All the following are parasomniac disorders EXCEPT

Correct Answer: D

Rationale: Nightmares are not classified as parasomnias but as dream disturbances.

Correct Answer: A

Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.

Correct Answer: A

Rationale: Oral antihistamines are the first-line treatment for acute urticaria to relieve itching and reduce hives.

Correct Answer: C

Rationale: Epstein-Barr virus is less commonly associated with postinfectious arthritis.

Correct Answer: B

Rationale: The burning of fossil fuels releases significant amounts of greenhouse gases into the atmosphere, which is the primary driver of climate change.

Correct Answer: C

Rationale: Sulfonamides are a well-known cause of Stevens-Johnson syndrome, a severe hypersensitivity reaction.

Correct Answer: D

Rationale: Young age at diagnosis is generally associated with a favorable prognosis.

Correct Answer: D

Rationale: Choanal atresia is a congenital nasal obstruction that causes cyanosis that worsens with feeding and improves with crying, since crying opens the mouth for breathing. Bilateral atresia requires urgent intervention.

Correct Answer: D

Rationale: Lumbosacral agenesis is not one of the most common congenital anomalies in infants of diabetic mothers. Common anomalies include cardiac defects, neural tube defects, and others.