Wongs Essentials of Pediatric Nursing 11th Edition Test Bank

Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Related

Review Wongs Essentials of Pediatric Nursing 11th Edition Test Bank related questions and content

A client has cancer that has me tastasized to her bones. She is complaining of increased thirst, polyuria and decreased muscle tone. Her lab values are: Na 139mEq/L, k 4 mEq/L, Cl 103 mEq/L, and Ca 8 mg/dl. What electrolyte imbalance is present?

  • A. Hypocalcemia
  • B. Hyperkalemia
  • C. Hypercalcemia
  • D. Hypochloremia
Correct Answer: C

Rationale: The patient's symptoms of increased thirst, polyuria, decreased muscle tone, and the lab value of high calcium (8 mg/dl) indicate hypercalcemia. Hypercalcemia is commonly seen in cancer patients due to cancer metastasis to the bones, leading to the release of calcium. The other electrolyte levels (sodium, potassium, and chloride) are within normal range, ruling out other electrolyte imbalances. Multiple myeloma is a common malignancy associated with bone metastases and hypercalcemia. Symptoms of hypercalcemia may include thirst, frequent urination, weakness, confusion, and muscle pain. Treatment of hypercalcemia may involve hydration, loop diuretics, bisphosphonates, and addressing the underlying cause.

You may also like to solve these questions

A client agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient?

  • A. Blood relationship
  • B. Compatible blood and tissue types
  • C. Sex and size
  • D. Need
Correct Answer: B

Rationale: The most important factor in selecting a transplant recipient for an organ that has been donated by a deceased donor is ensuring compatibility in terms of blood and tissue types. Matching these factors between the donor and recipient minimizes the risk of rejection and increases the likelihood of a successful transplant. Compatibility ensures that the recipient's body is less likely to identify the transplanted organ as foreign and mount an immune response against it. Blood relationship, sex, and size are important factors to consider but they are secondary to compatibility in terms of blood and tissue types when it comes to organ transplantation. Ultimately, the goal is to have the best chance of a successful transplant by ensuring a good match between the donor organ and the recipient.

The most common type of CP is :

  • A. Athetoid
  • B. B.Spastic
  • C. Ataxic
  • D. None Of The Above
Correct Answer: B

Rationale: Spastic cerebral palsy is the most common type of cerebral palsy, accounting for around 70-80% of cases. Spastic CP is characterized by stiff, tight muscles that can affect movement and coordination. This type of CP is caused by damage to the motor cortex of the brain, leading to increased muscle tone and difficulty with voluntary movements. Symptoms of spastic CP can vary in severity and may affect one or multiple limbs.

A patient's serum sodium is within normal range. The nurse estimates that serum osmolality should be:

  • A. Less than 136mOsm/kg
  • B. Greater than 408mOsm/kg
  • C. 280 to 295mOsm/kg
  • D. 350 to 544mOsm/kg
Correct Answer: C

Rationale: Normal serum osmolality typically ranges between 280 to 295mOsm/kg. Serum osmolality reflects the concentration of solute particles in the blood, including sodium, glucose, and blood urea nitrogen. Sodium is a major determinant of serum osmolality, but it is not the only factor. In this case, since the patient's serum sodium is within the normal range, the nurse can reasonably estimate that the serum osmolality would fall within the normal range of 280 to 295mOsm/kg. Options A, B, and D are outside the typical range for serum osmolality in a healthy individual.

Which of the ff symptoms should a nurse assess in a client when implementing interventions for trauma to the upper airway?

  • A. Pain when talking
  • B. Increased nasal swelling
  • C. Burning in the throat
  • D. Presence of laryngospasm INFECTIONS OF THE LOWER RESPIRATORY AIRWAY
Correct Answer: D

Rationale: When implementing interventions for trauma to the upper airway, it is crucial for the nurse to assess for the presence of laryngospasm. Laryngospasm is a sudden spasm of the vocal cords that may cause difficulty breathing and in severe cases, complete airway obstruction. It is a serious and potentially life-threatening complication that can occur following upper airway trauma. Therefore, prompt recognition and treatment of laryngospasm are essential to ensure adequate oxygenation and ventilation for the client. Pain when talking, increased nasal swelling, and burning in the throat may also be symptoms encountered in upper airway trauma, but the presence of laryngospasm signifies a more critical condition requiring immediate intervention.

While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining the client's medication history, the nurse should determine if the client keeps which medication on hand?

  • A. Diphenhydramine hydrochloride (Benadryl)
  • B. Guaifenesin (Robitussin)
  • C. Pseudoephedrine hydrochloride (Sudafed)
  • D. Loperamide (Imodium)
Correct Answer: A

Rationale: The nurse should determine if the client keeps diphenhydramine hydrochloride (Benadryl) on hand because it is an antihistamine medication commonly used to treat allergic reactions, including those caused by bee stings. In the event of a bee sting reaction, diphenhydramine can help reduce itching, swelling, and other symptoms associated with the allergy. It is important for individuals who are allergic to bee stings to have diphenhydramine readily available for prompt treatment in case of an allergic reaction.

Copyright © 2025 Nokea. All rights reserved.