Nokea
What dietary advice should the nurse give to clients with HIV/AIDS?
- A. Encourage the intake of fat soluble vitamins in amounts 2 to 5 times the recommended daily allowance (RDA)
- B. Encourage intake of water soluble vitamins in amounts 2 to 5 times the RDA
- C. Increase the intake of iron and zinc
- D. Decrease the intake of trace elements and antioxidant supplements
Correct Answer: D
Rationale: It is important for clients with HIV/AIDS to maintain a balanced diet that includes a variety of healthy foods to help support their immune system and overall health. While it may be beneficial for them to increase their intake of certain vitamins and minerals, such as vitamin C and zinc, it is generally recommended to get these nutrients from food sources rather than supplements. In fact, there is no evidence to support the routine use of trace elements and antioxidant supplements in individuals with HIV/AIDS. It is always best to consult with a healthcare provider or a dietitian for tailored dietary advice based on individual needs and health status.
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In fetal period, all are true EXCEPT
- A. 10 weeks - midgut returns to abdomen
- B. 12 weeks - external genitalia formed
- C. 24 weeks - surfactant production begun
- D. 26 weeks - face clearly recognizable
Correct Answer: D
Rationale: Face recognition typically occurs earlier than 26 weeks.
Correct method of mouth to mouth respiration is that the victim's chin is held:
- A. Forward
- B. Backward
- C. Sideward
- D. Downward
Correct Answer: D
Rationale: When performing the correct method of mouth-to-mouth respiration, it is essential to ensure that the victim's chin is held downward. This helps to properly open the airway, allowing for effective ventilation. By tilting the head back and holding the chin downward, you are able to align the victim's airway to allow the entry of air into the lungs during rescue breathing. Holding the chin in a downward position also helps prevent any obstruction that may hinder the flow of air. Remember to also pinch the victim's nose closed while giving breaths to ensure that the air goes into their lungs.
When palpating the brachial, radial, and femoral pulses of a neonate, the nurse notes a difference in pulse amplitude between the femoral and radial pulses bilaterally. This difference suggests:
- A. Patent ductus arteriosus
- B. Coarctation of the aorta
- C. Diminished cardiac output
- D. Left to right shunting in the heart. 104 Practice Exam I
Correct Answer: B
Rationale: Coarctation of the aorta is a congenital heart defect in which there is a narrowing of the aorta leading to differential pulses in the upper and lower extremities. In neonates, this can manifest as weaker femoral pulses compared to radial pulses due to decreased blood flow to the lower body. This difference in pulse amplitude between the femoral and radial pulses bilaterally is a classic finding in coarctation of the aorta, making it the most likely cause in this scenario. Other conditions like patent ductus arteriosus, diminished cardiac output, or left to right shunting in the heart may not specifically present with this particular pulse amplitude difference.
What is cellulitis often caused by?
- A. Herpes zoster
- B. Candida albicans
- C. Human papillomavirus
- D. Streptococcus or Staphylococcus organisms
Correct Answer: D
Rationale: Cellulitis is a common skin infection that is often caused by bacteria, primarily Streptococcus or Staphylococcus organisms. These bacteria typically enter the skin through a crack or break, such as a cut, insect bite, or scratch. Once inside the skin, they can cause inflammation and infection, leading to symptoms such as redness, warmth, swelling, and tenderness in the affected area. Prompt treatment with antibiotics is essential to clear the infection and prevent complications.
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Liver is the most common site of visceral involvement by hemangiomas.