Nokea
Which foods should be offered to a child with hepatitis?
- A. A tuna sandwich on whole-wheat bread and skim milk.
- B. Clear liquids such as broth and Jell-O.
- C. A hamburger, French fries, and a diet soda.
- D. A peanut butter sandwich and a milkshake.
Correct Answer: B
Rationale: Clear liquids are gentle on the liver and help minimize digestive stress during hepatitis.
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A patient asks the nurse what her diagnosis of heart failure means. Which of the ff. is the nurse's best response?
- A. "Your heart briefly stops."
- B. "Your heart has an area of muscle that is dead."
- C. "Your heart is pumping to much blood."
- D. "Your heart is not an efficient pump."
Correct Answer: D
Rationale: The nurse's best response is D, "Your heart is not an efficient pump." Heart failure is a condition where the heart is unable to pump blood efficiently, leading to a decrease in the heart's ability to supply the body with oxygen and nutrients. This can result in symptoms such as shortness of breath, fatigue, and fluid retention. It is important for the patient to understand that heart failure does not mean the heart stops or has an area of dead muscle, but rather it is a condition where the heart is not able to function properly as a pump.
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
- A. Intense abdominal cramps
- B. Profuse diarrhea
- C. Anal fissures
- D. Abdominal distention
Correct Answer: B
Rationale: Profuse diarrhea is the most common assessment finding in a child with ulcerative colitis. Ulcerative colitis is a type of inflammatory bowel disease that primarily affects the colon and rectum. It causes inflammation and ulcers in the lining of the colon, leading to symptoms such as frequent and urgent bowel movements, abdominal pain, and bloody diarrhea. The diarrhea in ulcerative colitis is typically watery and can be very severe, often leading to dehydration and electrolyte imbalances. Intense abdominal cramps, anal fissures, and abdominal distention can also be present in ulcerative colitis, but profuse diarrhea is the hallmark symptom that is commonly seen in affected children.
Which leading cause of death topic should the nurse emphasize to a group of African- American boys ranging in age from 15 to 19 years?
- A. Suicide
- B. Cancer
- C. Firearm homicide
- D. Occupational injuries
Correct Answer: C
Rationale: The nurse should emphasize the leading cause of death topic related to firearm homicide to a group of African-American boys ranging in age from 15 to 19 years. This population is at a higher risk of being victims of firearm violence due to various socio-economic factors and systemic issues. By addressing the issue of firearm homicide, the nurse can provide important information on violence prevention, conflict resolution strategies, and community resources to help keep these young males safe. This education can potentially help reduce the risk of injury or death from firearm-related incidents within this vulnerable population.
You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is
- A. PTC has a grim overall prognosis
- B. FTC do not require radioactive iodine therapy
- C. supraphysiologic levothyroxine therapy is required during long-term follow-up
- D. calcitonin/carcinogenic antigen monitoring is required during the course of treatment
Correct Answer: C
Rationale: Levothyroxine suppression therapy is standard in differentiated thyroid cancer.
How many liters per minute of oxygen should be administered to the patient with emphysema?
- A. 2 L/min
- B. 10 L/min
- C. 6 L/min
- D. 95 L/min
Correct Answer: C
Rationale: Oxygen therapy for patients with emphysema aims to maintain adequate oxygen levels in the blood while avoiding toxic levels of oxygen. The recommended flow rate for oxygen administration in patients with emphysema is typically 1-3 liters per minute. Increasing the flow rate above this range may lead to oxygen toxicity in these patients. Therefore, a safe and appropriate oxygen flow rate for a patient with emphysema would be around 6 L/min, making option C, 6 L/min, the correct choice from the provided options.