Nokea
A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (Aquazide)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct Answer: A
Rationale: Furosemide (Lasix) is a loop diuretic that acts on the ascending loop of Henle in the kidney to increase calcium excretion. In the setting of hypercalcemia, where there is an elevated level of calcium in the blood, Furosemide can help promote the elimination of excess calcium through the urine, thereby aiding in the management of hypercalcemia.
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Acidosis in renal failure is more likely to be associated with which of the following:
- A. Hypochloremia
- B. Hypokalemia
- C. Hypernatremia
- D. Wide anion gap
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?
- A. Fasciculations
- B. Chorea
- C. Atrophy
- D. Neuropathy
Correct Answer: A
Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Contact lenses are associated with
- A. contact allergy
- B. allergic conjunctivitis
- C. vernal keratoconjunctivitis
- D. giant papillary conjunctivitis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is an initial sign of nephrosis that the nurse might note in a child?
- A. Raspberry-like rash
- B. Periorbital edema
- C. Temperature elevation
- D. Abdominal pain
Correct Answer: B
Rationale: In nephrotic syndrome, edema is a common symptom that is generalized and not easily noticeable, even by parents. However, an early sign that can be assessed by the nurse is periorbital edema, which refers to swelling around the eyes. This can be an initial indicator of nephrosis and may prompt further evaluation and intervention.