Nokea
A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
- A. Take vital signs.
- B. Establish an intravenous line.
- C. Perform rapid neurologic assessment.
- D. Maintain a patent airway.
Correct Answer: D
Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. Establishing an intravenous line and performing other assessments are important but maintaining a patent airway takes precedence to prevent hypoxia and ensure the child's safety.
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- A. swaddling is effective if practiced during a crying episode
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- C. there is no place for swaddling to calm a crying infant
- D. swaddling may interfere with vascular supply
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?
- A. Biots respiration
- B. Chaney Stokes respiration
- C. tachypnea
- D. Bradypnea
Correct Answer: C
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Prenatal exposure to cigarette smoke is associated with
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- B. lower birthweight
- C. changes in neonatal behavior
- D. neonatal diabetes
Correct Answer: D
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- A. 440
- B. 400
- C. 410
- D. 450
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.