Nokea
Which of the following is a common feature of vasculitis?
- A. Skin lesions
- B. Nerve damage
- C. Organ dysfunction
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare provider is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
- A. Vital signs and neurologic checks hourly
- B. Small, frequent formula feedings
- C. Elevate the head of the bed
- D. Daily head circumference measurements
Correct Answer: C
Rationale: Elevating the head of the bed in a child with hydrocephalus can potentially increase intracranial pressure. This can be counterproductive and may lead to complications after shunt placement surgery. Keeping the head of the bed flat or slightly elevated is often recommended to optimize cerebral perfusion and reduce the risk of increased intracranial pressure.
The following drugs are used in resuscitation Except:
- A. Atropine
- B. Bicarbonate
- C. Epinephrine
- D. Digitalis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What causes meconium aspiration syndrome?
- A. Hypoglycemia
- B. Carbon dioxide retention
- C. Bowel obstruction with meconium
- D. Aspiration of meconium in utero or at birth
Correct Answer: D
Rationale: Meconium aspiration syndrome occurs when a newborn inhales (aspirates) a mixture of meconium (the baby's first stool) and amniotic fluid while in the uterus or during delivery. This can lead to respiratory distress and obstruction of the airways. The presence of meconium in the lungs can cause inflammation, airway obstruction, and in severe cases, can result in pneumonia or respiratory failure. Bowel obstruction with meconium (Choice C) does not directly cause meconium aspiration syndrome.
An 80-year-old patient with a history of renal insufficiency was recently started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication?
- A. Pain with urination
- B. New onset disorientation to time and place
- C. HR changes from a baseline of 70-80bpm to 110-120bpm
- D. #ERROR!
Correct Answer: B
Rationale: The correct answer is B: New onset disorientation to time and place. Cimetidine can cause adverse effects on the CNS system, especially in elderly patients with renal or hepatic impairment. This may manifest as confusion, hallucinations, lethargy, restlessness, or seizures. Pain with urination (choice A) is not typically associated with cimetidine use, and HR changes (choice C) are more likely related to other factors. Choice D is not a valid option.
One of the following drugs is not used during resuscitation:
- A. Atropine
- B. Bicarbonate
- C. Digitalis
- D. Epinephrine
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.