A thyroid screen of a 36 hour preterm neonate shows low T4 and elevated TSH. This neonate should:
a. be tested for maternal-thyroid stimulating antibodies
b. have confirmatory serum testing
c. have serum thyroid releasing hormone level
Answer: b. have confirmatory serum testing
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A mother asks the nurse how acetaminophen works. What statement best describes the therapeutic action of acetaminophen?
A) Acetaminophen (Tylenol) works by blocking the increase of interleukin-1. B) Acetaminophen reacts with free-floating tumor necrosis (TNF) factor released by active leukocytes. C) Acetaminophen acts directly on the hypothalamus to cause vasodilation and sweating. D) Acetaminophen is taken up by macrophages, thus inhibiting phagocytosis and release of lysosomal enzymes.
The nurse caring for which client would question an order for acyclovir (Zovirax)?
1. Client with hepatitis B 2. Client with varicella-zoster 3. Client with herpes simplex 2 encephalitis 4. Client with cytomegalovirus
Identify the causes of constipation.
A. Emotional disturbances that alter the parasympathetic control of the intestines B. Stressful situations that result in sympathetic stimulation and decrease intestinal motility C. Poorly developed toilet habits and diets low in fiber D. All of these
Which of the following patients is at greatest risk for developing a pressure ulcer?
A. 26-year-old man paraplegic with pneumonia B. 64-year-old woman in Buck's traction C. 14-year-old boy on a ventilator D. 56-year-old woman with breast cancer