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Which statement most reflects the observation that the infant sleeps soundly, awakens on his own, and maintains a quiet alert state?
- A. This is atypical behavior and should be addressed
- B. The infant should remain on high alert when awake
- C. This shows the infant is making neurological gains
- D. The family is disrupting the child's sleep patterns
Correct Answer: C
Rationale: A quiet alert state in infants indicates positive neurological development. It showcases the infant's ability to regulate sleep-wake cycles and maintain an optimal state for learning and interaction. Therefore, observing an infant who sleeps soundly, awakens on his own, and stays in a quiet alert state is a reassuring sign of neurological gains and healthy development.
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A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?
- A. #ERROR!
- B. Potassium level of 3.5mEq/L
- C. Crackles in the lungs are no longer heard
- D. Jugular vein distention
Correct Answer: C
Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.
Which of the following statements best describes the benefit of using an occupation-centered practice model?
- A. Addresses the unique value of occupation
- B. Provides intervention protocols
- C. Provides specific intervention activities
- D. Addresses children's limitations in skills
Correct Answer: A
Rationale: An occupation-centered practice model focuses on the unique value of engaging in meaningful and purposeful activities, known as occupations. By addressing the significance of occupation in an individual's life, this model emphasizes the importance of activities that hold personal meaning and relevance. Understanding and incorporating the value of occupation can lead to more client-centered and holistic interventions that promote health and well-being.
During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:
- A. electrolyte disturbances.
- B. immune deficiencies.
- C. pulmonary hypertension.
- D. respiratory tract infections.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The American Academy of Pediatrics (AAP) recommends the fasting total cholesterol level is elevated when serum cholesterol is
- A. ≥150 mg/dL
- B. ≥175 mg/dL
- C. ≥200 mg/dL
- D. ≥225 mg/dL
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?
- A. Necrotizing enterocolitis (NEC)
- B. Ulcerative colitis (UC)
- C. Crohn's disease
- D. Appendicitis
Correct Answer: B
Rationale: Ulcerative colitis is a type of inflammatory bowel disease characterized by recurrent abdominal pain, diarrhea, and bloody stools. The symptoms described align with the clinical presentation of ulcerative colitis, making it the most likely diagnosis in this scenario. Necrotizing enterocolitis primarily affects premature infants, Crohn's disease typically presents with non-bloody diarrhea, and appendicitis is characterized by right lower quadrant abdominal pain. Therefore, based on the symptoms provided, ulcerative colitis is the most appropriate suspicion.