Nokea
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented.
- B. Infants do not feel pain as adults do.
- C. This is not a good reason for refusing immunizations.
- D. A topical anesthetic, EMLA, can be applied before injections are given.
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.
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A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is
- A. admission to the hospital
- B. referral to psychiatrist
- C. referral to dietician
- D. make an scheduled OP visit to you and to psychiatrist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is recommended as helpful in minimizing allergy to house dust mites?
- A. Maximizing time spent in the house to a single room such as the bedroom
- B. Washing bedding weekly in cold water
- C. Installing new carpet
- D. Keeping household humidity to less than 50%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
If the systolic BP is elevated and the diastolic BP is normal, the nurse recognizes that a patient is most likely to have which type of hypertension?
- A. Primary
- B. Isolated systolic
- C. Secondary
- D. Hypertensive emergency
Correct Answer: B
Rationale: Isolated systolic hypertension is characterized by elevated systolic blood pressure (SBP) with normal diastolic blood pressure (DBP). In this case, if the systolic BP is elevated and the diastolic BP is normal, the nurse would recognize this pattern as indicative of isolated systolic hypertension. This condition is more common in older adults and is associated with aging and stiffening of the arteries. Patients with isolated systolic hypertension are at an increased risk of cardiovascular events, so it is important to monitor and manage their blood pressure appropriately.
Which of the ff instructions should a nurse give a client with Hodgkin's disease who is at risk of impaired skin integrity? Choose all that apply
- A. Trim nails short
- B. Keep the neck in midline
- C. Use mild soap
- D. Support and protect bony prominences
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.