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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A patient is 1 hour postoperative following an open reduction internal fixation of the left tibia. Which of the following actions should the nurse take?
- A. Assess neurovascular status of the extremities every 4 hours
- B. Monitor the patient's pain level every 8 hours
- C. Assist the patient to the bathroom every 2 hours
- D. Keep the patient's left leg elevated on two pillows
Correct Answer: A
Rationale: It is crucial to assess the neurovascular status of the extremities every 4 hours to monitor for any signs of complications such as impaired circulation or nerve damage. This frequent assessment helps in early detection of any issues that may arise postoperatively, allowing for timely intervention and prevention of potential complications.
All the following are risk factors for obstructive sleep apnea in children EXCEPT
- A. peculiar facial anatomy
- B. hypotonia
- C. developmental delay
- D. central adiposity
Correct Answer: E
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 is true regarding playful children?
- A. They exhibit flexible problem-solving.
- B. They have low intelligence scores.
- C. They need clear rules and directions to succeed.
- D. They do not perform well in school.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is functional behavior analysis?
- A. Systematic observation of behavior
- B. Standardized assessment
- C. Multiple choice examination
- D. Parent-teacher questionnaire
Correct Answer: A
Rationale: Functional behavior analysis involves systematically observing behavior to understand its function and context. By observing and analyzing behavior in various situations, one can determine the triggers, patterns, and consequences that influence the behavior, leading to effective interventions and support strategies.