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Medicine
College
which of the following statements is true? question 5 options: dietitians use daily values to determine the nutritional adequacy of americans' diets. if you do not consume 100% of the rda for vitamin c each day, you have a high risk of developing the vitamin's deficiency disease. dietitians use myplate as the standard for assessing a population's nutrient adequacy. the rda for vitamin e meets the needs of nearly all healthy persons.
Medicine
College
. the primary care pediatric nurse practitioner is performing a well child examination on a 12yearold child who was diagnosed with type 1 diabetes at age 9. the child had a lipid screen at age 10 with an ldl cholesterol
Medicine
College
which of the following statements is true? the term medically fragile is used to describe all children with special health care needs. a child can move in and out of the medically fragile status. most children who are medically fragile do not attend their neighborhood schools. the term medically fragile typically refers to students with three primary chronic illnesses: asthma, cystic fibrosis, and childhood cancer.
Medicine
College
the healthcare provider prescribes an iv infusion of ringer's lactate 1,000 ml with 30 units of pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. the tubing has been changed to a 20 gtt/ml administration set. the nurse plans to set the flow rate at how many gtt/minute?
Medicine
College
an 80-year-old patient who is overweight andsedentary has developed elevated fastingglucose levels (142, 153, and 147 mg/dl). shewas diagnosed with diabetes today.considering her age, how should the nursepractitioner proceed
Medicine
College
medical control gives you an order that seems inappropriate for the patient's condition. after confirming that you heard the physician correctly, you should: select one: a. advise the physician that the order is unclear and ask for clarification. b. obtain consent from the patient and then carry out the order as usual. c. state that you will not carry out the order because it is inappropriate. d. carry out the order and then carefully document it on the run form.
Medicine
College
you are called to a 'patient down' at a private residence. as you get inside and into the back bedroom, you can see that there is a woman face down and motionless. she does not appear to be conscious and there is a pool of saliva next to her head. your partner maintains spinal precautions as you roll her onto her back. the husband states that she has a history of heart problems, takes a lot of medications, and has no allergies. what would you do next?
Medicine
College
a patient with a history of chronic obstructive pulmonary disease and type 2 diabetes has been treated for pneumonia for the past week. the patient has been receiving intravenous corticosteroids as well as antibiotics as part of his therapy. at this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated. what is the best explanation for this elevation?
Medicine
College
Which of the following are types of dreams a person might have? (Check all that apply)symbolic dreamspredictive dreamsrecurring dreamsdaydreamsnightmareslucid dreams
Medicine
College
The FDA requires nitrite-containing foods to be supplemented with antioxidants to counteractA)the lack of vital vitamins and minerals.B)asthma, headaches, and immune reactions after eating nitrites.C)breathing difficulties and heart palpitations caused by nitrites.D)carcinogenic nitrosamines produced when nitrites are cooked.
Medicine
College
A client has returned to the surgical unit after a mastectomy. The nurse is caring for the client should assist her in performing which of the following exercises on her affected side in the first postoperative day? (select all that apply)A. Squeezing a rolled washclothB. Flexing and extending her handC. Flexing and extending her elbowD. Rotation of her shoulderE. Hand wall climbing
Medicine
College
a 60 y/o pt who is otherwise health, present w/ acute onset of rt knee. she denies injury but report that she walked up a lot of steps yesterday. she is diagnosed w/ prepatellar bursitis. what is a common finding?
Medicine
College
a 50-year-old client is an alcoholic. the client has been diagnosed with pancreatic cancer and underwent surgery to remove the tumor. despite the tumor being removed, the physician informs the client that chemotherapy needs to be started immediately. using evidence-based practice, which intervention might the nurse expect the physician to include, with the goal of improving quality of life, mood, and median survival.
Medicine
College
you are the first unit called to the scene of an mci from a suspected carbon monoxide poisoning at a school after all the students were gone for the day. you have 2 unresponsive patients that are breathing, with no signs of trauma. two more patients are ambulatory, conscious and alert, with no injuries. one last patient on the ground is speaking in inappropriate words. the triage tags you should apply are?
Medicine
College
a client who has been npo for 3 days is receiving an infusion of dextrose 5% in 0.45% sodium chloride (d51/2 ns) with potassium chloride (kcl) 20 meq at 83 ml/hour. the client's 8-hour urine output is 400 ml, blood urea nitrogen (bun) is 15 mg/dl (5.355 mmol/l), lungs are clear bilaterally, serum glucose is 110 mg/dl ( 6.1 mmol/l), and serum potassium is 3.7 meq/l (3.7 mmol/l). which action should the nurse implement?
Medicine
College
a 16-year-old girl with a history of asthma and allergic rhinitis presents to the clinic for a pruritic rash that has been ongoing for the past 3 months. she denies any new exposures or changes to her environment. on physical exam there is a pruritic dry scaly erythematous rash that is predominately located in the flexural surfaces. she experiences dry flakey skin on a weekly basis. what is the initial treatment of choice?
Medicine
College
a child who is scheduled for a kidney transplant receives a prescription for basiliximab (simulect) 20 mg iv 2 hours prior to surgery. the medication is available in a 20 mg vial that is reconstituted by adding 5 ml sterile water for injection, and administered as a secondary infusion of normal saline 50 ml to be infused over 30 minutes. the nurse should program the infusion pump to deliver how many ml/hour?
Medicine
College
a 23-year-old woman presents with seizures. the patient received 2 mg of lorazepam by ems but continues to seize. serum lab tests show the following: sodium: 118 mmol/l potassium: 3.6 mmol/l chloride: 90 mmol/l bicarbonate: 21 mmol/l blood urea nitrogen: 10 mg/dl creatinine: 1.0 mg/dl glucose: 89 mg/dl what treatment should be administered next?
Medicine
College
a client is being treated for a lumbar spinal injury that occurred 5 days ago and is currently experiencing the symptoms of spinal shock. characteristic for this condition, the client is unable to move the lower extremities, is being closely monitored for hypotension and bradycardia, and has impaired temperature control. which would not be an expected outcome of care?
Medicine
College
a client who had mitral valve replacement surgery receives a prescription for dextrose 5% in water (d5w) 250 ml with dobutamine 0.5 grams for iv infusion at a rate of 5 mcg/kg/minute. the client weighs 75 kg. the nurse should program the infusion pump to deliver how many ml/hr?
Medicine
College
prior to providing an injection, the topical agent should remain at the site of penetration for about 4 minutes. anesthesia should be achieved to a depth of approximately 5 to 6 mm into the tissue. group of answer choices both statements are true. both statements are false. the first statement is true; the second statement is false. the first statement is false; the second statement is true.
Medicine
College
a patient with a herpes simplex infection is to receive acyclovir 325mg. the medication is provided by the pharmacy as 325mg/50ml 0.9% sodium chloride. the medication should be infused over 1 hour every 8 hours using a volumetric infusion pump. the tubing drop factor is 20 gtt/ml. the nurse should set the pump at what rate in ml per hour? round your answer to the nearest one tenth of a ml/hour.
Medicine
College
as an experiment, a person who wishes to avoid getting ill during the winter significantly boosts his or her vitamin intake by taking multiple vitamin supplements. this action could group of answer choices reduce the person's fiber intake. be dangerous, because the human body needs vitamins only in small amounts. help the person look decades younger. help the person live decades longer.
Medicine
College
an older adult client, who leads a sedentary lifestyle, and a younger client, who has a very stressful and active lifestyle, require a vaccine against a particular viral disorder. the nurse knows that in one of these clients, the vaccine will be less effective. in which client is the vaccine more likely to be less effective and why?
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