for individuals with hyperparathyroidism. Therefore, it is crucial to advise the client to limit their sodium intake to help manage their condition effectively.
A client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer?
- A. Persistent nausea
- B. Indigestion
- C. Rash
- D. Chronic ache or pain
Correct Answer: D
Rationale: Chronic ache or pain is another warning sign of cancer. Persistent pain that does not go away and continues for weeks or months could be a symptom of cancer. It is important not to ignore persistent pain and to consult a healthcare provider if such pain exists, as it could be a sign of an underlying issue like cancer. Early detection and treatment are key in managing cancer and improving outcomes for patients.
A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?
- A. Focus communication on child.
- B. Explain experiences of others to child.
- C. Use easy analogies when possible.
- D. Assure child that communication is private.
Correct Answer: A
Rationale: When assessing a young child, it is important for the nurse to focus communication on the child by using simple language, asking direct questions, and using play-based approaches to facilitate communication. By engaging the child directly and adapting communication techniques to their developmental level, the nurse can establish rapport, gain the child's trust, and obtain accurate information during the assessment process. This approach helps create a positive and supportive environment for the child, making them feel comfortable and understood.
Which is the nurse's best interpretation of this?
- A. Resuscitation is likely to be needed.
- B. Adjustment to extrauterine life is adequate.
- C. Additional scoring in 5 more minutes is needed.
- D. Maternal sedation or analgesia contributed to the low score.
Correct Answer: B
Rationale: The nurse's best interpretation is that the adjustment to extrauterine life is adequate. This can be determined by the Apgar score, which assesses a newborn's well-being shortly after birth. A score of 7-10 indicates that the newborn is adjusting well to life outside the womb, while a score of 4-6 may indicate some difficulties that may require intervention. In this case, the nurse's interpretation suggests that the newborn is doing well in adapting to the new environment.