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 with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?

  • A. Night sweats, weight loss, and diarrhea
  • B. Nausea, vomiting, and anorexia
  • C. Dyspnea, tachycardia, and pallor
  • D. Itching, rash, and jaundice  A1 PASSERS TRAINING, RESEARCH, REVIEW & DEVELOPMENT COMPANY MEDICAL SURGICAL NURSING SET H
Correct Answer: C

Rationale: Iron-deficiency anemia is a common type of anemia characterized by a lack of iron in the body, which leads to decreased production of red blood cells containing hemoglobin. The assessment findings characteristic of iron-deficiency anemia include dyspnea (shortness of breath) due to decreased oxygen-carrying capacity of the blood, tachycardia (rapid heart rate) as the body tries to compensate for decreased oxygen delivery, and pallor (pale skin and mucous membranes) due to reduced red blood cell production. These symptoms result from insufficient iron levels affecting the body's ability to produce an adequate number of healthy red blood cells. Night sweats, weight loss, and diarrhea are not typically associated with iron-deficiency anemia. Nausea, vomiting, anorexia, itching, rash, and jaundice are also not primary manifestations of iron-deficiency an

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A 2-year-old child presents with a peeling, erythematous rash on the hands and feet. The mother reports that he has become ill tempered and refuses to walk about, preferring to lie in bed. Physical examination reveals an irritable, pale child with photophobia. Temperature is 98.5°F, heart rate is 80/minute, and respiratory rate is 23/minute. Tremor of the tongue is evident. Further history and follow-up evaluation reveal that the child's elder brothers have been playing with liquid mercury. Which is the most likely diagnosis?

  • A. Measles
  • B. Fifth disease
  • C. Kawasaki disease
  • D. Acrodynia
Correct Answer: D

Rationale: Acrodynia, also known as pink disease, is caused by chronic mercury exposure. The symptoms described, including the rash, irritability, photophobia, and tremor, are consistent with mercury poisoning.

The adrenal cortex is responsible for producing which substances?

  • A. Glucocortocoids and androgens
  • B. Mineralocortiroids and
  • C. Catecholamines and epinephrine catecholamines
  • D. Norepinephine and epinephrine
Correct Answer: A

Rationale: The adrenal cortex is the outer portion of the adrenal glands and is responsible for producing hormones known as corticosteroids. Within the corticosteroids, the adrenal cortex produces glucocorticoids (such as cortisol) which are involved in regulating metabolism and the immune response. Additionally, the adrenal cortex produces androgens which are male sex hormones, although they are present in both males and females. Therefore, the correct substances produced by the adrenal cortex are glucocorticoids and androgens (Choice A).

What clinical manifestation is included in toxic shock syndrome?

  • A. Severe hypertension
  • B. Subnormal temperature
  • C. Erythematous macular rash
  • D. Papular rash over extremities
Correct Answer: C

Rationale: Toxic shock syndrome is characterized by several clinical manifestations, including a diffuse erythematous macular rash. The rash typically appears early in the course of the illness and may be followed by desquamation (peeling of the skin). Other common symptoms of toxic shock syndrome include fever, hypotension, multi-organ dysfunction, headache, myalgia, and gastrointestinal symptoms. Severe hypertension and subnormal temperature are not typically associated with toxic shock syndrome. Papular rash over extremities is not a classic manifestation of toxic shock syndrome.

Nurse Christine is planning a client education program for sickle cell disease (SCD) in children; which of the following interventions would be included in the care plan?

  • A. Health teaching to help reduce sickling crises
  • B. Avoidance of the use of opioids
  • C. Administration of an anticoagulant to prevent sickling
  • D. Observation of the imposed fluid restriction
Correct Answer: A

Rationale: The most appropriate intervention to include in the client education program for sickle cell disease (SCD) in children is health teaching to help reduce sickling crises. Education plays a crucial role in managing SCD, and teaching children and their families about strategies to prevent sickling crises can significantly improve health outcomes. This may include advising on proper hydration, avoiding extreme temperatures, maintaining a healthy lifestyle, recognizing the early signs of a crisis, and seeking prompt medical attention when necessary. By providing education on ways to reduce sickling crises, Nurse Christine can empower the children and their families to better manage the condition and improve quality of life.

What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?

  • A. Clean the perineum front-to-back and apply a urine collection bag.
  • B. Insert an indwelling Foley catheter.
  • C. Place a sterile cotton ball in the diaper and collect with a syringe.
  • D. Perform an in-and-out (straight) catheterization.
Correct Answer: D

Rationale: For infants who are not toilet-trained, an in-and-out catheterization is the most reliable method for obtaining a sterile urine sample.

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