A 12 hour old male infant appears hypotonic with generalized muscle weakness and absent deep tendon reflexes. There is no family history of neuromuscular disease. Which of the following would be the first step in diagnostic evaluation?

a. creatinine phosphokinase (CPK) level
b. electromyography
c. muscle biopsy


Answer: a. creatinine phosphokinase (CPK) level

Nursing

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The nurse is teaching a patient about hemodialysis. How should the nurse explain this process?

remove waste products as well as correct fluid and electrolyte imbalances. 2. It allows a choice of either diffusion osmosis or ultrafiltration to remove excess water from the body. 3. It adds potassium to the blood when passing through the dialyzer and works on the principle of diffusion. 4. It will add electrolytes and water to the blood when passing through a semipermeable membrane to correct electrolyte imbalances.

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To increase one's creativity, it might behoove people to spend more time:

A. Telling jokes and funny stories B. Working on crossword and Sudoku puz-zles C. Using reflective practice D. Performing magic tricks

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Which test should the patient undergo when the Weber test is positive?

a. Romberg test b. Rinne test c. Pure tone audiometry d. Tympanometry

Nursing

A client will receive I.V. midazolam hydrochloride (Versed) during surgery. Which of the following should the nurse determine as a therapeutic effect?

a) Nausea. b) Mild agitation. c) Blurred vision. d) Amnesia.

Nursing