Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

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A 72-year-old chemist has left lower lobe pneumonia. His nurse checks his oxygen saturation and the result is 86%. Which of the ff. actions by the nurse is best?

  • A. Call the physician for an order for oxygen.
  • B. No action necessary; this is a normal SaO
Correct Answer: A

Rationale: An oxygen saturation (SaO2) level of 86% is significantly below the normal range of 95-100%. This indicates hypoxemia, which means the body is not getting enough oxygen. In a patient with pneumonia, low oxygen saturation can lead to further respiratory compromise and potential organ damage. Therefore, it is essential for the nurse to notify the physician promptly to obtain an order for supplemental oxygen to correct the hypoxemia and improve the patient's oxygen saturation levels. Delay in addressing low oxygen levels can have serious consequences for the patient's health and recovery.

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Which should the nurse consider when preparing a school-age child and the family for heart surgery?

  • A. Unfamiliar equipment should not be shown.
  • B. Let the child hear the sounds of an ECG monitor.
  • C. Avoid mentioning postoperative discomfort and interventions.
  • D. Explain that an endotracheal tube will not be needed if the surgery goes well.
Correct Answer: B

Rationale: When preparing a school-age child and the family for heart surgery, it is essential to provide honest and age-appropriate information to help the child feel more comfortable and reduce anxiety. Letting the child hear the sounds of an ECG monitor is beneficial as it allows them to become familiar with medical equipment and procedures, making them less intimidated by the unfamiliar sounds they may encounter during and after surgery. Familiarizing the child with the sounds can also help alleviate fears and promote understanding of what is happening during the procedure. It is important to maintain open communication, address concerns, and prepare the child and family for what to expect before, during, and after surgery.

A 10-month-old child can do all the following EXCEPT

  • A. says mama or dada
  • B. follows one-step command without gesture
  • C. points to objects or real first word
  • D. speaks inhibition word 'no'
Correct Answer: D

Rationale: Speaking inhibition words like 'no' typically occurs later.

A patient has orders to receive 1 L (1000 mL) of 5% dextrose and lactated Ringer's solution to be infused over 8 hours. How many millilitres will be infused per hour?

  • A. 80
  • B. 100
  • C. 125
  • D. 150
Correct Answer: C

Rationale: The total volume to be infused over 8 hours is 1000 mL. To determine how many millilitres will be infused per hour, you can divide the total volume by the total time:

Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

  • A. Low fowler's
  • B. Modified trendelenburg
  • C. Side lying
  • D. Supine
Correct Answer: C

Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.

Of the following, the WORST prognostic factor in pediatric osteosarcoma is

  • A. primary pelvic bone tumor
  • B. poor histologic response to treatment
  • C. bony metastases at the time of diagnosis
  • D. lung metastases at the time of diagnosis
Correct Answer: B

Rationale: Poor histologic response to neoadjuvant chemotherapy is a strong predictor of poor prognosis.

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