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while planning therapeutic care for type ï‰ diabetes mellitus you would expect treatment plan to include:
- A. oral hypoglycemic agents
- B. more physical exercises only
- C. dietary regimen only
- D. insulin injection
Correct Answer: D
Rationale: Type 1 diabetes mellitus is characterized by the body's inability to produce insulin. Therefore, the mainstay of treatment for type 1 diabetes is insulin therapy. Insulin injections are necessary to replace the insulin that the body is unable to produce on its own. While physical exercise and dietary management are important components of managing diabetes, in the case of type 1 diabetes, insulin is an essential part of the treatment plan to control blood glucose levels effectively and prevent complications. Oral hypoglycemic agents, on the other hand, are typically used in the treatment of type 2 diabetes, where the body's insulin production may be insufficient or ineffective.
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For which of the ff conditions would the use of salt tablets be considered?
- A. a. Mild deficits of serum sodium
- B. Severe deficits of serum magnesium
- C. Severe deficits of serum potassium
- D. Severe deficits of serum calcium
Correct Answer: A
Rationale: Salt tablets should be considered for mild deficits of serum sodium. Salt tablets contain sodium chloride, which helps increase the sodium levels in the body. In cases of mild deficits of serum sodium, also known as hyponatremia, salt tablets can help replenish the sodium levels and correct the electrolyte imbalance. However, for severe deficits of serum magnesium, potassium, or calcium, other specific electrolyte replacement therapies are usually preferred over salt tablets. It is important to consult a healthcare professional for proper diagnosis and treatment of electrolyte imbalances.
A nurse is assessing a preterm newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)
- A. Minimal gastric residual
- B. Abdominal distention
- C. Apnea
- D. Urinary output at 2 ml/kg/hr
Correct Answer: B
Rationale: Abdominal distention: NEC is characterized by abdominal distention due to gas and fluid accumulation in the intestines, leading to a bloated appearance of the abdomen.
What is a psychological effect of being obese during adolescence?
- A. Sexual promiscuity
- B. Poor body image
- C. Feelings of contempt for thin peers
- D. Accurate body image but self-deprecating attitude
Correct Answer: B
Rationale: The psychological effect of being obese during adolescence often includes a poor body image. Adolescence is a critical period for body image development, and being obese can lead to negative perceptions about one's appearance and self-worth. Individuals who are obese may experience low self-esteem, perpetuated by societal stereotypes and stigmas surrounding body weight. This poor body image can contribute to mental health issues such as depression and anxiety, as well as impact social relationships and overall well-being during this crucial stage of development.
The BEST implication of a 6-month-old baby's visuomotor coordination is
- A. voluntary release of objects
- B. comparison ability of small objects
- C. increasing ability to explore objects
- D. autonomy of actions
Correct Answer: A
Rationale: Voluntary release is a key milestone in visuomotor coordination at this age.
The nurse teaches a patient how to live with a new tracheostomy. Which of the ff. instructions is appropriate?
- A. "Never suction your tracheostomy; you might damage your trachea."
- B. ""You should not feel bad about the tracheostomy – you should be feel lucky to be alive."
- C. "Be sure to protect your tracheostomy from pollutants such as powders, hair and chemicals."
- D. "Your tracheostomy will be cleaned each time you visit your doctor."
Correct Answer: C
Rationale: Option C, "Be sure to protect your tracheostomy from pollutants such as powders, hair and chemicals," is the most appropriate instruction for a patient with a new tracheostomy. It is important to keep the tracheostomy site clean and free from any potential irritants or contaminants that could cause infection or complications. Powders, hair, and chemicals can lead to irritation or clogging of the tracheostomy tube, so it is crucial for the patient to be mindful of avoiding such pollutants near the tracheostomy site.