The organ most seriously affected by secondary amyloidosis in patients with familial Mediterranean fever (FMF) is
- A. kidney
- B. lung
- C. nerve
- D. heart
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
- A. It will have no effect.
- B. it will cause wide fluctuations in the
- C. it will decrease the need insulin. need for insulin
- D. It will increase the need for insulin.
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.
Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
- A. Urine output
- B. Urine specific gravity
- C. Vital signs
- D. Daily weight
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?
- A. Fasciculations
- B. Chorea
- C. Atrophy
- D. Neuropathy
Correct Answer: A
Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.
The patient develops a low-grade fever 18 hours post-operatively and has diminished breath sounds. Which of the following actions is most appropriate for the nurse to take to prevent complications? i.Administer antibiotics iv.Decrease fluid intake ii.Encourage coughing and deepbreathing v.Ambulate patient as ordered iii.Administer acetaminophen (Tylenol)
- A. 2and 5
- B. All of the above
- C. 1, 3 and 4
- D. All except 2
Correct Answer: A
Rationale: In this scenario, the patient developing a low-grade fever post-operatively along with diminished breath sounds could indicate the possibility of atelectasis or pneumonia. The most appropriate actions for the nurse to take to prevent complications in this situation would be to encourage coughing and deep breathing (to help clear secretions and improve lung expansion) and ambulate the patient as ordered (to promote lung ventilation and prevent further complications). Administering antibiotics, acetaminophen for fever management, and decreasing fluid intake may be considered based on the healthcare provider's assessment and orders, but the immediate nursing interventions to address the presenting symptoms are encouraging coughing and deep breathing and ambulating the patient.
Which is recommended as helpful in minimizing allergy to house dust mites?
- A. Maximizing time spent in the house to a single room such as the bedroom
- B. Washing bedding weekly in cold water
- C. Installing new carpet
- D. Keeping household humidity to less than 50%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.