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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Of the following, the genetic syndrome MOST likely associated with increased risk of optic glioma is
- A. Down syndrome
- B. neurofibromatosis
- C. monosomy
- D. Bloom's syndrome
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
What is the best action for a 6-year-old boy with school refusal?
- A. Refer to a pediatric psychologist
- B. Start selective serotonin reuptake inhibitor
- C. Assess the home environment
- D. Give the child special attention from the teacher
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 5-year-old comes to your office with 4 nontender, 2-cm, blue-red discolored nodules over both cheeks on the face. The day before, she was sledding down the local snow-covered hill. The most likely diagnosis is
- A. panniculitis
- B. facial cellulitis
- C. thrombocytopenia purpura
- D. Henoch-Schanlein purpura
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first?
- A. Page an anesthesiologist immediately and prepare to intubate the client
- B. Administer epinephrine, as prescribed, and prepare to intubate the client if necessary
- C. Administer the antidote for penicillin, as prescribed, and continue to monitor the client's vital signs
- D. Insert an indwelling urinary catheter and begin to infuse IV fluids as ordered
Correct Answer: B
Rationale: When a client exhibits symptoms of anaphylactic shock after receiving penicillin, the priority nursing intervention is to administer epinephrine, as prescribed, to counteract the severe allergic reaction. Epinephrine helps to improve breathing and increase blood pressure. Intubation may be necessary in severe cases to maintain airway patency. Therefore, the nurse should administer epinephrine first before considering intubation. It is crucial to act swiftly to prevent further deterioration in the client's condition.