Nokea
What usually triggers the weight loss of anorexia nervosa?
- A. Sexual abuse
- B. School failure
- C. Independence from family
- D. Traumatic interpersonal conflict
Correct Answer: D
Rationale: Weight loss in anorexia nervosa is commonly triggered by various factors, including traumatic interpersonal conflicts. These conflicts may involve strained relationships with family members, friends, or other individuals, contributing to emotional distress and disturbances in eating behaviors. Individuals with anorexia nervosa may engage in extreme restriction of food intake as a way to cope with and gain a sense of control over the challenging emotions arising from these conflicts. It is important to address and work through these underlying interpersonal issues through therapy and support in the treatment of anorexia nervosa.
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When teaching a client about insulin administration, the nurse should include which instruction?
- A. "Administer insulin after the first meal of the day."
- B. "Inject insulin at a 45-degree angle into the deltoid muscle."
- C. "Shake the insulin vial vigorously before withdrawing the medication."
- D. "Draw up clear insulin first when mixing two types of insulin in one syringe."
Correct Answer: D
Rationale: When mixing two types of insulin in one syringe, it is essential to draw up the clear insulin first before drawing up the cloudy insulin. This sequence prevents the clear insulin from becoming contaminated with the cloudy insulin and ensures accurate dosing. Drawing up the clear insulin first helps to minimize the risk of inaccurate dosing and maintains the effectiveness of the insulin being administered.
Because of the significant association of lead intoxication with poverty, the Centers for Disease Control and Prevention (CDC) recommends blood lead screening at
- A. 6 and 12 months
- B. 12 and 24 months
- C. 24 and 36 months
- D. 36 and 48 months
Correct Answer: B
Rationale: Blood lead screening is recommended at 12 and 24 months.
A patient asks the nurse what side effects to expect from a muscle relaxant medication that has been prescribed. Which of the ff. side effects should the nurse relate?
- A. Hypoglycaemia
- B. Drowsiness
- C. Hypotension
- D. Dyspnea
Correct Answer: B
Rationale: Muscle relaxant medications, such as benzodiazepines or cyclobenzaprine, commonly cause drowsiness as a side effect. This is a result of the medications affecting the central nervous system, leading to sedative effects. Patients taking muscle relaxants should be advised to avoid activities that require alertness, such as driving or operating machinery, until they understand how the medication affects them. It is important for the nurse to inform the patient about this potential side effect to ensure their safety and to prevent any accidents or injuries due to drowsiness. On the other hand, hypoglycemia, hypotension, and dyspnea are not common side effects of muscle relaxant medications.
As the nurse cares for a patient with angioedema, differs from urticaria in that angioedema is characterized by which of the following?
- A. Angioedema is more pruritic.
- B. Angioedema has small, fluid-filled vesicles
- C. Angioedema has a deeper and more that crust.
- D. Angioedema lasts a shorter time.
Correct Answer: C
Rationale: Angioedema differs from urticaria in that it involves deeper layers of the skin and subcutaneous tissue compared to urticaria, which affects the upper layers of the skin. This deeper involvement in angioedema can lead to swelling that appears as large, raised areas that often have a deeper hue compared to the surrounding skin. Angioedema does not typically involve small, fluid-filled vesicles like urticaria, and it is not necessarily more pruritic. Additionally, angioedema tends to last longer than urticaria, which is why option D is not accurate.
Which of the following malignant tumors is least likely to occur in adults in comparison with children?
- A. acute Lymphoblastic Leukemia (ALL)
- B. osteosarcoma
- C. medulloblastoma
- D. retinoblastoma
Correct Answer: D
Rationale: Retinoblastoma predominantly occurs in children under 5 years of age, making it the least likely to occur in adults.