You are meeting a couple who are going to adopt a 1-year-old girl; they are asking you about medical investigations that are needed for the child before adoption. Of the following, the LEAST likely required investigation for the adoption of this girl is

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Question 1 of 5

You are meeting a couple who are going to adopt a 1-year-old girl; they are asking you about medical investigations that are needed for the child before adoption. Of the following, the LEAST likely required investigation for the adoption of this girl is

Correct Answer: C

Rationale: Screening for sexually transmitted diseases is less likely to be required in a 1-year-old unless there is specific concern for abuse or neglect.

Question 2 of 5

which of the following best describes acute glomerulonephritis?

Correct Answer: B

Rationale: Acute glomerulonephritis is an inflammatory kidney disease that typically follows a streptococcal infection, such as strep throat or skin infection caused by group A beta-hemolytic streptococcus. The infection triggers the body's immune response, leading to the deposition of immune complexes in the glomeruli of the kidneys. This results in inflammation, damage to the glomeruli, and impaired kidney function. Symptoms of acute glomerulonephritis may include hematuria (blood in the urine), proteinuria (protein in the urine), edema, hypertension, and decreased urine output. It is important to diagnose and manage acute glomerulonephritis promptly to prevent complications and promote recovery. Other answer choices do not accurately describe the typical etiology or presentation of acute glomerulonephritis.

Question 3 of 5

Acidosis in renal failure is more likely to be associated with which of the following:

Correct Answer: D

Rationale: Acidosis in renal failure is associated with a wide anion gap due to the accumulation of unmeasured anions like sulfates and phosphates, which the kidneys fail to excrete effectively.

Question 4 of 5

Rodolfo, an 85 year old, is admitted for comtinuous cramping pain as the result of intermittent claudication. When conducting an initial physical assessment, the nurse is unable to palpate the pedal pulses. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: In this scenario, the nurse's first action should be to obtain a Doppler ultrasound device to assess the pedal pulses. If the nurse was unable to palpate the pedal pulses initially, the use of a Doppler can help in accurately identifying the pulses. It is essential to confirm the absence or presence of peripheral pulses before taking any further actions. This will provide crucial information for the physician to determine the appropriate course of treatment. Conducting a Doppler assessment will assist in evaluating the severity of the situation and guide the next steps in the patient's care plan.

Question 5 of 5

The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is

Correct Answer: C

Rationale: Behavioral insomnia involves resistance to bedtime routines.

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