Nokea
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.
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Regarding physical growth of middle childhood (6-11 years), all are true EXCEPT
- A. 3-3.5 kg weight increment/yr
- B. 6-7 cm height increment/yr
- C. brain stops myelinization by 8 years
- D. risk for future obesity falls by 6 years
Correct Answer: D
Rationale: Risk for obesity does not necessarily fall by 6 years.
The most serious manifestation of lead intoxication is
- A. peripheral neuropathy
- B. mental retardation
- C. anemia
- D. cerebral edema
Correct Answer: D
Rationale: Cerebral edema is the most serious manifestation of lead intoxication, as it can be life-threatening.
Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia; which of the following actions should the nurse instruct the parents?
- A. Give the child honey (simple sugar).
- B. Give the child milk (complex sugar).
- C. Contact the healthcare provider before doing anything.
- D. Give the child nothing by mouth.
Correct Answer: A
Rationale: In a patient with diabetes mellitus type 1 showing symptoms of hypoglycemia, it is important to take immediate action to raise their blood sugar levels. The best way to quickly raise blood sugar levels in a hypoglycemic patient is by giving them a simple sugar, such as honey, fruit juice, or glucose tablets. These sugars are rapidly absorbed into the bloodstream, providing a quick source of energy to the body. Milk, which was mentioned in option B, contains complex sugars and fats that may delay the increase in blood sugar levels. It is crucial to act promptly in a hypoglycemic situation, as untreated hypoglycemia can lead to serious complications, including seizures and loss of consciousness. Contacting the healthcare provider before giving treatment, as in option C, may cause dangerous delays in addressing the low blood sugar situation. Option D, giving the child nothing by mouth, is not appropriate in this scenario as it can wors
A client with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty six-hours later, the client's urine output suddenly rises above 200mL/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?
- A. Above-normal urine and serum osmolality levels
- B. Below-normal urine and serum osmolality levels
- C. Above-normal urine osmolality level, below-normal serum osmolality level
- D. Below- normal urine osmolality level, above-normal serum osmolality level
Correct Answer: B
Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to adequately concentrate urine, leading to excessive dilute urine production. In diabetes insipidus, both urine and serum osmolality levels are typically below normal due to the dilution of urine. When urine output suddenly rises above 200mL/hour in a client with severe head trauma, it may indicate diabetes insipidus, especially if the urine and serum osmolality levels are below normal. This abnormality in osmolality levels is due to the impaired ability of the kidneys to concentrate urine, resulting in decreased urine osmolality and subsequent dilution of the serum osmolality.
A parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?
- A. Encourage parent to verbalize feelings.
- B. Encourage parent not to worry so much.
- C. Assess parent for other signs of inadequate parenting.
- D. Reassure parent that colic rarely lasts past age 9 months.
Correct Answer: A
Rationale: The nurse's best action is to encourage the parent to verbalize their feelings. This allows the parent to express their emotions and concerns, which can be therapeutic and provide an opportunity for support and understanding. By acknowledging the parent's feelings and providing a listening ear, the nurse can help validate the parent's experiences and build a trusting relationship. Additionally, encouraging the parent to express their emotions can help them cope with the challenges of caring for a colicky infant and seek appropriate resources for support. It is important for the nurse to be empathetic and supportive towards the parent's feelings during this difficult time.