Nokea
The BEST statement describing the implication of a 6-month-old boy 'transferring object to hand' is
- A. visuomotor coordination
- B. comparison ability
- C. voluntary release of objects
- D. increasing autonomy
Correct Answer: A
Rationale: Transferring objects between hands indicates developing visuomotor coordination.
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Which patient would benefit most from a capped IV catheter that is used intermittently rather than continuously?
- A. The patient with pneumonia who needs fluids and antibiotics.
- B. The patient who has had major blood loss after a motor vehicle accident.
- C. The young child who is dehydrated.
- D. The elderly patient who is receiving a diuretic for fluid overload.
Correct Answer: D
Rationale: The elderly patient who is receiving a diuretic for fluid overload would benefit most from a capped IV catheter used intermittently rather than continuously. Diuretics cause the body to expel excess fluid, so the patient may require intermittent IV fluid replacement to maintain hydration while avoiding overloading the system with excessive fluids. By using the IV catheter intermittently, healthcare providers can closely monitor the patient's fluid status and adjust fluid administration as needed to prevent dehydration or fluid overload. This approach allows for more precise management of the patient's fluid balance compared to continuous IV infusion.
Pneumocystic pneumonia. Which anemias are described as microcytic, hypochromic anemia?
- A. Vitamin B12 and iron deficiency anemia
- B. Folic acid and iron deficiency anemia
- C. Iron deficiency anemia and thalassemia
- D. Sickle cell anemia and anemia if chronic disease
Correct Answer: C
Rationale: Microcytic, hypochromic anemia is characterized by small red blood cells with decreased hemoglobin content. Iron deficiency anemia and thalassemia are the two main types of anemia that present with these characteristics. Iron deficiency anemia is caused by a lack of iron in the body, which is essential for the production of hemoglobin. Thalassemia is a genetic disorder that results in decreased production of normal hemoglobin. Both conditions lead to small, pale red blood cells, fitting the description of microcytic, hypochromic anemia. Other choices such as Vitamin B12 deficiency anemia (choice A), folic acid deficiency anemia (choice B), sickle cell anemia (choice D), and anemia of chronic disease (choice D) typically present as normocytic or macrocytic anemias.
Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family?
- A. Staff is concerned about the nurse's actions with the patient and family.
- B. Staff assignments allow the nurse to care for same patient and family over an extended time.
- C. Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed.
- D. Nurse uses teaching skills to instruct patient and family rather than doing everything for them.
Correct Answer: A
Rationale: Option A is the most suggestive that a nurse has a nontherapeutic relationship with a patient and family because when the staff is concerned about the nurse's actions with the patient and family, it indicates that there may be issues or red flags in the nurse's interactions. This could imply that the nurse's behavior is not promoting a positive, therapeutic relationship with the patient and family, which is crucial for effective care delivery. Staff concerns may arise due to behaviors that are inappropriate, unprofessional, or lacking empathy, which can hinder the development of a therapeutic relationship and affect the quality of care provided.
A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)
- A. pH: 7.35
- B. PCO : 49
- C. HCO -: 30
- D. PaO : 96
Correct Answer: B
Rationale: pH: 7.35 - This pH value is within the normal range for a newborn and does not indicate acidosis or alkalosis.
The parent of a child with glomerulonephritis asks how they will know the child is improving. Which is the best response?
- A. Your child's urine output will increase and the urine will become less tea-colored.
- B. Your child will rest more comfortably as lab values normalize.
- C. Your child's appetite will decrease.
- D. Your child's lab values will become more normal.
Correct Answer: A
Rationale: An increase in urine output and a return to normal urine color are clear, observable signs of improvement in glomerulonephritis.