Nokea
Select the stage of viral hepatitis that is accurately paired with its characteristic(s).
- A. The prodromal stage: Jaundice begins
- B. The icteric stage: Flu-like symptoms occur
- C. The pre-icteric stage: Elevated urine bilirubin levels
- D. The post-icteric stage: Jaundice and dark urine occur
Correct Answer: D
Rationale: The post-icteric stage of viral hepatitis is accurately described as the stage where jaundice and dark urine occur due to the accumulation of bilirubin. The resolution of jaundice and normalization of urine color are seen in this stage. Choices A, B, and C are incorrect. In the prodromal stage, symptoms like fatigue and malaise appear before jaundice. The icteric stage is characterized by jaundice, not flu-like symptoms. The pre-icteric stage does not typically involve elevated urine bilirubin levels, as this occurs after the icteric stage.
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A nurse is caring for a client who has cancer. The client¢â‚¬â„¢s adult child asks the nurse for information about the client¢â‚¬â„¢s treatment plan. Which of the following responses should the nurse make?
- A. I will ask your mother's primary care provider to speak with you
- B. What would you like to know about your mother's treatment?
- C. I cannot provide this information to you without your mother's consent
- D. You will have to speak directly to your mother about her treatment
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
- A. Generalized rash over trunk
- B. Increased temperature
- C. Decreased level of consciousness
- D. Report of photophobia
Correct Answer: C
Rationale: The correct answer is C: Decreased level of consciousness. In a client with meningitis, a decreased level of consciousness is a critical finding that should be reported immediately. This could indicate increased intracranial pressure or neurological deterioration, requiring prompt intervention. Choices A, B, and D are important in the assessment of meningitis but are not as immediately concerning as a decreased level of consciousness. A generalized rash over the trunk can be seen in meningococcal meningitis, an increased temperature is expected due to the inflammatory response, and photophobia is a common symptom due to meningeal irritation.
What are the fine, down-like hairs on the newborn's ears, shoulders, lower back, and/or forehead known as?
- A. Vernix.
- B. Lanugo.
- C. Milia.
- D. Vibrissae.
Correct Answer: B
Rationale: Lanugo is the term used to describe the fine, down-like hairs found on a newborn's ears, shoulders, lower back, and/or forehead. These hairs are different from vernix, which is a waxy or cheese-like white substance covering the skin of newborns. Milia are small, white, or yellowish cysts that commonly appear on a newborn's face, while vibrissae are the thick, stiff hairs commonly found around the nose and other parts of the face.
The nurse is planning care for a patient with acute hypernatremia. What should the nurse include in this patient's plan of care? (select one that does not apply)
- A. Reduce IV access
- B. Limit length of visits
- C. Restrict fluids to 1500 mL per day
- D. Conduct frequent neurologic checks
Correct Answer: D
Rationale: For a patient with acute hypernatremia, the nurse should include interventions like reducing free water losses, correcting sodium levels slowly, monitoring neurologic status, and ensuring adequate fluid intake. Conducting frequent neurologic checks is essential in assessing the patient's neurological status and detecting any changes promptly. Therefore, this action should not be excluded from the plan of care. Choices A, B, and C are not directly related to managing acute hypernatremia and can be safely excluded from the plan of care. Reducing IV access, limiting length of visits, and restricting fluids to 1500 mL per day are not appropriate actions for managing acute hypernatremia.
Which of the following foods enhances the absorption of an iron supplement?
- A. Orange juice
- B. Green beans
- C. Fortified milk
- D. Baked potato
Correct Answer: A
Rationale: The correct answer is Orange juice. Orange juice enhances the absorption of an iron supplement due to its high vitamin C content. Vitamin C helps in the absorption of non-heme iron, the type of iron found in plant-based foods and iron supplements. Green beans, fortified milk, and baked potato do not have the same level of vitamin C as orange juice, making them less effective in enhancing iron absorption.