Nokea
Which of the ff. conditions places a patient at risk for respiratory complications following his splenectomy?
- A. A low platelet count
- B. Early ambulation
- C. An incision near the diaphragm
- D. Early discharge
Correct Answer: C
Rationale: An incision near the diaphragm places a patient at risk for respiratory complications following a splenectomy. The diaphragm is the major muscle involved in the process of breathing, and if there is disruption or irritation near this area, it can lead to respiratory difficulties such as decreased lung expansion and pain on deep breathing. This can increase the risk of complications such as pneumonia, atelectasis, or respiratory distress. Therefore, special care should be taken to monitor and manage respiratory function in patients with incisions near the diaphragm post-splenectomy.
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Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:
- A. Guillain-Barré syndrome
- B. Botulism
- C. Cerebral vascular accident
- D. Brainstem tumor
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why should clients who take warfarin (Coumadin) refrain from food items such as green leafy vegetables and soybeans?
- A. Because the foods contain Vitamin K, which reduces the anti coagulant effect of the medication
- B. Because the foods contain Vitamin K, which increases the anti coagulant effect of the medication
- C. Because the foods help stimulate salivation
- D. Because the foods minimize the volume of food consumption
Correct Answer: A
Rationale: Clients who take warfarin (Coumadin) should refrain from foods such as green leafy vegetables and soybeans because these foods contain high levels of Vitamin K. Vitamin K plays a crucial role in blood clotting, which may counteract the anti-coagulant effects of warfarin. Therefore, consuming large amounts of Vitamin K-rich foods can reduce the effectiveness of warfarin in preventing blood clots, leading to potential health risks. It is important for clients on warfarin therapy to maintain a consistent intake of Vitamin K in their diet to ensure the medication works effectively.
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Of the following, the WORST prognostic factor in pediatric osteosarcoma is
- A. primary pelvic bone tumor
- B. poor histologic response to treatment
- C. bony metastases at the time of diagnosis
- D. lung metastases at the time of diagnosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of an infant with diaper dermatitis is being taught by a nurse. Which of the following instructions should the nurse include?
- A. Use baby wipes that contain alcohol to clean the baby's skin.
- B. Expose the baby's skin to air.
- C. Use a blow dryer on the warm setting to dry the baby's skin.
- D. Give the baby a bath once a week.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.