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The closeness of a measured value to a standard or known value is termed as
- A. accuracy
- B. precision
- C. sensitivity
- D. specificity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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According to the Health Insurance Portability and Accountability Act, a healthcare facility may release patient information without obtaining permission from the patient or family when there is a request from a:
- A. consulting physician to evaluate the patient.
- B. lawyer regarding a child abuse case.
- C. school nurse to update the school records.
- D. teacher regarding behavioral issues.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
- A. Placing the newborn on a radiant warmer
- B. Placing the newborn in an open crib
- C. Preparing the newborn for phototherapy
- D. Preparing the newborn for bottle-feeding
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?
- A. medulloblastoma
- B. anaplastic astrocytoma
- C. myxopapillary ependymoma
- D. choroid plexus carcinoma
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.
When teaching a school-age child and the parent how to administer insulin, which of the following instructions should the nurse include?
- A. Store the insulin in the refrigerator after each use.
- B. Rotate injection sites each time you give the injection.
- C. You should give the insulin at room temperature.
- D. Administer the insulin within 30 minutes of each meal.
Correct Answer: C
Rationale: It is essential to give insulin at room temperature to prevent discomfort during administration. Cold insulin can cause stinging and pain, which can be avoided by allowing the insulin to reach room temperature before administration. Storing insulin in the refrigerator is correct for long-term storage, but it should be brought to room temperature before use. Rotating injection sites is important to prevent lipohypertrophy, a condition characterized by fatty lumps that can develop if injections are consistently given in the same area. Administering insulin within 30 minutes of a meal is generally recommended to match the insulin peak action with the peak glucose levels after eating, but giving insulin at room temperature is more crucial to ensure comfort and proper absorption.