Nokea
Which is included in the diet of a child with minimal change nephrotic syndrome?
- A. High protein
- B. Salt restriction
- C. Low fat
- D. High carbohydrate
Correct Answer: B
Rationale: In children with minimal change nephrotic syndrome, it is important to include salt restriction in the diet. Salt restriction helps in managing edema by reducing fluid retention in the body. Excessive salt intake can contribute to fluid retention and edema in these patients. This dietary modification can help in controlling symptoms and managing the condition effectively. Other considerations for the diet may include monitoring protein intake to prevent complications related to kidney function.
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A client receiving ferrous sulfate (Fer-Iron) therapy to treat an iron deficiency reports taking an antacid frequently to relieve heart burn. Which nursing instruction should the nurse provide?
- A. "Take ferrous sulfate and the antacid together."
- B. "Take ferrous sulfate and the antacid at least 2 hours apart."
- C. "Avoid taking an antacid altogether."
- D. "Take ferrous sulfate and the antacid at least 1 hour apart."
Correct Answer: B
Rationale: Antacids can interfere with the absorption of iron from ferrous sulfate. Therefore, it is important to take these medications at least 2 hours apart to ensure proper absorption of the iron supplement. Taking them together can reduce the effectiveness of the ferrous sulfate therapy in treating the iron deficiency. It is not necessary to avoid taking an antacid altogether, but timing is crucial to optimize the benefits of both medications.
The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get with mammograms:
- A. Yearly after age 40
- B. After the birth of the first child and every 2 years thereafter
- C. After the first menstrual period and annually thereafter
- D. Every 3 years between ages 20 and 40 and annually thereafter
Correct Answer: A
Rationale: The American Cancer Society recommends that women get yearly mammograms starting at age 40. This is because regular mammograms are the best way to detect breast cancer early when it's most treatable. Women at an average risk of breast cancer are advised to undergo yearly mammograms starting at age 40. Early detection through regular screening can help improve the chances of successful treatment and increase survival rates. It's important to follow these guidelines to ensure early detection and timely treatment of breast cancer.
Orchitis and sterility in male result as serious complication of
- A. rubella
- B. measles
- C. mumps
- D. diphtheria 126
Correct Answer: C
Rationale: Orchitis refers to the inflammation of the testicles, which can occur as a complication of mumps infection in males. Mumps is a viral infection caused by the mumps virus, and one of the common complications of mumps in males is orchitis. Orchitis can lead to testicular damage and potentially result in sterility if both testicles are affected. It is essential for males to receive the MMR (measles, mumps, rubella) vaccine to prevent mumps infection and its associated complications, including orchitis and sterility.
When a client is receiving blood which of the ff nursing actions is essential to determine if chilling is the result of an emerging complication or of infusing cold blood?
- A. Monitoring the client's temperature before, during, and after transfusion
- B. Documenting the client's temp after the transfusion
- C. Documenting the temp of the blood before the transfusion
- D. Comparing the client's temp with the temp of the blood
Correct Answer: A
Rationale: Monitoring the client's temperature before, during, and after transfusion is essential to determine if chilling is the result of an emerging complication or of infusing cold blood. By consistently monitoring the client's temperature at different points in the transfusion process, healthcare providers can identify any significant changes that may indicate a complication. This allows for timely intervention and appropriate management of any issues related to the blood transfusion. Comparing the client's temperature with the temperature of the blood is important but alone it may not provide a comprehensive assessment of the client's condition during the transfusion process. So, the best course of action is to monitor the client's temperature at various time points to ensure accurate assessment and early detection of any complications.
The nurse explains to a client that she will administer his first insulin dose in his abdomen. How does absorption at the abdominal site compare to absorption at other sites?
- A. Insulin is absorbed more slowly at abdominal injection sites than at other sites.
- B. Insulin absorbed rapidly regardless of the injection site.
- C. Insulin is absorbed more rapidly at abdominal injection than at other sites.
- D. Insulin is absorbed unpredictably at all injection sites.
Correct Answer: C
Rationale: Insulin absorption rates can vary depending on the injection site. The abdomen is one of the recommended sites for insulin injection due to its relatively rapid absorption rate compared to other sites such as the upper arm or thigh. Insulin injected into the abdomen is absorbed more quickly because of the larger blood supply in that area, leading to faster onset of action and better blood glucose control. This is why the nurse chose to administer the first insulin dose in the client's abdomen for optimal effectiveness.