A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is

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Question 1 of 5

A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is

Correct Answer: A

Rationale: The patient shows severe signs of an eating disorder with critical physical parameters, necessitating immediate hospital admission.

Question 2 of 5

When discussing hyperlipidemia with a group of adolescents, which high level labs should the nurse explain can prevent cardiovascular disease?

Correct Answer: D

Rationale: High-density lipoproteins (HDLs) are often referred to as "good" cholesterol because they help remove other forms of cholesterol from your bloodstream, including low-density lipoproteins (LDLs) which are considered "bad" cholesterol. HDLs play a protective role in preventing cardiovascular disease as they transport cholesterol from the arteries to the liver for excretion. Therefore, having higher levels of HDL cholesterol is associated with a lower risk of heart disease, making it an important focus when discussing hyperlipidemia prevention strategies.

Question 3 of 5

A nurse is performing an assessment on a school-age child. Which findings suggest the child is getting an excess of vitamin A? (Select all that apply.)

Correct Answer: B

Rationale: A health history is a comprehensive compilation of information about a patient's health status, medical conditions, and pertinent background information. The selected data that would be included in a health history includes:

Question 4 of 5

A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which statement indicates an accurate understanding of appropriate ways to deal with this deficit?

Correct Answer: A

Rationale: Option A, "I'll play card games with my friends," indicates an accurate understanding of appropriate ways to deal with the deficit of deficient diversional activity related to decreased energy. Playing card games with friends can provide a social and mentally stimulating activity that can be easily modified based on the client's energy levels. It also promotes social interaction and emotional support, which are important aspects of diversional activities for individuals undergoing chemotherapy. This option aligns well with addressing the nursing diagnosis by engaging in a low-energy but potentially enjoyable activity that can help combat feelings of isolation and boredom.

Question 5 of 5

What is the most effective treatment for cystic fibrosis?

Correct Answer: D

Rationale: The major objective of therapy in cystic fibrosis (CF) is to promote the removal of secretions from the lungs. Chest physiotherapy, which involves postural drainage, vibration, and percussion, has been the mainstay of treatment for CF patients. This technique helps loosen and clear mucus from the airways, reducing the risk of lung infections and improving respiratory function. Aerobic exercise is also effective in clearing the airways and is an essential part of the treatment plan for CF patients. While prophylactic antibiotics may be used for early signs of infection, they are not the most effective treatment for CF. Nebulized bronchodilators do not provide long-term benefits for CF patients. Heart-lung transplant may be considered for some CF patients, but it is not a suitable option for most individuals due to various limitations and availability issues. Therefore, the most effective treatment for cystic fibrosis is

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