Nokea
Risk factors for birth brachial plexus injury include the following EXCEPT
- A. shoulder dystocia
- B. birthweight greater than 4 kg
- C. primiparous mothers
- D. diabetic mother
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 1-week-old infant develops pulmonary hypertension following repair of a congenital diaphragmatic hernia. Which of the following lab findings is MOST likely to be a contributing factor to this patient's hypertension?
- A. PaCO2 50
- B. pH 7.50
- C. PaO2 150 mmHg
- D. N/A
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the priority nursing intervention when caring for a neonate born with bladder exstrophy?
- A. Measuring intake and output
- B. Inserting a Foley catheter
- C. Covering the defect with sterile plastic wrap
- D. Palpating the bladder mass to ensure urine is expelled
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?
- A. Use a peak flow meter daily.
- B. Administer the medication with meals.
- C. Provide a low-carbohydrate diet.
- D. Limit exposure to cold air.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
- A. three month
- B. eight month
- C. one year
- D. three year
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Before administering a live virus vaccine to a patient taking a glucocorticoid medication, what action should the nurse take?
- A. Continue screening and administer the vaccine if appropriate
- B. Note the contraindication but administer the vaccine regardless
- C. Note the contraindication and clarify the order with the healthcare provider
- D. Withhold the vaccine and inform the department of health
Correct Answer: C
Rationale: The correct action for the nurse to take when a patient on glucocorticoid medication is to note the contraindication and clarify the order with the healthcare provider. Glucocorticoids can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, it is crucial to consult with the healthcare provider to assess the risks and benefits of administering a live virus vaccine in such circumstances. Administering a live virus vaccine to a patient taking glucocorticoids can increase the risk of developing a viral infection, making it essential to seek guidance from the healthcare provider before proceeding.