var quotes=new Array()

//change the quotes if desired. Add/ delete additional quotes as desired.

quotes[0]='Group A Beta-hemolytic streptococci may cause rheumatic heart disease, tonsillitis and glomerulonephritis'

quotes[1]='In a postmenopausal woman receiving cyclical estrogen, the best time for BSE is the last day that she is not taking the estrogen'

quotes[2]='Breast self-examination is one of the most important health habits to teach a female patient.  It should be done on the 5th to 7th day of the menstrual period because that is when hormonal effects, which can cause breast lumps and tenderness, are reduced.'

quotes[3]='Diaphragmatic hernia is one of the most urgent neonatal surgical emergencies.  By compressing and displacing the lungs and heart, this disorder can cause respiratory distress shortly after birth'

quotes[4]='Polycythemia vera causes pruritus, painful fingers and toes, hyperuricemia, plethora (reddish purple skin and mucosa), weakness and easy fatigability'

quotes[5]='To insert a nasogastric tube, the nurse should first instruct the patient to tilt the head back slightly and then insert the tube.  When the tube is felt curving at the pharynx, the nurse should tell the patient to tilt the head forward to close the trachea and open the esophagus'

quotes[6]='Ipecac syrup is the emetic of choice because of its effectiveness in evacuating the stomach and relatively low incidence of adverse reactions'

quotes[7]='Nurses should use both hands when ventilating a patient with an Ambu bag.  (One hand delivers only 400cc of air; two hands deliver 1,000cc)'

quotes[8]='Signs and symptoms of small-bowel obstruction include decreased or absent bowel sounds, abdominal distention, decreased flatus, and projectile vomiting'

quotes[9]='Recommended weight gain during pregnancy is 25 to 35 lbs (11.3 to 15.8 kg)'

quotes[10]='In supine position, a pregnant woman's enlarged uterus impairs venous return from the lower half of the body to the heart, resulting in supine hypotensive syndrome'

quotes[11]='The hemoglobin electrophoresis test differentiates between sickle cell trait and sickle cell anemia'

quotes[12]='The Guthrie test (screening for PKU) is most reliable if done between the 2nd and 6th days after birth and after the neonate has ingested protein'

quotes[13]='Nevus flammeus, or port-wine stain, is a diffuse pink to dark bluish red lesion on a neonate's face or neck'

quotes[14]='A fugue is a dissociative state in which a person leaves familiar surroundings, assumes a new identity, and develops amnesia about the previous identity'

quotes[15]='Procaine penicillin should be administered by deep IM injection in the upper outer portion of the buttocks in an adult, or in the midlateral thigh in a child.  The injection site should NOT be massaged'

quotes[16]='A positive Babinski reflex (toe fanning when the sole is stroked from heel to toe) is normal in the neonate and may persist for up to 18 months'

quotes[17]='When administering an oral medication to an infant, the nurse should place it in the side of the mouth and encourage swallowing by gently lifting the infant's chin with the thumb and stroking the infant's neck'

quotes[18]='Prostaglandin gel may be applied to the vagina or cervix to ripen an unfavorable cervix before labor induction with Oxytocin'

quotes[19]='In a neonate, a straight spine is normal; a tuft of hair over the spine is abnormal'

quotes[20]='Down syndrome (trisomy 21) is the most common chromosomal disorder'

quotes[21]='Tay-Sachs disease results from a congenital enzyme deficiency and is characterized by progressive mental and motor deterioration'

quotes[22]='Myasthenia gravis usually affects <i>young women</i>, producing these signs and symptoms: extreme muscle weakness and fatigability, difficulty chewing and talking, strabismus, and ptosis'

quotes[23]='Signs and symptoms of chlamydial infection are urinary frequency; thin, white vaginal or urethral discharge; and cervical inflammation'

quotes[24]='A 25-watt bulb should be used for a heat lamp, and the lamp should be placed 18 inches away from the treatment site'

quotes[25]='The nurse should instruct the patient not to use hair spray while wearing a hearing aid'

quotes[26]='If blood is aspirated into the syringe before an IM injection, the nurse should withdraw the needle, prepare another syringe, and repeat the procedure'

quotes[27]='A patient can control some colostomy odors by not eating such foods as fish, eggs, onions, beans and cabbages and related vegetables'

quotes[28]='While on crutches, the pressure should be placed on the hands and not on the axillae because pressure on the axillae can damage the brachial nerve and cause crutch paralysis'

quotes[29]='The nurse should place a patient with ascitis in semi-Fowler&#39;s position because it affords maximum lung expansion'

quotes[30]='When witnessing psychiatric patients in a threatening confrontation, the nurse&#39;s first action should be to instruct them to move away from each other'

