A 12-month-old toddler weighing 18 pounds is brought to the clinic because of weakness, slow physical growth, and developmental delays. His mother reports that the only food he will con-sume is cow's milk
The symptoms support a diagnosis of which form of anemia?
a. Pernicious
b. Iron deficiency
c. Aplastic
d. Hemolytic
ANS: B
As many as one-third of infants with severe iron deficiency anemia have chronic intestinal blood loss induced by exposure to a heat-labile protein in cow's milk. Such exposure causes an inflam-matory gastrointestinal reaction that damages the mucosa and results in diffuse hemorrhage. This situation does not lead to pernicious anemia, aplastic anemia, or to hemolytic anemia.
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The school nurse is approached by an 8-year-old student. The student says that he learned in science class that the outer layer of the skin is dead cells
The student wants to know which of his cells is going to die so they can be covered with skin. What would be the nurse's best response? A) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called keratin cells." B) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called melanocytes." C) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Merkel cells." D) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Langerhans' cells."
When assessing a patient, which of the following would the nurse identify as least likely indicating malnutrition?
1. Frequent bouts of infection 2. Low weight-for-height value 3. Slow wound healing 4. Hyperactivity
Parents are in the pediatric clinic with their infant for a 1-month checkup. Which assessment question regarding immunizations should the nurse ask the infant's parents?
1. "Did your baby receive the influenza vaccine prior to hospital discharge?" 2. "Did your baby receive the hepatitis B vaccine prior to hospital discharge?" 3. "Did your baby receive the rubella vaccine prior to hospital discharge?" 4. "Did your baby receive the rotavirus vaccine prior to hospital discharge?"
A patient who was fired because of habitual tardiness believes the boss was making a big deal out of nothing. Which cognitive distortion should the nurse identify that this patient is exhibiting?
1. Arbitrary inference 2. Selective abstraction 3. Overgeneralization 4. Magnification/minimization