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A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is
- A. admission to the hospital
- B. referral to psychiatrist
- C. referral to dietician
- D. make an scheduled OP visit to you and to psychiatrist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Which best describes the electrolyte imbalance in chronic renal failure (CRF)?
- A. Decreased serum phosphorus and calcium levels.
- B. Calcium and phosphorus are drawn from the bones due to hypocalcemia.
- C. Calcium remains in the bones due to structural change.
- D. Poor nutrition causes overall electrolyte depletion.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
- A. Vital signs and neurologic checks hourly
- B. Small, frequent formula feedings
- C. Elevate the head of the bed
- D. Daily head circumference measurements
Correct Answer: C
Rationale: Elevating the head of the bed in a child with hydrocephalus can potentially increase intracranial pressure. This can be counterproductive and may lead to complications after shunt placement surgery. Keeping the head of the bed flat or slightly elevated is often recommended to optimize cerebral perfusion and reduce the risk of increased intracranial pressure.
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
- A. Taking over total care of the child to reduce stress on the family
- B. Encouraging family dependence on health care systems
- C. Recognizing that the family is the constant in a child's life
- D. Excluding families from the decision-making process
Correct Answer: C
Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.
Which is an appropriate action when an infant becomes apneic?
- A. Shake vigorously
- B. Roll head side to side
- C. Hold by feet upside down with head supported
- D. Gently stimulate trunk by patting or rubbing
Correct Answer: D
Rationale: When an infant becomes apneic (stops breathing), the appropriate action is to gently stimulate the trunk by patting or rubbing. This can help stimulate the infant to resume breathing. It is important to avoid any rough handling or shaking as this can cause harm to the infant. Rolling the head side to side or holding the infant by the feet upside down is not recommended in this situation and could potentially be dangerous. Gently stimulating the trunk is a safe and appropriate response to help the infant start breathing again.
In pediatric basic life support, the rescuer resuscitates the collapsed child
- A. Oxygen should be given early
- B. He should be a medical person
- C. Activate basic life support chain
- D. Begin with DC shock
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.