Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
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Solution
Answer D is correct. The lesions of impetigo resolve in 2 weeks, and it will be safe for the child to return to school. Answers A, B, and C are incorrect because the lesions will still be present and the child will be contagious.
The mother of a child with impetigo asks the nurse when her child will be able to return to school. The nurse’s response is based on the knowledge that the lesions of impetigo resolve in:
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Solution
Answer C is correct. Pancreatic enzyme replacement is given to facilitate the digestion of fats, proteins, and carbohydrates. Therefore, if the amount of pancreatic enzyme is adequate, the client will have an increase in weight. Answer A is incorrect because pancreatic enzyme replacement has no effect on respiratory function. Answer B is incorrect because pancreatic enzyme replacement does not decrease sodium excretion. Answer D is incorrect because pancreatic enzyme replacement does not decrease chloride excretion.
A child with cystic fibrosis takes pancreatic enzymes with each of his meals and between meal snacks. Which finding indicates that the prescribed amount of pancreatic replacement is adequate?
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Solution
Answer D is correct. The client can help prevent heartburn by avoiding caffeinated beverages. Answers A and C are incorrect because the client should sleep on her left side with her head elevated on several pillows. Answer B is incorrect because eating dry crackers at bedtime can increase problems with heartburn.
The nurse is teaching the pregnant client ways to prevent heartburn. The nurse should tell the client to:
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Solution
Answer D is correct. Fetal heart tones can be heard using a fetoscope as early as 18 weeks gestation. Answers A, B, and C are incorrect because fetal heart tones cannot be heard using a fetoscope before 18 weeks gestation.
Fetal heart tones can be heard using a fetoscope as early as:
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Solution
Answer B is correct. Amniotic fluid is straw colored in appearance. Answer A is incorrect because it indicates active bleeding. Answer C is incorrect because it indicates the passage of meconium, which is associated with fetal distress. Answer D is incorrect because the discharge should be straw colored, not dark brown in appearance.
An obstetrical client is admitted in active labor. When the membranes rupture, the nurse would expect to find:
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Solution
Answer A is correct. The child with Duchenne’s muscular dystrophy must use Gower’s maneuver to rise to a standing position. The child puts his hands on his knees and moves the hands up the legs until he is standing. Answer B is incorrect because it refers to the child with Osgood-Schlatter disease. Answer C is incorrect because it refers to the child with lordosis. Answer D is incorrect because it refers to the child with Legg-Calve-Perthes disease.
Which of the following signs is characteristic of the child with Duchenne’s muscular dystrophy?
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Solution
Answer B is correct. Rheumatic fever is associated with a history of a sequella to strep throat. Answers A, C, and D are not associated with rheumatic fever; therefore, they are incorrect.
A 6-year-old is admitted with suspected rheumatic fever. Which finding is associated with rheumatic fever?
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Solution
Answer A is correct. Acute otitis media is characterized by elevations in temperature as high as 104°F. Pain in the affected ear, nausea and vomiting, and feelings of fullness characterize both chronic otitis media and acute otitis media; therefore, answers B, C, and D are incorrect.
Which symptom differentiates chronic otitis media from acute otitis media?
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Solution
Answer C is correct. The client’s own desire to become drug-free has the most influence on recovery and sobriety. Answers A, B, and D are important factors, but they do not have the greatest influence on the client’s recovery; therefore, they are incorrect.
Which one of the following factors has the greatest influence on the recovery and sobriety of a client with a chemical addiction?
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Solution
Answer D is correct. Eczematous lesions are more common on the cheeks and extensor surfaces of the arms and legs. Answer A is incorrect because the abdomen is not a common site of eczematous lesions. Answer B is incorrect because the buttocks, abdomen, and back are not common sites of eczematous lesions. Answer C is incorrect because the back and flexor surfaces of the arms and legs are not common sites of eczematous lesions.