Pediatric Research Questions

Pediatric Research Questions Related

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A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?

  • A. Heart rate, respiratory rate, and bloodpressure
  • B. Recent exposure to communicable diseases
  • C. Number of immunizations received
  • D. Height and weight
Correct Answer: A

Rationale: In this situation, the priority data the nurse should obtain first is the vital signs including heart rate, respiratory rate, and blood pressure of the child. This information will help assess the child's current physiological status and potential effects of ingesting the aspirin. Aspirin overdose in children can lead to serious complications such as metabolic acidosis, respiratory distress, and cardiovascular instability. Monitoring the vital signs will provide crucial information to guide appropriate interventions and determine the severity of the child's condition. Height and weight (option D) are important for routine assessments but not the priority in this urgent situation. Recent exposure to communicable diseases (option B) and number of immunizations received (option C) are not relevant to the immediate management of the child's aspirin ingestion.

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A 16-year-old discusses his recent diagnosis of lupus with the nurse. Which statement best describes adolescent thinking regarding the future?

  • A. Adolescents are preoccupied with the present.
  • B. Adolescents are beginning to think abstractly and consider future possibilities.
  • C. Adolescents think only in concrete terms.
  • D. Adolescents are overly concerned with past events.
Correct Answer: B

Rationale: During adolescence, abstract thinking develops, allowing teens to envision future possibilities.

The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at

  • A. 2 months, 6 months, and 12 months
  • B. 6 months, 12 months, and 18 months
  • C. 9 months, 18 months, and 30 months
  • D. 12 months, 18 months, and 24 months
Correct Answer: C

Rationale: Developmental screenings are recommended at 9, 18, and 30 months.

A 16-year-old mother complaining of breast engorgement feels unhappy living with her husband. The MOST appropriate action is

  • A. refer her to an obstetrician
  • B. advise her to apply stimulant medications for milk expression
  • C. explain that this is a normal phenomenon
  • D. stop feeding the baby
Correct Answer: A

Rationale: Referral to an obstetrician is necessary for proper evaluation and management.

Which of the ff nursing interventions ensure that a client with Hodgkin's disease remains free of infection? Choose all that apply

  • A. Apply ice to the skin for brief periods
  • B. Provide cool sponge baths
  • C. Practice conscientious hand washing
  • D. Use cotton gloves Restrict visitors or personnel with infections from contact with the client
Correct Answer: C

Rationale: #NAME?

You are discussing physical child abuse with medical students; you state that fractures are common presentation and those that should raise suspicion for abuse include fractures that are unexplained, occurring in young, non-ambulatory children, or involve multiple bones. Of the following, the site of the fracture that is LESS specific for abuse is

  • A. rib
  • B. scapula
  • C. skull
  • D. vertebra
Correct Answer: D

Rationale: Fractures of the vertebrae are less specific for abuse compared to other sites like ribs, scapula, or skull, which are more characteristic of inflicted trauma.

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