Nokea
Several types of seizures can occur in the newborn. Which is characteristic of clonic seizures?
- A. Apnea
- B. Tremors
- C. Rhythmic jerking movements
- D. Extensions of all four limbs
Correct Answer: C
Rationale: Clonic seizures are characterized by rhythmic jerking movements, which can be brief and repetitive. These movements are typically observed in the arms and legs. During clonic seizures, the baby may display a pattern of contractions and relaxation of muscle groups, resulting in the jerking motion. This distinguishes clonic seizures from other types of seizures, making it the characteristic feature associated with this particular seizure type in newborns.
You may also like to solve these questions
In teaching a female client who is HIV positive about pregnancy, the nurse would know more teaching is necessary when the client says:
- A. "The baby can get the virus from my placenta."
- B. "I'm planning on starting on birth control pills."
- C. "Not everyone who has the virus gives birth to a baby who has the virus."
- D. "I'll need to have a C-section if I become pregnant and have a baby."
Correct Answer: A
Rationale: Option A indicates a misunderstanding about HIV transmission during pregnancy. In reality, with proper medical care and management during pregnancy and delivery, the risk of transmitting HIV from mother to baby can be significantly reduced but not completely eliminated. The virus can be passed from mother to baby during pregnancy, childbirth, or breastfeeding, but it is not directly from the placenta. This misconception highlights the need for further education and clarification on the modes of HIV transmission from mother to child during pregnancy and delivery. Options B, C, and D all demonstrate understanding and appropriate planning related to HIV and pregnancy.
Gender identity disorder (GID) is characterized by intense and persistent cross-gender identification and discomfort with one’s own sex. In early school-age children, the manifestation that is LEAST likely considered as GID is
- A. dressing as a member of the opposite sex (i.e., cross dressing)
- B. strong belief that one is the opposite sex
- C. exclusive preference for cross sex roles
- D. playing with toys designed for the opposite sex
Correct Answer: D
Rationale: Playing with toys designed for the opposite sex does not necessarily indicate GID, as it is a common exploratory behavior in childhood.
Alice is rushed to the emergency department during an acute, severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?
- A. Status asthmaticus
- B. Reactive airway disease
- C. Intrinsic asthma
- D. Extrinsic asthma 49
Correct Answer: A
Rationale: Status asthmaticus is a severe and persistent asthma attack that does not respond to standard treatments like inhalers or nebulizers. It is a life-threatening condition that can lead to respiratory failure if not treated promptly. Patients with status asthmaticus may require IV medications, oxygen therapy, and possibly mechanical ventilation to support their breathing. It is a medical emergency that requires immediate intervention to prevent serious complications and potential death.
The nurse expects to note an elevated serum glucose level in a client with hyperosmolar hyperglycemic nonketonic syndrome (HHNS). Which other laboratory finding should the nurse anticipate?
- A. Elevated serum acetone level
- B. Serum alkalosis
- C. Serum ketone bodies
- D. Below-normal serum potassium level
Correct Answer: D
Rationale: Hyperosmolar hyperglycemic nonketonic syndrome (HHNS) is characterized by extremely elevated blood glucose levels without significant ketosis. Unlike diabetic ketoacidosis (DKA), patients with HHNS usually do not have high levels of ketone bodies in their blood or urine. Therefore, the nurse should anticipate below-normal serum potassium levels in a client with HHNS, as hyperglycemia can lead to profound potassium losses through osmotic diuresis. Monitoring and treating electrolyte imbalances, including hypokalemia, are crucial in managing HHNS. It is important to correct these imbalances promptly to prevent further complications.
Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
- A. Dysmenorrhea and oliguria
- B. Tachycardia and tachypnea
- C. Heat intolerance and increased blood pressure
- D. Lowered body temperature and brittle nails
Correct Answer: B
Rationale: An adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa is likely to exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing). These symptoms are common manifestations of the body's response to malnutrition and starvation. Tachycardia occurs as a compensatory mechanism to maintain an adequate supply of oxygen to vital organs, while tachypnea helps to eliminate excess carbon dioxide due to metabolic imbalances. It is essential for the nurse to recognize these signs during the physical assessment as they indicate the severity of the condition and the need for immediate intervention to prevent further complications. Dysmenorrhea and oliguria, heat intolerance and increased blood pressure, and lowered body temperature and brittle nails are not typically associated with the physical manifestations of anorexia nervosa.