Nokea
The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. What knowledge should the nurse's response be based on?
- A. Genetic defect
- B. Birth injury
- C. Spinal cord injury
- D. Inborn error of metabolism
Correct Answer: B
Rationale: Facial nerve paralysis in a newborn is most commonly caused by birth injury. This can occur during the birthing process due to pressure on the baby's face or head, particularly if forceps or vacuum extraction are used during delivery. The trauma can affect the facial nerve resulting in temporary or permanent paralysis. It is important for the nurse to provide reassurance to the parents that birth injury is a common cause of facial nerve paralysis in newborns, and in many cases, the paralysis resolves on its own over time without further complications.
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Which statement regarding chlamydia infection is correct?
- A. Treatment of choice is oral penicillin.
- B. Treatment of choice is nystatin or miconazole.
- C. Clinical manifestations include dysuria and urethral itching in males.
- D. Clinical manifestations include small, painful vesicles on genital areas.
Correct Answer: C
Rationale: The correct statement regarding chlamydia infection is that the clinical manifestations include dysuria and urethral itching in males. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. In males, common symptoms include a burning sensation during urination (dysuria) and urethral itching. It is important to note that chlamydia is often asymptomatic, especially in women, which is why regular screening is important to detect and treat the infection early. Option A is incorrect because the treatment of choice for chlamydia is typically antibiotics such as azithromycin or doxycycline, not oral penicillin. Option B is incorrect because nystatin or miconazole are used to treat fungal infections, not chlamydia. Option D is incorrect because small, painful vesicles on genital areas are more indicative of herpes simplex virus infection rather than chlamydia
The nurse is caring for a client who's hypoglycemic. This client will have a blood glucose level:
- A. Below 70mg/dl
- B. Between 70 and 120mg/dl
- C. Between 120 and 180mg/dl
- D. Over 180mg/dl A1 PASSERS TRAINING, RESEARCH, REVIEW & DEVELOPMENT COMPANY MEDICAL SURGICAL NURSING SET P
Correct Answer: A
Rationale: Hypoglycemia is defined as a blood glucose level below 70mg/dl. When a client is experiencing hypoglycemia, it means their blood sugar is lower than the normal range and can lead to symptoms such as sweating, tremors, confusion, and even loss of consciousness. It is important for nurses to recognize and treat hypoglycemia promptly to prevent serious complications.
Which is an accurate description of a Kasai procedure?
- A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage.
- B. A curative procedure that connects the bile duct to the bowel.
- C. A curative procedure where the bile duct is banded.
- D. A palliative procedure where the bile duct is banded.
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
These facts are true regarding the developmental stage of preschool children EXCEPT
- A. handedness is achieved by 3 years of age
- B. boys are usually later than girls in achieving bladder control
- C. knowing gender by 4 years
- D. musturbation
Correct Answer: D
Rationale: Musturbation is not a recognized developmental milestone.
Which is the most commonly used method in completed suicides?
- A. Firearms
- B. Drug overdose
- C. Self-inflected laceration
- D. Carbon monoxide poisoning
Correct Answer: A
Rationale: Firearms are the most commonly used method in completed suicides, accounting for nearly 50% of all suicide deaths in the United States. Firearms are particularly lethal and result in a higher success rate compared to other methods. The quick and irreversible nature of firearm suicides contributes to their high prevalence. Additionally, the easy access to firearms in many households increases the likelihood of their use in suicide attempts.