What important information should the nurse provide to a patient taking a tetracycline antibiotic?
- A. Take the medication on an empty stomach.
- B. Avoid exposure to sunlight and tanning beds.
- C. Do not take the medication with milk or other dairy products.
- D. The medication may cause permanent staining of your teeth.
Correct Answer: D
Rationale: The correct answer is D. Tetracycline antibiotics can bind to calcium in dairy products, decreasing the absorption of the antibiotic. This may result in reduced effectiveness of the medication. Additionally, tetracycline antibiotics can cause permanent staining of teeth, especially in children below 8 years of age and in pregnant women. Therefore, it is crucial for the patient to be aware of this potential side effect and to discuss any concerns with their healthcare provider.
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Radiotherapy is an effective modality of treatment in variable pediatric solid tumors. Of the following, the LEAST responsive tumor to radiotherapy is
- A. rhabdomyosarcoma
- B. neuroblastoma
- C. nephroblastoma
- D. osteosarcoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement best reflects a top-down approach to the evaluation process?
- A. OT focuses evaluation on the child's poor performance with hand skills
- B. OT completes an assessment to provide a motor age for fine motor and gross motor skills
- C. OT begins by interviewing the family regarding routines, interests, and daily habits
- D. OT begins by examining muscle tone, postural control, and range of motion
Correct Answer: C
Rationale: A top-down evaluation approach prioritizes understanding the child's daily life, family routines, interests, and habits to ensure that the therapy provided is relevant and meaningful within the child's natural environment. By starting with family interviews, the occupational therapist gains insight into the child's context, allowing for a more holistic and client-centered evaluation process.
Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT
- A. positive family history of melanoma
- B. dark-skinned child
- C. hairy nevus
- D. dysplastic nevus
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement should the nurse include in the teaching plan for a patient being started on levodopa/carbidopa (Sinemet) for newly diagnosed Parkinson’s disease?
- A. Take medication on a full stomach
- B. Change positions slowly
- C. The drug may cause the urine to be very dilute
- D. Carbidopa has many adverse effects
Correct Answer: B
Rationale: Postural hypotension is common early in treatment, so the patient should be instructed to change positions slowly. Administration with meals should be avoided, if possible, because food delays the absorption of the levodopa component. If the patient is experiencing side effects of nausea and vomiting, administration with food may be considered. The levodopa component may darken urine. Carbidopa has no adverse effects of its own.
Abrupt withdrawal of baclofen may cause
- A. depression
- B. drowsiness
- C. headache
- D. seizure
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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