Nokea
When caring for a client with diabetes insipidus, the nurse expects to administer:
- A. Vasopressin (Pitressin Synthetic)
- B. Regular insulin
- C. Furosemide (Lasix)
- D. 10% dextrose
Correct Answer: A
Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to conserve water due to reduced secretion of antidiuretic hormone (ADH), also known as vasopressin. Therefore, the treatment for diabetes insipidus typically involves administering synthetic vasopressin, such as desmopressin (DDAVP) or vasopressin (Pitressin Synthetic), to replace the deficient hormone and help the kidneys reabsorb more water. Vasopressin helps regulate water balance in the body by increasing water reabsorption in the kidneys, reducing urine output, and preventing dehydration. Therefore, the nurse would expect to administer vasopressin to a client with diabetes insipidus to help manage the condition effectively.
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The nurse is caring for a patient with HIV. Which of the following foods would the nurse teach the patient is safe to eat to reduce the risk of infection?
- A. Raw fruits
- B. Raw vegetables
- C. Cooked vegetables
- D. Caesar dressing
Correct Answer: C
Rationale: For a patient with HIV, it is important to reduce the risk of infection by avoiding potentially contaminated foods. Cooked vegetables are safer to eat compared to raw fruits and vegetables since cooking helps to kill harmful pathogens that can be present on raw produce. Caesar dressing, which typically contains raw eggs, should also be avoided as these can pose a risk of foodborne illness for individuals with compromised immune systems like those with HIV. Therefore, the nurse should teach the patient that cooked vegetables are a safer option for reducing the risk of infection.
The lungs regulate acid-base balance b₃y⻠all of the following except:
- A. Excreting HCO into the blood
- B. Controlling carbon dioxide levels
- C. Slowing ventilation
- D. Increasing ventilation
Correct Answer: C
Rationale: The lungs help regulate acid-base balance primarily by controlling carbon dioxide levels through ventilation. When carbon dioxide levels increase in the blood, the lungs increase ventilation to exhale more carbon dioxide and maintain the acid-base balance. Slowing ventilation (Option C) would not help in regulating the acid-base balance as it would lead to a buildup of carbon dioxide in the blood, causing respiratory acidosis. Excreting HCO into the blood (Option A) helps maintain acid-base balance by regulating bicarbonate levels, and increasing ventilation (Option D) is the mechanism through which the lungs primarily adjust acid-base balance.
What term describes irregular areas of deep blue pigmentation seen predominantly in newborns of African, Asian, Native American, or Hispanic descent?
- A. Acrocyanosis
- B. Erythema toxicum
- C. Mongolian spots
- D. Harlequin color changes
Correct Answer: C
Rationale: Mongolian spots are irregular areas of deep blue pigmentation commonly seen in newborns of African, Asian, Native American, or Hispanic descent. They are flat, benign, and usually appear on the lower back or buttocks, but can also occur on other parts of the body. Mongolian spots are caused by pigment that is trapped deep in the layers of the skin and tend to fade over time, usually by the age of 5 or 6, although they may persist into adulthood in some cases. It is important for healthcare providers to be aware of Mongolian spots to differentiate them from other skin conditions and provide reassurance to parents.
Steve is diagnosed with celiac disease and experiences celiac crisis secondary to upper respiratory tract infection; which of the following would Nurse Nancy expect to assess?
- A. Lethargy
- B. Weight gain
- C. Respiratory distress
- D. Watery diarrhea
Correct Answer: A
Rationale: In a celiac crisis, which is a severe form of reaction to gluten ingestion in individuals with celiac disease, symptoms can include severe diarrhea, vomiting, dehydration, electrolyte imbalances, and lethargy. The upper respiratory tract infection adds an additional stressor to the body, further worsening the symptoms. Lethargy is often seen in such cases due to the body's reaction to the illness and malabsorption of nutrients caused by celiac disease. While weight loss is common in celiac disease due to malabsorption, weight gain is unlikely in a celiac crisis. Respiratory distress is not a typical symptom directly related to celiac disease or its crisis. Watery diarrhea can be a common symptom of celiac disease, but specific to the question, lethargy would be the most expected assessment finding in Steve's case.
Angie is an adolescent who has seizure disorder; which of the following would not be a focus of a teaching program?
- A. Ability to obtain a driver's license
- B. Drug and alcohol abuse
- C. Increased risk of infections
- D. Peer pressure
Correct Answer: A
Rationale: The correct answer is A, ability to obtain a driver's license. This would not be a focus of a teaching program for Angie with a seizure disorder since individuals with uncontrolled seizures are typically not allowed to have a driver's license due to safety concerns. It is important for Angie to understand the risks and consequences of drug and alcohol abuse, the increased risk of infections, and how to handle peer pressure effectively in relation to her condition. These topics are more relevant to managing her health and well-being with a seizure disorder.