Nokea
Which best describes the electrolyte imbalance in chronic renal failure (CRF)?
- A. Decreased serum phosphorus and calcium levels.
- B. Calcium and phosphorus are drawn from the bones due to hypocalcemia.
- C. Calcium remains in the bones due to structural change.
- D. Poor nutrition causes overall electrolyte depletion.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
- A. Anemia
- B. Hypoglycemia
- C. Nitrogen loss
- D. Thrombosis
Correct Answer: B
Rationale: Neonates born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood glucose levels in the womb. During pregnancy, the baby's pancreas produces extra insulin to handle the excess glucose from the mother, but after birth, there may be a sudden drop in blood glucose levels in the baby, leading to hypoglycemia. It is important to monitor blood glucose levels closely in these neonates and provide appropriate interventions to prevent and manage hypoglycemia. Anemia, nitrogen loss, and thrombosis are not typically associated with neonates of mothers with diabetes.
A female client age 66 is admitted ff a nephrolithomy. One of her laboratory tests reveals a urinary tract infection. Which would be the best nursing action in her case?
- A. Administer IV fluids and blood transfusions
- B. Administer narcotic analgesics as prescribed
- C. Encourage fluid intake of 3000ml/day
- D. Suggest taking herbs or spices to increase food palatability
Correct Answer: C
Rationale: In the case of a female client age 66 admitted for a nephrolithotomy with a urinary tract infection, the best nursing action is to encourage fluid intake of 3000ml/day. Adequate hydration helps in flushing out the bacteria causing the urinary tract infection and can prevent further complications. Increasing fluid intake also helps in preventing the formation of new kidney stones. Administering IV fluids and blood transfusions may be necessary based on the patient's overall condition, but the priority action in this case is to promote increased oral fluid intake. Administering narcotic analgesics as prescribed can help manage pain related to the nephrolithotomy procedure, but it does not directly address the urinary tract infection. Suggesting taking herbs or spices to increase food palatability is not the priority in this situation and may not contribute significantly to the management of the urinary tract infection.
Which feature is NOT characteristic of autistic spectrum disorder?
- A. Defective social communication
- B. Fixated interests
- C. Highly restricted routines
- D. Stereotyped absence of motor use
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Associated anomalies have been reported in up to 30% of congenital diaphragmatic hernia cases; these include the following EXCEPT
- A. pulmonary hypoplasia
- B. CNS lesions
- C. esophageal atresia
- D. cardiovascular lesions
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.