Nokea
A child is being assessed for possible appendicitis with perforation. Which of the following findings should the nurse expect?
- A. Hyperactive bowel sounds
- B. Abdominal distension
- C. Hypoactive bowel sounds
- D. Bradycardia
Correct Answer: D
Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation.
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All the following are parasomniac disorders EXCEPT
- A. sleepwalking
- B. sleepterror
- C. confusional arousal
- D. nightmare
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child is in the oliguric phase of acute kidney injury. Which of the following interventions should be included in the plan of care?
- A. Administer a loop diuretic.
- B. Provide a low-sodium diet.
- C. Weigh the child weekly.
- D. Provide a high-protein diet.
Correct Answer: A
Rationale: During the oliguric phase of acute kidney injury, the priority is to manage fluid balance. Administering a loop diuretic helps promote diuresis and reduce fluid retention, aiding in managing the condition effectively. Providing a low-sodium diet may be beneficial but is not the priority intervention during this phase. Weighing the child weekly may be important for monitoring overall health but does not directly address the oliguric phase. Providing a high-protein diet is not typically recommended in acute kidney injury, especially during the oliguric phase.
Which causes the clinical manifestations of hydronephrosis?
- A. A structural abnormality causes urine to back up, increasing pressure and causing cell death.
- B. Urine flows too freely, causing imbalances.
- C. Decreased urine production causes electrolyte issues.
- D. Abnormal urine composition leads to high blood pressure and increased GFR.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Children with ALL who carry poor outcome include all the following EXCEPT
- A. age younger than 1 year and older than 10 year
- B. T-cell immunophenotype
- C. hyperdiploidy chromosomal abnormality
- D. initial leukocyte count of > 50,000
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement should the nurse include in the teaching plan for a patient being started on levodopa/carbidopa (Sinemet) for newly diagnosed Parkinson’s disease?
- A. Take medication on a full stomach
- B. Change positions slowly
- C. The drug may cause the urine to be very dilute
- D. Carbidopa has many adverse effects
Correct Answer: B
Rationale: Postural hypotension is common early in treatment, so the patient should be instructed to change positions slowly. Administration with meals should be avoided, if possible, because food delays the absorption of the levodopa component. If the patient is experiencing side effects of nausea and vomiting, administration with food may be considered. The levodopa component may darken urine. Carbidopa has no adverse effects of its own.