Nokea
A 3-year-old is hospitalized for an ASD repair. The parents plan to leave briefly. The child asks when his parents will return. The nurse's best response is:
- A. They will be back after your nap.
- B. They will be back at 6:00 p.m.
- C. They will be back later this evening.
- D. They will be back when your mommy finishes a short errand, just like when you wait for bedtime.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
- A. 8 mmol/L
- B. 12 mmol/L
- C. 16 mmol/L
- D. 20 mmol/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 10-month-old child can do all the following EXCEPT
- A. says mama
- B. dada points to objects
- C. follows one-step command without gesture
- D. speaks first real word
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are recognizable teratogens EXCEPT
- A. ethanol
- B. antiepileptic medications
- C. toxoplasmosis
- D. hypothermia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mr. Reyes has a possible skull fracture. The nurse should:
- A. Observe him for signs of Brain injury
- B. Check for hemorrhaging from the oral cavity
- C. Elevate the foot of the bed if he develops symptoms of shock
- D. Observe for symptoms of decreased intracranial pressure and temperature
Correct Answer: A
Rationale: When a patient is suspected to have a possible skull fracture, the nurse should observe him for signs of brain injury. Signs of brain injury can include changes in level of consciousness, altered pupil size or reaction to light, slurred speech, weakness or numbness in extremities, seizures, severe headache, vomiting, and vision changes. Monitoring for these signs would help in early detection of any worsening condition or complications related to the skull fracture. It is crucial to assess and monitor the patient's neurological status closely to provide timely interventions and prevent further damage.
Which strategy is most likely to promote positive behavior in children?
- A. Providing flexible instructions with no consequences
- B. Limiting opportunities until the child performs adequately
- C. Improving the child's competence and creating a positive environment
- D. Setting strict rules with punishments for misbehavior
Correct Answer: C
Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.