Nokea
Which is the most commonly used method in completed suicides?
- A. Firearms
- B. Drug overdose
- C. Self-inflected laceration
- D. Carbon monoxide poisoning
Correct Answer: A
Rationale: Firearms are the most commonly used method in completed suicides, accounting for nearly 50% of all suicide deaths in the United States. Firearms are particularly lethal and result in a higher success rate compared to other methods. The quick and irreversible nature of firearm suicides contributes to their high prevalence. Additionally, the easy access to firearms in many households increases the likelihood of their use in suicide attempts.
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Streptococcal pharyngitis should be treated with antibiotics to avoid which of the following?
- A. Otitis media
- B. Acute laryngitis
- C. Nephrotic syndrome
- D. Hemorrhagic fever
Correct Answer: C
Rationale: Streptococcal pharyngitis, commonly known as strep throat, is caused by group A Streptococcus bacteria. If left untreated, the infection can lead to complications such as poststreptococcal glomerulonephritis, which is a type of nephrotic syndrome affecting the kidneys. Antibiotic treatment for streptococcal pharyngitis is important to prevent these potential severe complications, including nephrotic syndrome. Otitis media, acute laryngitis, and hemorrhagic fever are not direct complications of untreated streptococcal pharyngitis.
These facts are true regarding the developmental stage of preschool children EXCEPT
- A. handedness is achieved by 3 years of age
- B. boys are usually later than girls in achieving bladder control
- C. knowing gender by 4 years
- D. musturbation
Correct Answer: D
Rationale: Musturbation is not a recognized developmental milestone.
Which are clinical manifestations of the postterm newborn? (Select all that apply.)
- A. Excessive lanugo
- B. Increased subcutaneous fat
- C. Absence of scalp hair
- D. Parchment-like skin
Correct Answer: D
Rationale: Postterm newborns are infants born after 42 weeks of gestation. Some common clinical manifestations of postterm newborns include parchment-like, wrinkled skin due to prolonged exposure to amniotic fluid, and long fingernails as a result of intrauterine growth beyond the expected term. Excessive lanugo and absence of scalp hair are not typically seen in postterm newborns. Increased subcutaneous fat may be more common in infants born at term or post-term, but it is not a specific clinical manifestation of postterm newborns. Minimal vernix caseosa is also usually present in postterm newborns.
Nurse Jeremy is evaluating a client's fluid intake and output record. Fluid intake and urine output should relate in which way?
- A. Fluid intake should be double the urine output.
- B. Fluid intake should be approximately equal to the urine output.
- C. Fluid intake should be half the urine output.
- D. Fluid intake should be inversely proportional to the urine output.
Correct Answer: B
Rationale: The principle of fluid balance in the body dictates that fluid intake should be approximately equal to the urine output, under normal circumstances. This balance ensures that the body maintains proper hydration levels and that the kidneys are functioning effectively in filtering and excreting waste products. Significant deviations between fluid intake and urine output can indicate potential issues with hydration status or kidney function, making it essential for healthcare professionals like Nurse Jeremy to closely monitor and evaluate these values.
What is an important consideration regarding TPN administration?
- A. IV site is kept aseptic while infusing the solution
- B. Feeding is poured into a pouch and then infused
- C. Solution is only hung for a maximum of 8 hours at a time New formula is added as needed so the line does not run dry
- D. Solution is only hung for a maximum of 8 hours at a time h. New formula is added as needed so the line does not run dry
Correct Answer: A
Rationale: An important consideration regarding TPN administration is ensuring the intravenous (IV) site is kept aseptic while infusing the solution. This is crucial to prevent the risk of infection, as TPN solutions are highly concentrated and can provide an ideal environment for the growth of microorganisms. Strict aseptic technique must be maintained during the entire process of TPN administration, from preparation to infusion, to minimize the risk of introducing pathogens into the patient's system. Failure to maintain aseptic technique can lead to serious complications such as bloodstream infections, which can be life-threatening for the patient.