Nokea
Which of the ff conditions are more likely to develop in a client who is relatively immobile for the rest of his or her life? Choose all that apply
- A. Bladder infection
- B. Constipation
- C. Calculus information
- D. Bladder inflammation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do?
- A. Monitor laboratory values daily for an elevated thyroid-stimulating hormone
- B. Observe for swelling of the neck, tracheal deviation, and severe pain
- C. Evaluate the quality of the client's voice postoperatively, noting any dastric changes
- D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes
Correct Answer: D
Rationale: The nurse should observe for muscle twitching and numbness or tingling of the lips, fingers, and toes in a client who had a thyroidectomy and is at risk for hypocalcemia. Hypocalcemia is a potential complication following thyroidectomy because the parathyroid glands may be inadvertently removed or damaged during the surgery, leading to decreased calcium levels in the blood. Symptoms of hypocalcemia include muscle twitching (especially in the face), and numbness or tingling around the lips, fingers, and toes. Prompt recognition of these symptoms is crucial as severe hypocalcemia can lead to more serious complications, such as seizures and laryngospasm. Monitoring for these signs allows the nurse to intervene early and prevent further complications.
Another girl was bitten by a poisonous snake. All of the following are true except
- A. The victim of a snake bite should be made to exercise the bitten extremity to hasten circulation
- B. The bite of a poisonous snake is distinguished by two fang marks
- C. Immediate severe pain and swelling distinguished the bite of a poisonous snake
- D. The tourniquet should be tight enough to prevent superficial circulation of blood thus stopping absorption of the poison
Correct Answer: A
Rationale: When it comes to snake bites, one should not exercise the bitten extremity as it can increase the spread of venom in the body. Moving the affected limb can potentially lead to the venom spreading more quickly through the lymphatic system and into the bloodstream. Therefore, it is essential to keep the victim as calm and still as possible to minimize the effects of the venom. Proper first aid for snake bites includes keeping the victim calm, immobilizing the bitten limb, and seeking immediate medical attention.
The ff are the tonometer measurements of five clients. Which of them has normal intraocular pressure (IOP)? Choose all that apply
- A. 8 mm Hg
- B. 25 mm Hg
- C. 11 mm Hg
- D. 28 mm Hg
Correct Answer: C
Rationale: Normal intraocular pressure (IOP) typically ranges between 10 and 21 mm Hg. For this reason, the tonometer measurements of 11 mm Hg and 20 mm Hg fall within the normal range. Therefore, clients with these IOP values (Option C and E) have normal intraocular pressure. The other options (A, B, and D) are outside the normal range for IOP and are therefore considered elevated.
Which information should the nurse give a mother regarding the introduction of solid foods during infancy?
- A. Solid foods should not be introduced until 8 to 10 months, when the extrusion reflex begins to disappear.
- B. Foods should be introduced one at a time, at intervals of 4 to 7 days.
- C. Solid foods can be mixed in a bottle to make the transition easier for the infant.
- D. Fruits and vegetables should be introduced into the diet first.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While Andres is being assessed at the clinic, Nurse Shiela observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child's rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. As a knowledgeable nurse, you know that the child has a deficiency of which of the following?
- A. Antidiuretic hormone (ADH)
- B. Parathyroid hormone (PTH)
- C. Growth hormone (GH)
- D. Melanocyte-stimulating hormone (MSH)
Correct Answer: C
Rationale: The child described in the scenario displays characteristics consistent with growth hormone deficiency. Growth hormone is essential for the growth and development of bones, muscles, and other tissues in the body. A deficiency in growth hormone can result in growth retardation, where the child appears small with slow growth rates of body parts. Despite the physical stunting, intelligence remains normal as growth hormone does not affect intellectual development. Treatment for growth hormone deficiency usually involves hormone replacement therapy to help the child achieve normal growth and development.