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A 2-year-old admitted 2 days ago is crying and inconsolable. The nurse tells the parents this is the:
- A. Detachment phase of separation anxiety.
- B. Despair stage of separation anxiety.
- C. Bargaining stage of separation anxiety.
- D. Protest stage of separation anxiety.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, what should the nurse include in the plan of care to address pain?
- A. Applying a warm, moist pack every 4 hours
- B. Applying EMLA cream to the incision site prior to ambulation
- C. Applying a cold, moist pack every 2 hours
- D. Applying a pillow against the abdomen to splint the incision site when coughing
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
- A. Hemodialysis is not used in pediatrics.
- B. Peritoneal dialysis has no complications.
- C. Peritoneal dialysis removes fluid at a slower, more controlled rate, which minimizes complications.
- D. Peritoneal dialysis is more efficient than hemodialysis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child has a brain tumor. Which of the following findings should the nurse expect?
- A. Decreased head circumference
- B. Frequent headaches
- C. Increased appetite
- D. Increased blood pressure
Correct Answer: B
Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.
The MOST likely drug that causes postoperative nausea and vomiting (PONV) is:
- A. Ketorolac
- B. Droperidol
- C. Acetaminophen
- D. Opioid
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. craniofacial abnormalities
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.