The patient taking warfarin for prevention of deep vein thrombosis has an INR of 1.2. Which action by the nurse is most appropriate?
- A. Administer IV push protamine sulfate
- B. Continue with the current prescription.
- C. Prepare to administer Vitamin K
- D. Call healthcare provider to increase the dose
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The age at which the infant can achieve early head control with bobbing motion when pulled to sit is
- A. 2 months
- B. 3 months
- C. 4 months
- D. 6 months
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Small round blue cell tumors refer to all the following EXCEPT
- A. non-Hodgkin lymphoma
- B. osteosarcoma
- C. Ewing sarcoma
- D. rhabdomyosarcoma
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In which frame of reference does the child select activities that involve responses to movement, balance, weight bearing, and tactile activities?
- A. Motor control/motor learning
- B. Ayres' sensory integration
- C. Neurodevelopmental treatment
- D. Developmental
Correct Answer: B
Rationale: Ayres' sensory integration focuses on activities that target responses to movement, balance, weight bearing, and tactile stimuli to improve sensory processing and integration. This approach aims to address sensory challenges through structured activities to enhance overall function and participation.
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
- A. CT scan of the chest
- B. CT scan of the brain
- C. bone scan
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare professional is preparing to administer an immunization to a four-year-old child. Which of the following actions should the professional plan to take?
- A. Place the child in a prone position for the immunization
- B. Request that the child's caregiver stay in the room during the immunization
- C. Administer the immunization using a 24-gauge needle
- D. Inject the immunization slowly without aspirating
Correct Answer: C
Rationale: When administering an immunization to a four-year-old child, it is important to use a 24-gauge needle to minimize pain and discomfort for the child. Thicker needles can cause more pain and tissue trauma. Using a thinner needle like a 24-gauge is appropriate for pediatric immunizations. The other options are not recommended practices: placing the child in a prone position is not ideal for immunization administration, it is beneficial to have the caregiver present for support, and aspirating before administering the immunization is not required for intramuscular injections in current practice.
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