One of the following is microcytic hypochromic anemia:
- A. Aplastic anemia
- B. Iron deficiency anemia
- C. Leukemia
- D. Sickle cell anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which strategy is most likely to promote positive behavior in children?
- A. Providing flexible instructions with no consequences
- B. Limiting opportunities until the child performs adequately
- C. Improving the child's competence and creating a positive environment
- D. Setting strict rules with punishments for misbehavior
Correct Answer: C
Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.
Mrs. Tan was prescribed with nitroglycerin. Nurse Amalia teaches her about the common side effect of the drug which includes:
- A. High bloold pressure
- B. GIT irritation
- C. Shortness of breathing
- D. throbbing headache
Correct Answer: D
Rationale: Nitroglycerin is commonly known to cause a side effect of throbbing headache. Nitroglycerin works by dilating blood vessels to improve blood flow to the heart, which can sometimes lead to headaches due to the sudden increase in blood flow. This headache is often described as throbbing and can be quite bothersome. It is important for patients taking nitroglycerin to be aware of this common side effect and to consult their healthcare provider if the headaches become severe or persistent.
Which of the ff. conditions places a patient at risk for respiratory complications following his splenectomy?
- A. A low platelet count
- B. Early ambulation
- C. An incision near the diaphragm
- D. Early discharge
Correct Answer: C
Rationale: An incision near the diaphragm places a patient at risk for respiratory complications following a splenectomy. The diaphragm is the major muscle involved in the process of breathing, and if there is disruption or irritation near this area, it can lead to respiratory difficulties such as decreased lung expansion and pain on deep breathing. This can increase the risk of complications such as pneumonia, atelectasis, or respiratory distress. Therefore, special care should be taken to monitor and manage respiratory function in patients with incisions near the diaphragm post-splenectomy.
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented.
- B. Infants do not feel pain as adults do.
- C. This is not a good reason for refusing immunizations.
- D. A topical anesthetic, EMLA, can be applied before injections are given.
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.
A preterm infant develops sudden onset respiratory distress with decreased breath sounds and increased transillumination on one side. What is the most likely diagnosis?
- A. Transient tachypnea of the newborn
- B. Meconium aspiration syndrome
- C. Pneumothorax
- D. Neonatal pneumonia
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.