Nokea
Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
- A. Sweating
- B. Tremors
- C. Pallor
- D. Thirst
Correct Answer: D
Rationale: The correct answer is D: Thirst. Hyperglycemia results in elevated blood sugar levels, leading to increased osmolality and dehydration, triggering thirst as the body attempts to dilute the blood. Sweating (A), tremors (B), and pallor (C) are not typically associated with hyperglycemia. Sweating is more commonly seen in hypoglycemia, tremors can be a sign of low blood sugar, and pallor is not a direct symptom of high blood sugar levels.
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The nurse should teach the parents to take which of the following actions during a seizure?
- A. Minimize movement of the limbs.
- B. Clear the area of hard objects.
- C. Place the child in a prone position.
- D. Insert a tongue blade between the teeth.
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. This action is crucial during a seizure to prevent injury. Hard objects can cause harm if the child hits them during convulsions. Minimizing limb movement is not recommended as it may lead to further injury. Placing the child in a prone position can obstruct breathing and should be avoided. Inserting a tongue blade can also cause harm and is not recommended. Clearing the area of hard objects is the most effective way to ensure safety during a seizure.
The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
- A. Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood.
- B. Hemodialysis uses an electrolyte solution to clean your child's blood.
- C. Hemodialysis uses an artificial membrane outside the body to clean your child's blood.
- D. Hemodialysis slowly filtrates your child's blood continuously.
Correct Answer: C
Rationale: The correct answer is C. Hemodialysis uses an artificial membrane outside the body to clean the child's blood. This is because hemodialysis involves the process of blood being filtered through a machine that uses a synthetic membrane to remove wastes and excess fluids. This process mimics the function of the kidneys in filtering the blood.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane, it uses an external artificial membrane. Choice B is incorrect as hemodialysis does not involve the use of an electrolyte solution to clean the blood. Choice D is incorrect because hemodialysis is not a continuous filtration process, it is done intermittently during treatment sessions.
7 year old with UTI intervention?
- A. Monitor salicylic acid?
- B. Monitor Pain s fever
Correct Answer: B
Rationale: The correct answer is B: Monitor Pain and Fever. In a 7-year-old with a UTI, monitoring pain and fever is crucial as these symptoms indicate the severity of the infection and response to treatment. Pain and fever can also help in assessing the effectiveness of antibiotics. Monitoring salicylic acid is not relevant as it is not commonly used in UTI management in children due to the risk of Reye's syndrome. The other choices are not provided, but they would likely be incorrect as they are unrelated to UTI management in a 7-year-old.
The nurse should identify which of the following findings as a potential indicator of physical abuse?
- A. Front deciduous teeth missing
- B. Weight in 45th percentile
- C. Bruising around the wrists
- D. Abrasions on the knees
Correct Answer: C
Rationale: The correct answer is C, bruising around the wrists. This is indicative of physical abuse as it suggests grabbing or restraining. Front deciduous teeth missing (A) is more likely due to normal tooth loss. Weight in 45th percentile (B) is within a healthy range. Abrasions on the knees (D) are common in children.
Which of the following actions should the nurse take to encourage acceptance of the medication?
- A. Provide an ice pop after administering the medication.
- B. Give 4 oz of milk with the medication.
- C. Mix the medication with the child's favorite food.
- D. Dilute the medication with 8 oz of water.
Correct Answer: A
Rationale: The correct answer is A. Providing an ice pop after administering the medication can create a positive association with taking the medication. The cold sensation and flavor can help mask any unpleasant taste, making the child more likely to accept the medication. Choice B might not be effective as milk may interfere with the medication's absorption. Choice C could work if the child does not detect the medication in the food. Choice D is not ideal as diluting the medication may reduce its effectiveness.