Nokea
The child who draws a man with 2-4 parts, imitates construction of 2 lines longer, and helps with dressing has an age around
- A. 24 mo
- B. 30 mo
- C. 48 mo
- D. 54 mo
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
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Which of the following actions should the nurse take to maintain patient safety when ambulating a patient for the first time postoperatively?
- A. Use one person to assist patient.
- B. Use two people to assist patient.
- C. Encourage patient to "dangle" self 1 hour before ambulation.
- D. Give narcotic 15 minutes before ambulation.
Correct Answer: B
Rationale: When ambulating a patient for the first time postoperatively, it is crucial to ensure patient safety by using two people to assist the patient. This helps in providing adequate support and stability, especially if the patient is weak, dizzy, or at risk of falling. Having two people allows for better control over the patient's movement and reduces the risk of accidents or falls during ambulation. Additionally, having an extra person provides assistance in case the patient becomes unsteady or requires immediate support.
The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:
- A. 90mg/dl
- B. 126mg/dl
- C. 115mg/dl
- D. 180mg/dl
Correct Answer: B
Rationale: A fasting plasma glucose level of 126mg/dl or higher is considered to be indicative of diabetes mellitus. This value represents the threshold for diagnosing diabetes based on fasting glucose levels according to the American Diabetes Association (ADA) criteria. Fasting glucose levels between 100-125mg/dl indicate impaired fasting glucose, which is a precursor to diabetes. Therefore, a fasting plasma glucose level of 126mg/dl is the lowest level at which a diagnosis of diabetes can be suggested.
Which of the ff vessels is often used for grafting?
- A. The basic and cephalic veins in the arm
- B. The internal mammary and internal thoracic arteries in the chest
- C. The saphenous vein in the leg
- D. The radial artery in the arm
Correct Answer: B
Rationale: The internal mammary and internal thoracic arteries in the chest are often used for grafting in procedures such as coronary artery bypass surgery. These arteries have been found to have good long-term patency rates when used as grafts to bypass blocked coronary arteries. The internal mammary artery, in particular, is commonly used for this purpose due to its accessibility and long-term durability. The use of these arteries for grafting helps to improve blood flow to the heart muscle, relieving symptoms of coronary artery disease and reducing the risk of heart-related complications.
Which laboratory study is monitored for the patient receiving heparin therapy?
- A. INR
- B. PTT
- C. PT
- D. Bleeding time
Correct Answer: B
Rationale: The laboratory study monitored for a patient receiving heparin therapy is the Partial Thromboplastin Time (PTT). Heparin is an anticoagulant medication that works by inhibiting clot formation. PTT measures the intrinsic pathway of the coagulation cascade, which is affected by heparin administration. Monitoring the PTT helps ensure that the patient's blood is at the appropriate level of anticoagulation and reduces the risk of bleeding or clot formation.
Which manifestation is more specific to occur in anaplastic large cell lymphoma (ALCL) than other types of non-Hodgkin lymphoma?
- A. primary bone marrow involvement
- B. intestinal involvement
- C. CNS involvement
- D. primary mediastinal involvement
Correct Answer: D
Rationale: Primary mediastinal involvement is a hallmark feature of ALCL.