Nokea
What is a priority discharge instruction for a parent of a child experiencing the first episode of asthma?
- A. Asthma can be prevented by avoiding environmental and emotional triggers
- B. Asthma decreases the size of the airway causing distress
- C. Bronchodilators can cause tachycardia and restlessness
- D. If an attack occurs at home, the child should sit or stand
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A mother of a 6-year-old actively playing child, diagnosed with type 1 diabetes mellitus a year ago, calls a clinic nurse and reports that the child has been sick. She checked the child's urine, which was positive for ketones. What should the nurse instruct the mother to do?
- A. Administer an additional dose of regular insulin
- B. Come to the clinic immediately
- C. Encourage the child to drink liquids
- D. Hold the next dose of insulin
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following are not infectious causes of diarrhea?
- A. Allergy
- B. Bacteria
- C. Parasite
- D. Virus
Correct Answer: A
Rationale: Diarrhea can be caused by various infectious agents such as bacteria, parasites, and viruses. Allergy, on the other hand, is a non-infectious cause of diarrhea. When an individual with a food allergy consumes the specific food they are allergic to, it can trigger diarrhea as a part of the allergic reaction.
The parents of a child hospitalized with asthma who is recovering and is being prepared for discharge are receiving home care instructions from the nurse. Which statement by a parent indicates a need for further instruction?
- A. Coughing spells may be triggered by dust or smoke
- B. Vomiting may occur when our child has coughing episodes
- C. We need to encourage our child to drink fluids
- D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks
Correct Answer: D
Rationale: The statement 'We need to maintain droplet precautions and a quiet environment for at least 2 weeks' indicates a need for further instruction. Asthma management does not typically require maintaining droplet precautions. The focus should be on environmental control, medication adherence, and monitoring symptoms rather than droplet precautions, which are more relevant for contagious respiratory infections.
A 7-year-old child named Kanjaga exhibits symptoms like fatigue, slow heart rate, dry skin, slower growth, and delayed puberty. Which of the following is the appropriate diagnosis for this deficiency that slows body processes?
- A. Diabetes
- B. Hypothyroidism
- C. Growth hormone deficiency
- D. Stunted growth
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The word hormone is derived from the Greek 'hormao' meaning 'I excite or arouse.' Hormones communicate this effect through their unique chemical structures recognized by specific receptors on their target cells, their patterns of secretion, and their concentrations in the general or local circulation. Which of the following is NOT a function of hormones?
- A. Producing new offspring
- B. Promoting growth and enhancing beauty
- C. Maintaining body temperature
- D. Fighting infections
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.