Nokea
A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (Aquazide)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct Answer: A
Rationale: Furosemide (Lasix) is a loop diuretic that acts on the ascending loop of Henle in the kidney to increase calcium excretion. In the setting of hypercalcemia, where there is an elevated level of calcium in the blood, Furosemide can help promote the elimination of excess calcium through the urine, thereby aiding in the management of hypercalcemia.
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Stage 1 hypertension in children is defined as:
- A. Average SBP or DBP levels <90th percentile
- B. Average SBP or DBP levels > 99th percentile
- C. BP > 120/80
- D. Average SBP or DBP levels 95-99th percentile
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is
- A. affected children usually do not have antisocial tendencies
- B. girls are more likely affected than boys
- C. there is strong association with social class
- D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
- A. focal dorsally exophytic
- B. cervicomedullary diffuse intrinsic
- C. none of the above
- D. diffuse intrinsic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 32-week preterm baby on mechanical ventilation, recovering from RDS, has a satisfactory blood gas, and ventilatory settings are being reduced for weaning. What is the most valuable indicator that the baby is ready for extubation?
- A. frequency of respiration 35
- B. fraction of inspired O2 0.55
- C. peak expiratory end pressure 6
- D. inspiratory pressure 8
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.