Nokea
A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 1 to 10 scale. Which intervention should the nurse implement?
- A. Administer opioid and non-opioid medication simultaneously
- B. Administer only opioid medication as prescribed.
- C. Encourage the client to practice relaxation techniques
- D. Delay medication administration until reassessment.
Correct Answer: A
Rationale: Combining opioid and non-opioid medications provides more effective pain relief for severe cancer-related pain.
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Which are the most serious complications for a child with Kawasaki disease? Select all that apply.
- A. Coronary thrombosis
- B. Hypocoagulability
- C. Decreased sedimentation time (ESR)
- D. Coronary stenosis
Correct Answer: A
Rationale: The most serious complications of Kawasaki disease involve the coronary arteries, including thrombosis, stenosis, and aneurysms, which can lead to significant cardiac issues.
The following are recognised features of achondroplasia:
- A. Shortened spine
- B. Increased liability to pathological fractures
- C. Can be diagnosed radiologically at birth
- D. Infertility
Correct Answer: C
Rationale: Achondroplasia can be diagnosed radiologically at birth. The spine is not shortened, fractures are not increased, and infertility is not a feature.
Cataracts are recognised in:
- A. Hyperthyroidism
- B. Down syndrome
- C. Graves' disease
- D. PKU
Correct Answer: B
Rationale: Cataracts are a recognized feature in Down syndrome. They are not typically associated with Hyperthyroidism, Graves' disease, or PKU.
Polycythaemia:
- A. Is a common cause of jaundice in the newborn
- B. Is significant if haematocrit > 65% on a capillary sample
- C. May cause apnoeas
- D. Exchange transfusion is the treatment of choice in symptomatic cases
Correct Answer: B
Rationale: Polycythaemia is considered significant if the haematocrit exceeds 65% on a capillary sample, as it can lead to hyperviscosity and related complications.
How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? (Select all that apply.)
- A. Feeding more frequently with smaller feedings
- B. Using a soft nipple with enlarged holes
- C. Holding and cuddling the child during feeding
- D. Substituting glucose water for formula
Correct Answer: A
Rationale: Infants with CHF fatigue easily. Feeding can be given more frequently in smaller amounts through a soft, large-holed nipple. Formulas with a denser caloric content can be offered. The child may be encouraged to nurse if he or she is held.