Nokea
Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.
- A. Hyperglycemia
- B. Hypothermia
- C. Hyperthermia
- D. Hypoglycemia
Correct Answer: A
Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.
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The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are teaching your clients the difference between Type I (IDDM) and Type II (NDDM) diabetes. Which of the following statements is true?
- A. Both types of diabetes mellitus clients are prone to developing ketosis.
- B. Type II (NIDDM) is more common and preventable compared to Type I (IDDM) diabetes, which is genetic.
- C. Type I (IIDM) is characterized by fasting hyperglycemia.
- D. Type II (NIDDM) is characterized by abnormal immune response.
Correct Answer: D
Rationale: The correct answer is D. Type II diabetes (NIDDM) is characterized by insulin resistance and a relative lack of insulin. It is not primarily characterized by an abnormal immune response. Option A is incorrect because only Type I diabetes clients are prone to developing ketosis due to a lack of insulin. Option B is incorrect because while Type II diabetes is more common and often preventable through lifestyle changes, it is not solely genetic. Option C is incorrect because Type I diabetes, not Type II, is characterized by fasting hyperglycemia due to an absolute lack of insulin production.
A patient is being discharged with a vitamin K deficiency. What food should the nurse recommend to the patient to include in their diet?
- A. Oranges
- B. Spinach
- C. Fish
- D. Nuts
Correct Answer: B
Rationale: Spinach is an excellent source of vitamin K, which plays a vital role in blood clotting and bone health. Oranges, fish, and nuts do not contain significant amounts of vitamin K, making them less suitable choices to address a vitamin K deficiency. Therefore, the correct recommendation for a patient with a vitamin K deficiency would be to include spinach in their diet to help replenish this essential vitamin.
Which food is a high source of prebiotics?
- A. Chicken
- B. Garlic
- C. White rice
- D. Cheese
Correct Answer: B
Rationale: Garlic is the correct answer. It is high in prebiotics, which are non-digestible fibers that promote the growth of beneficial gut bacteria. Chicken, white rice, and cheese are not significant sources of prebiotics. Chicken is a good source of protein, white rice is a carbohydrate, and cheese is a dairy product, none of which are high in prebiotics.
How many words does a typical 12-month-old infant use?
- A. About 12 words
- B. Twenty or more words
- C. About 50 words
- D. Two, plus 'mama' and 'papa'
Correct Answer: D
Rationale: A typical 12-month-old infant typically uses very few words, with 'mama' and 'papa' being common early words. At this age, most infants are still in the early stages of language development, and their vocabulary is limited. Choices A, B, and C suggest higher word counts which are not typical for infants at this age.