Nokea
Many factors in nasopharyngeal carcinoma patients may affect the prognosis. Which of the following carries the worst outcome?
- A. elevated lactate dehydrogenase (LDH) level
- B. advanced disease
- C. extensive cervical lymph node involvement
- D. evidence of Epstein-Barr virus (EBV) DNA
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare professional is assessing a child who has a rotavirus infection. Which of the following is an expected manifestation?
- A. Constipation
- B. Vomiting
- C. Jaundice
- D. Abdominal pain
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Oral medications are often used as an early treatment for generalized spasticity. Which of the following works at the level of skeletal muscle to block calcium release from the sarcoplasmic reticulum?
- A. dantrolene sodium
- B. clonidine
- C. tizanidine
- D. baclofen
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is assessing abdominal girth for a pediatric client who presents with abdominal distension. Which nursing action is appropriate?
- A. Measuring the girth just below the umbilicus
- B. Measuring the girth just below the sternum
- C. Measuring the girth just above the pubic bone
- D. Measuring the girth around the largest portion of the abdomen
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is planning care for a patient receiving morphine sulfate via a patient-controlled analgesia pump. Which intervention may be required due to a potential adverse effect of this drug?
- A. Administering a cough suppressant
- B. Inserting a Foley catheter
- C. Administering an anti-diarrheal
- D. Monitoring urinary output
Correct Answer: B
Rationale: Morphine can lead to urinary retention and urinary hesitancy. If a patient shows signs of bladder distention or inability to void, the healthcare provider should be notified, and urinary catheterization may be necessary. Administering a cough suppressant or an anti-diarrheal is not typically required to address adverse effects of morphine. Liver function tests (LFTs) are not directly related to the potential adverse effects of morphine on the urinary system.
Which standardized test would be most appropriate for assessing the motor development of a 2-month-old infant in a high-risk clinic?
- A. Peabody Developmental Motor Scale (PDMS-2)
- B. Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)
- C. Pediatric Evaluation of Disability Index (PEDI)
- D. School Assessment of Motor and Process Skills (School-AMPS)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.