Nokea
A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?
- A. Proper administration of thyroid hormone
- B. Proper administration of human growth hormones
- C. Child's self-esteem and sense of competence
- D. Helping child understand that his height is most likely caused by chronic illness and is not his fault
Correct Answer: C
Rationale: The nurse should be most concerned about the child's self-esteem and sense of competence. A 12-year-old male with short stature due to a constitutional growth delay may experience feelings of inadequacy or embarrassment because of his height. It is important for the nurse to address these emotional aspects of the condition and support the child in developing a positive self-image. By promoting the child's self-esteem and sense of competence, the nurse can help the child navigate any challenges associated with his height and build confidence in his abilities and worth as an individual.
You may also like to solve these questions
The LEAST helpful advice for a 10-month-old baby refusing spoon feeding is
- A. respect infant independence
- B. offer softer diet
- C. use 2 spoons (1 for child and 1 for parent)
- D. use finger foods
Correct Answer: B
Rationale: Offering softer diet may not address refusal due to developmental factors.
In JRA, the autoimmune reaction primarily occurs in the:
- A. joint tendons.
- B. cartilage.
- C. synovial tissue.
- D. interstitial space.
Correct Answer: C
Rationale: In Juvenile Rheumatoid Arthritis (JRA), which is now referred to as Juvenile Idiopathic Arthritis (JIA), the autoimmune reaction primarily occurs in the synovial tissue of the joints. The synovial tissue lines the inside of the joint capsule and produces synovial fluid, which helps to lubricate and nourish the joint. In JIA, the immune system mistakenly targets the synovial tissue, leading to inflammation, pain, and damage to the joints. This inflammatory process can result in swelling, warmth, stiffness, and eventual joint destruction if left untreated. Therefore, the synovial tissue is the primary site of the autoimmune reaction in JRA/JIA.
Which white blood cells are involved in releasing histamine during an allergic reaction?
- A. Basophils
- B. Monocytes
- C. Eosinophils
- D. Neutrophils
Correct Answer: A
Rationale: Basophils are a type of white blood cell that are involved in releasing histamine during an allergic reaction. When an allergen triggers the immune system, basophils release histamine and other chemical mediators. Histamine plays a key role in the inflammatory response associated with allergies, leading to symptoms such as itching, hives, and swelling. Basophils are known for their role in allergic reactions and are an important part of the body's defense against parasites and in the inflammatory response.
a definitive diagnosis of sickle cell disease is based on which diagnostic result
- A. complete blood count (CBC )
- B. bone marrow aspiration
- C. blood chemistry test
- D. hemoglobin electrophoresis 128
Correct Answer: D
Rationale: A definitive diagnosis of sickle cell disease is based on hemoglobin electrophoresis. This test separates the different types of hemoglobin based on their electrical charge, allowing for the detection of abnormal hemoglobin variants such as hemoglobin S, which is characteristic of sickle cell disease. A complete blood count (CBC) can show various abnormalities seen in sickle cell disease, but it is not specific for confirming the diagnosis. Bone marrow aspiration is not routinely used for diagnosing sickle cell disease. Blood chemistry tests may reveal some complications associated with sickle cell disease but do not confirm the condition itself. Hemoglobin electrophoresis is the gold standard for diagnosing sickle cell disease by identifying the specific hemoglobin variant characteristic of the disorder.
An 18-year-old with a groin rash and itching is worried about having an STD and does not want his parents to know. What should the nurse say?
- A. We will need to contact your parents.
- B. We will not contact your parents regarding this visit.
- C. Who would you like us to contact about your visit today?
- D. We cannot promise that the hospital will not contact your parents.
Correct Answer: B
Rationale: Adolescents have the right to privacy regarding sexual health, unless there is a risk to life.