Nokea
A child is being cared for by a nurse and has rheumatic fever. Which of the following actions should the nurse plan to take?
- A. Administer aspirin to the child as prescribed, based on the healthcare provider's instructions.
- B. Encourage adequate fluid intake for the child.
- C. Elevate the child's joints and provide warm compresses.
- D. Monitor the child's heart rate for dysrhythmias.
Correct Answer: D
Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever.
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The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?
- A. Bacteriuria and increased specific gravity
- B. Hematuria and proteinuria
- C. Proteinuria and decreased specific gravity
- D. Bacteriuria and hematuria
Correct Answer: B
Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.
For which patient diagnosis would a prescription for nifedipine be least appropriate?
- A. Angina Pectoris
- B. Essential HTN
- C. Atrial Fibrillation
- D. Vasospastic Angina
Correct Answer: C
Rationale: Nifedipine primarily acts as a calcium channel blocker. It lacks significant effects on the calcium channels of the heart, making it ineffective for treating dysrhythmias like Atrial Fibrillation. Nifedipine is commonly used in conditions such as angina pectoris, essential hypertension, and vasospastic angina due to its vasodilatory effects and anti-anginal properties.
The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning care for a school-age child who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?
- A. Administer aspirin as needed for fever.
- B. Avoid venipunctures whenever possible.
- C. Encourage the child to participate in contact sports.
- D. Administer ibuprofen for pain.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.