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A 4-year-old hospitalized with failure to thrive (FTT) has orders for daily weights, strict I&O, and calorie counts. Which action by the nurse is a concern?
- A. Weighing the child every morning after breakfast.
- B. Weighing the child with only undergarments on.
- C. Sitting with the child while she eats her meals.
- D. Weighing the child after she has been fed.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?
- A. Bacteriuria and increased specific gravity
- B. Hematuria and proteinuria
- C. Proteinuria and decreased specific gravity
- D. Bacteriuria and hematuria
Correct Answer: B
Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.
The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is
- A. 24 months old
- B. 30 months old
- C. 36 months old
- D. 42 months old
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What important information should the nurse provide to a patient taking a tetracycline antibiotic?
- A. Take the medication on an empty stomach.
- B. Avoid exposure to sunlight and tanning beds.
- C. Do not take the medication with milk or other dairy products.
- D. The medication may cause permanent staining of your teeth.
Correct Answer: D
Rationale: The correct answer is D. Tetracycline antibiotics can bind to calcium in dairy products, decreasing the absorption of the antibiotic. This may result in reduced effectiveness of the medication. Additionally, tetracycline antibiotics can cause permanent staining of teeth, especially in children below 8 years of age and in pregnant women. Therefore, it is crucial for the patient to be aware of this potential side effect and to discuss any concerns with their healthcare provider.
An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?
- A. Necrotizing enterocolitis (NEC)
- B. Ulcerative colitis (UC)
- C. Crohn's disease
- D. Appendicitis
Correct Answer: B
Rationale: Ulcerative colitis is a type of inflammatory bowel disease characterized by recurrent abdominal pain, diarrhea, and bloody stools. The symptoms described align with the clinical presentation of ulcerative colitis, making it the most likely diagnosis in this scenario. Necrotizing enterocolitis primarily affects premature infants, Crohn's disease typically presents with non-bloody diarrhea, and appendicitis is characterized by right lower quadrant abdominal pain. Therefore, based on the symptoms provided, ulcerative colitis is the most appropriate suspicion.