Pediatric Emergency Nursing PICO Questions

Pediatric Emergency Nursing PICO Questions Related

Review Pediatric Emergency Nursing PICO Questions related questions and content

. A female client experiences trauma to her urinary tract during an accident. Which of the ff factors should the nurse consider while assessing the client?

  • A. Assessment of sexual habits
  • B. Assessment and recognition of abnormal findings
  • C. Assessment of allergies to seafood
  • D. Assessment of insurance coverage
Correct Answer: B

Rationale: When assessing a female client who has experienced trauma to her urinary tract, it is essential for the nurse to focus on assessment and recognition of abnormal findings. This includes assessing for signs and symptoms such as pain, blood in the urine, difficulty urinating, frequent urination, or any other unusual changes in urinary habits. These abnormal findings can help the nurse identify the extent of the trauma and provide appropriate intervention or treatment. It is crucial to prioritize the client's physical health and well-being in this situation. Factors such as sexual habits, allergies to seafood, and insurance coverage may be important in other contexts but are not directly relevant to assessing trauma to the urinary tract.

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A 1-year-old with acute renal failure (ARF) is edematous with minimal urine output. Vital signs: HR 146, BP 176/92, RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?

  • A. Additional rectal Kayexalate.
  • B. Intravenous furosemide.
  • C. Endotracheal intubation and ventilatory assistance.
  • D. Placement of a Tenckhoff catheter for peritoneal dialysis.
Correct Answer: D

Rationale: When ARF deteriorates and electrolyte imbalances worsen, peritoneal dialysis (via a Tenckhoff catheter) is indicated.

Which is descriptive of central nervous system stimulants?

  • A. They produce strong physical dependence.
  • B. They can result in strong psychological dependence.
  • C. Withdrawal symptoms are life threatening.
  • D. Acute intoxication can lead to coma.
Correct Answer: B

Rationale: Central nervous system (CNS) stimulants, such as amphetamines and cocaine, are known to produce strong psychological dependence in individuals who use them. These substances can create a powerful craving for their effects due to their ability to increase alertness, attention, and euphoria. Psychological dependence can lead to compulsive drug-seeking behavior, even in the absence of physical withdrawal symptoms. It is important to note that while CNS stimulants can lead to physical dependence, it is typically not as pronounced as the psychological dependence that can develop.

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)

  • A. Warm flushed extremities
  • B. Weight loss
  • C. Decreased urinary output
  • D. Sweating (inappropriate)
Correct Answer: C

Rationale: C. Decreased urinary output: This can be a sign of fluid retention, which is a common symptom of heart failure. Infants with heart failure may have decreased urine output as the body tries to retain fluid to help compensate for the heart's decreased ability to pump effectively.

Small round blue cell tumors refer to all the following EXCEPT

  • A. non-Hodgkin lymphoma
  • B. osteosarcoma
  • C. Ewing sarcoma
  • D. rhabdomyosarcoma
Correct Answer: B

Rationale: Osteosarcoma does not typically fall under the category of small round blue cell tumors.

Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant. Which should the nurse recommend as a substitute formula?

  • A. Nutramigen
  • B. Goat's milk
  • C. Similac
  • D. Enfamil
Correct Answer: A

Rationale: Nutramigen is a hypoallergenic formula specifically designed for infants with cow's milk allergy (CMA). It is extensively hydrolyzed, which means the cow's milk proteins are broken down into smaller pieces, making it easier for babies with CMA to digest without triggering an allergic reaction. Other options such as goat's milk, Similac, and Enfamil are not suitable substitutes for an infant with CMA as they may still contain proteins that can cause an allergic response in these infants. Therefore, Nutramigen is the most appropriate recommendation for a 6-month-old infant diagnosed with cow's milk allergy.

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