Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

Review Burns Pediatric Primary Care 7th Edition Test Bank related questions and content

A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?

  • A. “I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual.”
  • B. "If I experience trembling, weakness, and headache, I should drink a glass of soda that contains sugar."
  • C. "I will have to monitor my blood glucose level closely and notify the physician if it's constantly elevated."
  • D. "If I begin to feel especially hungry and thirsty, I'll eat a snack high in carbohydrates."
Correct Answer: A

Rationale: Option A demonstrates the client's understanding of her condition and how to control it. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is characterized by high blood glucose levels and dehydration. To control the condition, it is crucial to prevent dehydration by staying well-hydrated and paying attention to cues such as increased thirst and urination. By being mindful of these signs and symptoms, the client can take proactive measures to maintain adequate hydration levels and prevent HHNS complications. This statement reflects a clear understanding of the importance of hydration in managing the condition. Options B, C, and D do not address the specific needs of a client with HHNS and may potentially lead to incorrect management of the condition.

You may also like to solve these questions

An 18-year-old with a groin rash and itching is worried about having an STD and does not want his parents to know. What should the nurse say?

  • A. We will need to contact your parents.
  • B. We will not contact your parents regarding this visit.
  • C. Who would you like us to contact about your visit today?
  • D. We cannot promise that the hospital will not contact your parents.
Correct Answer: B

Rationale: Adolescents have the right to privacy regarding sexual health, unless there is a risk to life.

A woman delivers a 3,250 g neonate at 42 weeks' gestation. Which physical finding is expected during an examination if this neonate?

  • A. Abundant lanugo
  • B. Absence of sole creases
  • C. Breast bud of 1-2 mm in diameter
  • D. Leathery, cracked, and wrinkled skin
Correct Answer: D

Rationale: A neonate born at 42 weeks' gestation, also known as post-term, is expected to have skin that appears leathery, cracked, and wrinkled due to prolonged exposure to the amniotic fluid in utero. This is a common physical finding in post-term neonates due to the decreased amount of vernix caseosa and amniotic fluid present on the skin at birth. Abundant lanugo (fine hair), absence of sole creases, and breast bud development are more commonly seen in preterm or term newborns, rather than post-term newborns.

You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?

  • A. first traumatic lumbar puncture (LP)
  • B. T-cell leukemia
  • C. cranial nerve involvement at the time of diagnosis
  • D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A

Rationale: A first traumatic lumbar puncture is less likely to increase the risk of CNS relapse compared to other factors like T-cell leukemia or cranial nerve involvement.

What is the best initial action for the nurse to take?

  • A. Try to have the client breathe slower or
  • B. Give O2 via nasal cannula into the paper bag
  • C. Administer sodium bicarbonate
  • D. Monitor the client's fluid balance
Correct Answer: A

Rationale: The best initial action for the nurse to take when a client is experiencing hyperventilation is to try to have the client breathe slower. This is because hyperventilation is often caused by rapid, shallow breathing and slowing down the breathing pattern can help restore normal gas exchange and alleviate symptoms. Providing oxygen via a nasal cannula or administering sodium bicarbonate would not directly address the underlying issue of hyperventilation. Monitoring fluid balance is important for overall assessment but not the priority when dealing with acute respiratory distress due to hyperventilation.

A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder

  • A. intensive chemotherapy
  • B. low dose chemotherapy pulses
  • C. bone marrow transplantation
  • D. close follow up
Correct Answer: A

Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.

Copyright © 2025 Nokea. All rights reserved.