A child is being cared for by a nurse and has rheumatic fever. Which of the following actions should the nurse plan to take?
- A. Administer aspirin to the child as prescribed, based on the healthcare provider's instructions.
- B. Encourage adequate fluid intake for the child.
- C. Elevate the child's joints and provide warm compresses.
- D. Monitor the child's heart rate for dysrhythmias.
Correct Answer: D
Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever.
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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.
A parent of a child with HIV is being educated by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will notify my child's school about their condition.
- B. I will give my child the prescribed antiretroviral medication at regular intervals.
- C. I will expect my child to receive yearly immunizations.
- D. I will bring my child in for yearly skin testing.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The daily weight gain in the first 3-4 months of life is
- A. 10-20 gm
- B. 20-30 gm
- C. 30-40 gm
- D. 40-50 gm
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient who has PUD and is receiving magnesium hydroxide (MOM) is experiencing an increased number of BM. Which is the nurse’s priority action?
- A. Ask the HCP for a reduction in dose
- B. Encourage the patient to increase dietary fiber
- C. Administer the drug with an aluminum hydroxide antacid
- D. Instruct patient to keep an accurate stool count
Correct Answer: C
Rationale: MOM is a rapid-acting antacid with a prominent adverse effect of diarrhea. To compensate, it usually is administered in combo with aluminum hydroxide which promotes constipation. A reduction in dose might be necessary if the diarrhea is severe, but this is not a priority action. Increasing dietary fiber and keeping a stool count are appropriate actions to implement after adding an antacid to counteract the diarrhea effect.
Extraneural metastasis from primary brain tumors is MOST commonly likely to occur in which tumor?
- A. medulloblastoma
- B. primitive neuroectodermal tumor (PNET)
- C. ependymoma
- D. malignant glioma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.