Nokea
One of the following may be effective in calming a crying infant with colic
- A. diphenhydramine
- B. phenobarbital
- C. simethicone
- D. lactase
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child?
- A. Pulmonary secretions are abnormally thick.
- B. Elevated levels of potassium are found in the sweat.
- C. CF is an autosomal dominant hereditary disorder.
- D. Obstruction of the endocrine glands occurs.
Correct Answer: A
Rationale: Cystic fibrosis (CF) is a genetic disorder that primarily affects the lungs and digestive system. One of the key characteristics of CF is the production of abnormally thick and sticky mucus in the respiratory system. This thick mucus can obstruct the airways, leading to recurrent lung infections, difficulty breathing, and other respiratory complications. Therefore, Nurse Archie must keep in mind the need to address and manage the thick pulmonary secretions when developing a care plan for Betty, the 9-year-old girl with cystic fibrosis.
Aisa is to receive a liquid iron preparation. Which of the following directions would be appropriate for the nurse to teach Aisa's mother? a.Administer this at least an hour before meals
- A. Explain that loose stools are common with iron
- B. Have Aisa take the diluted iron preparation through a straw
- C. Avoid giving Aisa orange or other citric juices with the iron preparation
Correct Answer: C
Rationale: Avoid giving Aisa orange or other citric juices with the iron preparation. Citric juices, such as orange juice, can decrease the absorption of iron in the body. Therefore, it is important to avoid giving these juices when administering the liquid iron preparation to Aisa to ensure optimal absorption of the iron. It would be best to encourage the use of non-citric juices or water when administering the iron preparation to Aisa.
The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, what should the nurse include in the plan of care to address pain?
- A. Applying a warm, moist pack every 4 hours
- B. Applying EMLA cream to the incision site prior to ambulation
- C. Applying a cold, moist pack every 2 hours
- D. Applying a pillow against the abdomen to splint the incision site when coughing
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which best describes the electrolyte imbalance in chronic renal failure (CRF)?
- A. Decreased serum phosphorus and calcium levels.
- B. Calcium and phosphorus are drawn from the bones due to hypocalcemia.
- C. Calcium remains in the bones due to structural change.
- D. Poor nutrition causes overall electrolyte depletion.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why should clients who take warfarin (Coumadin) refrain from food items such as green leafy vegetables and soybeans?
- A. Because the foods contain Vitamin K, which reduces the anti coagulant effect of the medication
- B. Because the foods contain Vitamin K, which increases the anti coagulant effect of the medication
- C. Because the foods help stimulate salivation
- D. Because the foods minimize the volume of food consumption
Correct Answer: A
Rationale: Clients who take warfarin (Coumadin) should refrain from foods such as green leafy vegetables and soybeans because these foods contain high levels of Vitamin K. Vitamin K plays a crucial role in blood clotting, which may counteract the anti-coagulant effects of warfarin. Therefore, consuming large amounts of Vitamin K-rich foods can reduce the effectiveness of warfarin in preventing blood clots, leading to potential health risks. It is important for clients on warfarin therapy to maintain a consistent intake of Vitamin K in their diet to ensure the medication works effectively.