quotes[31]='After MI, most patients can resume sexual activity once they can climb two flights of stairs without fatigue or dyspnea'

quotes[32]='The fundamental symptoms of schizophrenia can be grouped into 4 classifications (The 4 As): associative disturbance, affective disorder, autism and ambivalence'

quotes[33]='Signs and symptoms of rheumatic fever include chorea,carditis, migratory polyarthritis, erythema marginatum, subcutaneous nodules and fever'

quotes[34]='Protamine sulfate is the antidote for Heparin.<br> Vitamin K is the antidote for Coumadin/Warfarin'

quotes[35]='Skeletal system abnormalities and ventricular septal defects are the most common disorders of infants born to diabetic women'

quotes[36]='The causes of abdominal distention are represented by the 6 Fs: flatus, feces, fetus, fluid, fat, and fatal neoplasms'

quotes[37]='Vomiting may lead to metabolic alkalosis.<br>Diarrhea may lead to metabolic acidosis.'

quotes[38]='During an ophthalmoscopic examination, the abscence of the red reflex indicates lens opacity (cataract) or a detached retina'

quotes[39]='The heart of a child with Tetralogy of Fallot appears boot-shaped on X-ray because the right ventricle is enlarged'

quotes[40]='Aminoglycosides are natural antibiotics against gram-negative bacteria.  Common side effects include <i>nephrotoxicity</i> and <i>ototoxicity</i>'

quotes[41]='Once CPR begins, it should not be interrupted, unless the rescuer is alone and must summon help.  In such a case, the rescuer should perform CPR for 1 minute before calling for help'

quotes[42]='After maxillofacial surgery, a patient whose mandible & maxilla have been wired together should have a pair of scissors or wire cutters readily available to prevent aspiration in case vomiting occurs'

quotes[43]='After liver biopsy, the patient should lie on the right side to compress the biopsy site, which decreases the possibility of bleeding'

quotes[44]='Carpal tunnel syndrome, caused by median nerve compression, presents with weakness, pain, burning, numbness, or tingling in one or both hands'

quotes[45]='A patient who has had hip surgery should refrain from adducting and flexing his hip more than 90 degrees to prevent dislocation'

quotes[46]='The major complication of Bell&#39;s palsy is keratitis (corneal inflammation), which results from incomplete eye closure on the affected side'

quotes[47]='Meniere&#39;s disease is manifested in this triad of symptoms: vertigo, hearing loss, and  tinnitus'

quotes[48]='When climbing the stairs with crutches, start with the good leg, followed by the crutches & bad leg.<br>When descending, start with the crutches & bad leg, followed by the good leg.'

quotes[49]='Nearsightedness requires concave lenses.<br>Farsightedness requires convex lenses'

quotes[50]='A patient who has had eye surgery should not bend over, comb the hair vigorously, or engage in activity that increases intraocular pressure'

quotes[51]='A postpartal patient may resume sexual intercourse when perineal and uterine wounds have healed (usually 4 weeks after delivery)'

quotes[52]='Children normally have 20 deciduous teeth.  Adults have 32 permanent teeth'

quotes[53]='Severe pain after a cataract surgery indicates bleeding in the eye'

quotes[54]='An elderly&#39;s height may decrease because of narrowing of the intervertebral spaces and exaggerated spinal curvature'

quotes[55]='Blood that is discolored and contains gas bubbles is contaminated with bacteria and should not be transfused.  50% of those who receive contaminated blood die.'

quotes[56]='Pneumocystis carinii pneumonia normally is not considered contagious because it only affects patients with suppressed immune system.'

quotes[57]='After pneumonectomy or lobectomy, the patient should be positioned on the operative side or on the back with the head slightly elevated'

quotes[58]='A common symptom of salicylate (aspirin) toxicity is tinnitus (ringing of the ears)'

quotes[59]='Autotransfusion is referred to the collection, filtration and reinfusion of the patient&#39;s own blood'

quotes[60]='The TORCH infections are toxic to a pregnant mother&#39;s fetus.  They are Toxoplasmosis, Others (chlamydia, Group B strep, syphilis, varicella zoster), Rubella, Cytomegalovirus, and Herpes'

quotes[61]='During fetal heart monitoring, early deceleration is caused by head compression and is considered normal.  Late deceleration is an ominous sign'

quotes[62]='Most infants with cerebral palsy are long and thin, move asymmetrically, have difficulty feeding, and cry excessively or feebly.'

quotes[63]='After surgical correction of an imperforate anus, the infants should be placed in a prone position with hips elavated'

quotes[64]='Pulsus paradoxus (a pulse that becomes weak during inspiration and strong during expiration) may be a sign of cardiac tamponade'



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document.write(quotes[whichquote])