Nokea
A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to
- A. have the mother administer lemon juice or orange juice to neutralize the alkaline crystals and come to your office
- B. have the mother administer water or milk and call you back in 2 hours
- C. have the mother administer water or milk and bring the child in for esophagoscopy
- D. simply observe the child because the crystals are so bitter that the child was trying to spit them out when the mother called, and therefore no problems should occur
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Risk factors for obstructive sleep apnea syndrome include all of the following EXCEPT
- A. retroposition of the mandible
- B. small triangular chin
- C. long oval face
- D. long or soft palate
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The following are true EXCEPT
- A. Hypoglycemia develops in about 25-50%
- B. Increased weight of the placenta and all infant organs
- C. Heart failure occurs in 5-10% of infants of diabetic mothers
- D. The incidence of congenital anomalies is increased threefold in infants of diabetic mothers
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is the appropriate intervention when providing care to a child diagnosed with nephrotic syndrome, who is edematous and on bed rest?
- A. Monitor blood pressure every 30 minutes.
- B. Reposition every 2 hours.
- C. Limit visitors.
- D. Encourage fluids.
Correct Answer: B
Rationale: Repositioning every 2 hours is crucial in preventing skin breakdown in an edematous child on bed rest. This intervention helps redistribute pressure and maintain skin integrity, reducing the risk of pressure ulcers. It is an essential part of care for patients with limited mobility to ensure their comfort and prevent complications related to immobility.
The pediatric nurse, who cares for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation on noting:
- A. a heart rate of 50 beats/min.
- B. a temperature of 102°F (38.9°C).
- C. reports of leg pain.
- D. fluid overload or pulmonary edema.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Potential adverse effects of Depo-provera include
- A. heavy menstrual bleeding
- B. dysmenorrhea
- C. acne
- D. weight gain
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.