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 preschool-age child is admitted to the hospital with acute postinfectious glomerulonephritis (APIGN). Which is the priority nursing diagnosis for this child?
- A. Risk for Injury related to hypertension.
- B. Altered Growth and Development related to chronic disease.
- C. Risk for Infection related to hypertension.
- D. Fluid Volume Excess related to decreased plasma filtration.
Correct Answer: A
Rationale: The priority nursing diagnosis for a preschool-age child with acute postinfectious glomerulonephritis (APIGN) is 'Risk for Injury related to hypertension' due to the potential complications such as hypertensive encephalopathy. Hypertension poses an immediate threat to the child's well-being, making it crucial to address the risk for injury associated with elevated blood pressure as the top priority.
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 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement best reflects the role of the therapeutic relationship in fostering positive behaviors in children?
- A. It may be used as an intervention strategy to help a child with positive behaviors
- B. The relationship with parents or teachers is more important
- C. It is not essential for the child's behaviors
- D. Children will not pay attention to the therapist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At what age may an infant close their eyes to bright lights and show improved head control?
- A. 30-33 weeks after conception
- B. 34-36 weeks after conception
- C. Less than 30 weeks after conception
- D. 37-40 weeks after conception
Correct Answer: A
Rationale: Around 30-33 weeks after conception, infants usually start closing their eyes in response to bright lights and exhibit enhanced head control. This developmental milestone indicates progress in their visual and motor abilities, reflecting the maturation of their neurological system. As preterm infants continue to grow and develop, they gradually acquire these skills, showcasing the natural progression of their sensory and motor functions.