Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

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A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?

  • A. It will have no effect.
  • B. it will cause wide fluctuations in the
  • C. it will decrease the need insulin. need for insulin
  • D. It will increase the need for insulin.
Correct Answer: D

Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.

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A 6-year-old girl complains of recurrent attacks of headache over the past 6 months; she has a fear of having brain tumor in spite of normal clinical and radiological findings; she has an underlying depression disorder. Of the following, the MOST likely diagnosis is

  • A. undifferentiated somatoform disorder
  • B. conversion disorder
  • C. pain disorder
  • D. hypochondriasis
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

One of the following medications used in treatment of atopic dermatitis should be discontinued after failure to achieve good results within 4-6 weeks

  • A. methotrexate
  • B. azathioprine
  • C. omalizumab
  • D. mycophenolate mofetil
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A patient develops a postoperative deep vein thrombosis and is started on IV heparin. Which of the ff. laboratory tests is monitored during the heparin therapy?

  • A. Plasma fibrinogen c.Partial thromboplastin time (PTT)
  • B. Prothrombin time (PT)
  • C. International normalized ratio (INR)
Correct Answer: C

Rationale: During heparin therapy, the laboratory test that is monitored is the partial thromboplastin time (PTT). Heparin acts by potentiating the activity of antithrombin III, leading to the inhibition of both thrombin and factor Xa. The PTT measures the intrinsic pathway of coagulation and is prolonged with heparin due to its anticoagulant effect. Monitoring the PTT helps to ensure that the patient is within the therapeutic range of anticoagulation to prevent clot formation without increasing the risk of bleeding complications. Plasma fibrinogen, prothrombin time (PT), and international normalized ratio (INR) are not routinely monitored during heparin therapy.

Which factor contributes most to climate change?

  • A. Deforestation
  • B. Increased use of fossil fuels
  • C. Population growth
  • D. Technological advancements
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Contact lenses are associated with

  • A. contact allergy
  • B. allergic conjunctivitis
  • C. vernal keratoconjunctivitis
  • D. giant papillary conjunctivitis
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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