Burns Pediatric Primary Care Test Bank

Burns Pediatric Primary Care Test Bank Related

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A male client is prescribed medications that depress thrombocytes. The nurse should monitor for which of the ff signs and symptoms in the client?

  • A. Sore throat and swollen glands
  • B. Pernicious anemia with weakness
  • C. Bleeding gums and dark tarry tools
  • D. Thickening of blood and bruising
Correct Answer: C

Rationale: Thrombocytes, also known as platelets, play a crucial role in blood clotting. Medications that depress thrombocytes can lead to decreased clotting ability and an increased risk of bleeding. Therefore, monitoring for signs and symptoms of bleeding is essential. Bleeding gums and dark tarry stools are indicative of bleeding in the oral cavity and gastrointestinal tract, respectively, and are key indicators to watch for in a client taking medications that depress thrombocytes. Options A, B, and D are not directly related to the impact of thrombocyte depression on clotting function.

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The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

  • A. teratoma
  • B. germinoma
  • C. endodermal sinus tumor
  • D. embryonal carcinoma
Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?

  • A. Risk for aspiration
  • B. Impaired oral mucous membrane
  • C. Deficient fluid volume
  • D. Imbalanced nutrition: Less than body requirements
Correct Answer: B

Rationale: Gastroesophageal reflux (GER) primarily involves issues with the digestive system, such as regurgitation of stomach contents into the esophagus. Impaired oral mucous membrane is not directly related to GER. The other nursing diagnoses are more relevant and applicable in a case of GER:

In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT

  • A. liver
  • B. spleen
  • C. lung
  • D. hematopoietic system
Correct Answer: C

Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.

The LEAST important advice for a 2-month-old baby with excessive crying is

  • A. master the situation in relaxed manner
  • B. adhere to precry cues
  • C. change milk formula
  • D. avoid sensory overstimulation
Correct Answer: C

Rationale: Changing formula is less critical if the baby is gaining weight adequately.

Which is a function of brown adipose tissue (BAT) in the newborn?

  • A. Provides ready source of calories in the newborn period
  • B. Insulates the body against lowered environmental temperature
  • C. Protects the newborn from injury during the birth process
  • D. Generates heat for distribution to other parts of body
Correct Answer: D

Rationale: Brown adipose tissue (BAT) is specialized adipose tissue found in newborns and hibernating mammals, whose primary function is to generate heat through non-shivering thermogenesis. This heat generation is essential for maintaining body temperature in newborns, especially as they have a larger surface area-to-volume ratio, which results in greater heat loss compared to adults. BAT produces heat by metabolizing stored lipids and disrupting the normal process of cellular respiration, leading to the production of heat instead of ATP. The heat generated by BAT is then distributed throughout the body to help maintain a stable core body temperature in newborns, who are not yet able to regulate their body temperature as effectively as adults.

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