Nokea
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.
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Which strategy is most likely to promote positive behavior in children?
- A. Providing flexible instructions with no consequences
- B. Limiting opportunities until the child performs adequately
- C. Improving the child's competence and creating a positive environment
- D. Setting strict rules with punishments for misbehavior
Correct Answer: C
Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.
The percentage of allergic rhinitis in asthmatic patients is 78%, while the percentage of asthma in patients with allergic rhinitis is
- A. 18%
- B. 28%
- C. 38%
- D. 48%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A term infant is born with Apgar scores of 5 at minute and 7 at 5 minutes The infant has a heart rate of 7 and demonstrates pallor with hepatosplenomegaly A Coombs test on maternal blood yields positive results The most likely diagnosis is
- A. Erythroblastosis fetalis
- B. Hereditary spherocytosis
- C. Chronic fetal-maternal hemorrhage
- D. ABO incompatibility
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which clean-catch urinalysis finding should raise the most concern for a child admitted to an urgent care center to rule out a urinary tract infection?
- A. 2+ white blood cells
- B. 1+ red blood cells
- C. Urine appearance: cloudy
- D. Specific gravity: 1.009
Correct Answer: D
Rationale: A specific gravity of 1.009 is low, indicating diluted urine, which can be concerning in the context of a urinary tract infection. Diluted urine may suggest inadequate concentration due to increased fluid intake or impaired kidney function, which are important considerations in the assessment of a possible UTI.
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.