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 with acquired immunodeficiency syndrome (AIDS) is receiving zidovudine (azidothymidine, AZT [Retrovir]). To check for adverse drug effects, the nurse should monitor the results of laboratory test?

  • A. RBC count
  • B. Serum calcium
  • C. Fasting blood glucose
  • D. Platelet count
Correct Answer: D

Rationale: Zidovudine (azidothymidine, AZT [Retrovir]) is an antiretroviral medication used to treat human immunodeficiency virus (HIV) infection. One of the potential adverse effects of zidovudine is bone marrow suppression, which can lead to decreased production of blood cells including platelets. Monitoring the platelet count is essential because a low platelet count (thrombocytopenia) can result in an increased risk of bleeding and bruising. Therefore, regular monitoring of platelet count is crucial to detect and manage this potential adverse effect promptly in patients receiving zidovudine therapy. Monitoring other laboratory tests such as RBC count, serum calcium, and fasting blood glucose may also be important for assessing overall health status, but platelet count monitoring takes priority due to the risk of thrombocytopenia associated with zidovudine therapy.

You may also like to solve these questions

According to developmental theories, which event is essential to toddler development?

  • A. Learning to feed oneself.
  • B. Developing friendships.
  • C. Learning to walk.
  • D. Being potty-trained.
Correct Answer: D

Rationale: The mastery of toilet training is considered a key developmental milestone during the toddler period.

The physician prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?

  • A. "Be sure to take glipizide 30 minutes before meals."
  • B. "Glipizide may cause a low serum sodium level, so make sure you have your sodium level checked monthly."
  • C. "You won't need to check you blood glucose level after you start taking glipizide."
  • D. "Take glipizide after a metal to prevent heartburn."
Correct Answer: A

Rationale: A. "Be sure to take glipizide 30 minutes before meals."

When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority?

  • A. Obtain a dextrostix
  • B. Give the initial bath
  • C. Give the vitamin K injection
  • D. Cover the neonates head with a cap
Correct Answer: C

Rationale: The highest nursing priority when performing nursing care for a neonate after birth is giving the vitamin K injection. Vitamin K is essential for blood clotting, and neonates are born with low levels of this vitamin, putting them at risk for bleeding disorders. Administering the vitamin K injection helps prevent serious bleeding complications such as Vitamin K Deficiency Bleeding (VKDB). It is crucial to give this injection as soon as possible after birth to ensure the neonate receives adequate protection. Covering the neonate's head with a cap may help maintain body temperature but is not as critical as administering the vitamin K injection. Obtaining a dextrostix or giving the initial bath are important aspects of newborn care but do not take precedence over the administration of vitamin K.

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.

Hindbrain herniation or the Chiari type II malformation is seen in which percent of individuals with myelomeningocele

  • A. 10-20%
  • B. 20-30%
  • C. 40-50%
  • D. 80-90%
Correct Answer: D

Rationale: Chiari type II malformation is strongly associated with myelomeningocele, occurring in approximately 80-90% of cases due to abnormal cerebellar development and cranial settling.

Copyright © 2025 Nokea. All rights reserved.