Nokea
Psychosocial problems may manifest as disturbances in
- A. feelings
- B. body function
- C. behavior
- D. performance
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a client with type I diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer:
- A. I.M. or subcutaneous glucagon.
- B. I.V. bolus of dextrose 50%.
- C. 15 to 20 g of a fast-acting carbohydrate such as orange juice.
- D. 10 U of fast-acting insulin.
Correct Answer: A
Rationale: In this scenario where the client with type I diabetes mellitus is exhibiting confusion, light-headedness, and aberrant behavior, indicating hypoglycemia, the first-line treatment would be administering I.M. or subcutaneous glucagon. Glucagon helps to rapidly increase blood sugar levels by stimulating the liver to release stored glucose. This is crucial in situations where the client is conscious but unable to take oral carbohydrates, such as in cases of severe hypoglycemia with altered mental status. Administration of glucagon helps to quickly raise blood sugar levels and prevent further deterioration in the client's condition. Options B, C, and D are not the initial interventions in this situation and may not be as effective in rapidly correcting hypoglycemia in a client who is exhibiting signs of confusion and aberrant behavior.
The developmental age of a child who continues to search for a hidden subject has achieved
- A. 7 months
- B. 9 months
- C. 11 months
- D. 13 months
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which chromosomal abnormality is often characteristic of infantile ALL?
- A. t(4;11)
- B. t(12;21)
- C. t(9;22)
- D. t(1;19)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to
- A. have the mother administer lemon juice or orange juice to neutralize the alkaline crystals and come to your office
- B. have the mother administer water or milk and call you back in 2 hours
- C. have the mother administer water or milk and bring the child in for esophagoscopy
- D. simply observe the child because the crystals are so bitter that the child was trying to spit them out when the mother called, and therefore no problems should occur
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Manifestations of the initial attack of rheumatic fever with carditis may include all the following Except:
- A. Tachycardia out of proportion to fever
- B. Pericardial rub
- C. Heart failure
- D. Apical mid-diastolic rumbling murmur with pre-systolic accentuation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.