Nokea
a hospitalized child with nephrosis is receiving high doses of prednisone. which of the following is an appropriate nursing goal related to this?
- A. prevent infection.
- B. stimulate appetite.
- C. detect evidence of edema.
- D. assist in raising osmotic pressure.
Correct Answer: A
Rationale: High doses of prednisone suppress the immune system, putting the hospitalized child at an increased risk for infections. Therefore, an appropriate nursing goal related to this situation would be to prevent infection by implementing measures such as hand hygiene, maintaining a clean environment, and monitoring for signs and symptoms of infection. It is crucial to protect the child from acquiring additional illnesses while undergoing treatment for nephrosis.
You may also like to solve these questions
Wilma was shocked to see that the Tracheostomy was dislodged. Both the inner and outer cannulas was removed and left hanging on James' neck. What are the 2 equipment's at james' bedside that could help Wilma deal with this situation?
- A. New set of tracheostomy tubes and Oxygen tank
- B. Theophylline and Epinephrine
- C. Obturator and Kelly clamp
- D. Sterile saline dressing
Correct Answer: A
Rationale: In the situation described, the best equipment at James' bedside to address the dislodged tracheostomy and the removal of both the inner and outer cannulas would be a new set of tracheostomy tubes and an oxygen tank.
Mr. Chua has developed liver cirrhosis. Nurse Bea expects alteration in which laboratory values?
- A. carbon dioxide level
- B. prothrombin time
- C. gastric pH
- D. white blood cell count
Correct Answer: B
Rationale: Liver cirrhosis affects the liver's ability to produce proteins that are important for blood clotting, including prothrombin. Therefore, in a patient with liver cirrhosis, Nurse Bea would expect an alteration in the prothrombin time, which measures the time it takes for the blood to clot. A prolonged prothrombin time indicates impaired blood clotting function, which is commonly seen in patients with liver disease such as cirrhosis. It is an important laboratory value to monitor in patients with liver cirrhosis to assess their risk of bleeding complications.
The clue to need a help for a child who does not respond correctly to 'Give me' or 'Sit down' or 'Come here' when spoken without gestural cues is by age of
- A. 15 months
- B. 18 months
- C. 21 months
- D. 24 months
Correct Answer: D
Rationale: By 24 months, a child should be able to follow simple commands without gestures.
A medical student observes that infants cry in response to another infant's cry. The MOST appropriate answer is that it represents
- A. an early sign of empathy development
- B. a sign of good hearing
- C. a startle reflex
- D. an early sign of fear development
Correct Answer: A
Rationale: Infants crying in response to others may indicate early empathy development.
In embryonic period, formation of all of the following occur by the given time EXCEPT
- A. 8 days - blastocyst formation
- B. 6 weeks - ectoderm formation
- C. 8 weeks - crown-rump length about 3 cm
- D. 10 weeks - endoderm formation
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.