Nokea
Prenatal exposure to cigarette smoke is associated with
- A. shorter neonatal length
- B. lower birthweight
- C. changes in neonatal behavior
- D. neonatal diabetes
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT
- A. hyperuricemia
- B. hypernatremia
- C. hyperkalemia
- D. hyperphosphatemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are parasomniac disorders EXCEPT
- A. sleepwalking
- B. sleepterror
- C. confusional arousal
- D. nightmare
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?
- A. #ERROR!
- B. Potassium level of 3.5mEq/L
- C. Crackles in the lungs are no longer heard
- D. Jugular vein distention
Correct Answer: C
Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.
A patient is receiving glucocorticoids for the treatment of rheumatoid arthritis. The patient complains of having a headache. Which ordered medication should the nurse administer?
- A. Aspirin
- B. Acetaminophen
- C. Ibuprofen
- D. Naproxen Sodium (Aleve)
Correct Answer: B
Rationale: When a patient is already receiving glucocorticoids for rheumatoid arthritis and complains of a headache, it is essential to consider the potential interactions and side effects of additional medications. Aspirin and NSAIDs like ibuprofen and naproxen sodium can increase the risk of gastrointestinal irritation and ulceration when used concurrently with glucocorticoids. Acetaminophen is a safer choice in this scenario for managing the patient's headache without exacerbating the gastrointestinal issues associated with the use of glucocorticoids.
Which statement by the parents indicates understanding of the process involved with a kidney transplant for a child with renal failure?
- A. We are happy our child will not have to take any more medicine after the transplant.
- B. We understand our child will not be at risk anymore for catching colds from other children at school.
- C. We will be glad we will not have to bring our child in to see the doctor again.
- D. We know it is important to ensure that our child takes prescribed medications after the transplant.
Correct Answer: D
Rationale: The correct answer is D because parents should understand the importance of medication adherence post-transplant to prevent rejection. Following the prescribed medication regimen is crucial for the success of the kidney transplant and the overall health of the child. Monitoring and ensuring the child takes their medications as directed by the healthcare provider are essential components of post-transplant care.