Nokea
A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
- A. Hypernatremia
- B. Metabolic acidosis
- C. Hypotonic dehydration
- D. Isotonic dehydration
Correct Answer: C
Rationale: The correct answer is hypotonic dehydration. The combination of high hemoglobin and hematocrit with low serum sodium indicates hypotonic dehydration. In this condition, there is an excess of solutes relative to water, leading to higher red blood cell concentration (elevated hemoglobin and hematocrit) and low serum sodium levels.
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Risk factors for birth brachial plexus injury include the following EXCEPT
- A. shoulder dystocia
- B. birthweight greater than 4 kg
- C. primiparous mothers
- D. diabetic mother
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The caregiver is providing care to a pediatric client diagnosed with inflammatory bowel disease, who is prescribed daily prednisone. Which caregiver statement regarding administration of this drug indicates correct understanding of the teaching provided by the healthcare provider?
- A. I will administer this medication between meals.
- B. I will administer this medication at bedtime.
- C. I will administer this medication one hour before meals.
- D. I will administer this medication with meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school-age child is 2 hours postoperative following a tonsillectomy. Which of the following actions should the nurse include in the plan of care?
- A. Place a heating pad at the surgical site.
- B. Encourage the child to cough every 2 hours.
- C. Administer analgesics to the child on a regular schedule.
- D. Apply an ice collar to the child's neck.
Correct Answer: D
Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.
A healthcare provider is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature of 38.4 degrees Celsius or 101.2 degrees Fahrenheit. Available is ibuprofen liquid 100 mg/5 ml. How many milliliters should the healthcare provider administer to the infant?
- A. 12 ml
- B. 6 ml
- C. 2 ml
- D. 1 ml
Correct Answer: C
Rationale: To calculate the correct dosage, first convert the infant's weight to kilograms: 17.6 lb = 8 kg. The prescribed dose is 5 mg/kg, so for an 8 kg infant, the total dose required is 40 mg. Since the available ibuprofen liquid is 100 mg/5 ml, to find out how many milliliters to administer, divide the total dose (40 mg) by the concentration of the liquid (100 mg/5 ml), which equals 2 ml. Therefore, the healthcare provider should administer 2 ml of ibuprofen to the infant.
According to the Health Insurance Portability and Accountability Act, a healthcare facility may release patient information without obtaining permission from the patient or family when there is a request from a:
- A. consulting physician to evaluate the patient.
- B. lawyer regarding a child abuse case.
- C. school nurse to update the school records.
- D. teacher regarding behavioral issues.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.