Wongs Essentials of Pediatric Nursing 11th Edition Test Bank

Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Related

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A nurse has been examining the vital signs of the client for the past 2 days. On a particular day, she observe a sudden change in the vital signs of the client. Which of the ff steps should the nurse take immediately?

  • A. Inform the physician
  • B. Change the environmental settings of the client
  • C. Alter the diet intake of the client
  • D. Decrease the physical activity of the client if any.
Correct Answer: A

Rationale: The nurse should immediately inform the physician about the sudden change in the client's vital signs. Sudden changes in vital signs can be indicative of a serious health issue or medical emergency that would require the expertise and intervention of a physician. Prompt communication with the physician is essential to ensure timely assessment, diagnosis, and appropriate treatment for the client. It is crucial to prioritize the client's well-being and safety in such situations, which is why informing the physician is the most appropriate and urgent step to take.

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Osteosarcoma is the most common primary malignant bone tumor in children and adolescents; it has multiple subtypes and requires different modalities of treatment including surgery and chemotherapy. Of the following, the subtype of osteosarcoma which is treated by surgery alone is

  • A. fibroblastic
  • B. chondroblastic
  • C. parosteal
  • D. periosteal
Correct Answer: D

Rationale: Periosteal osteosarcoma is often treated with surgery alone if margins are clear.

At which stage of development are children apt to believe in the reversibility of death?

  • A. Toddler.
  • B. Preschool age.
  • C. School age.
  • D. Adolescent.
Correct Answer: B

Rationale: Preschool-aged children commonly believe in the reversibility of death due to their cognitive development stage, where magical thinking is prevalent.

. Which of the following instructions should be included in the teaching plan for a client requiring insulin?

  • A. Administer insulin after the first meal of the day.
  • B. Administer insulin at a 45-degree angle into the deltoid muscle.
  • C. Shake the vial of insulin vigorously before withdrawing the medication.
  • D. Draw up clear insulin first when mixing two type of insulin in one syringe.
Correct Answer: D

Rationale: When mixing two types of insulin in one syringe, it is important to draw up the clear insulin first before drawing up the cloudy insulin. This is done to prevent contamination and ensure accurate dosing. Drawing up the clear insulin first helps to prevent the cloudy insulin from contaminating the clear insulin and maintains the proper ratio of each insulin type. It is an important technique to ensure the effectiveness and safety of insulin administration for the client.

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, the nurse should prepare which medication for immediate administration?

  • A. Diphenhydramine (Benadryl)
  • B. Dobutamine (Dobutarex)
  • C. Epinephrine (Adrenalin)
  • D. Calcium chloride (calcium chloride)
Correct Answer: C

Rationale: In the management of anaphylaxis, the immediate medication of choice for administration is epinephrine. Epinephrine is a potent vasoconstrictor and bronchodilator which helps restore blood pressure and open up the airways during an anaphylactic reaction. It is the first-line treatment to reverse the potentially life-threatening effects of an allergic reaction. Other medications, like diphenhydramine or dobutamine, may be used as adjuncts later in the treatment, but epinephrine is crucial for immediate administration to stabilize the child's condition.

Nearly all cervical carcinomas contain human papillomavirus (HPV). Which of the following types is never associated with such malignancy?

  • A. type6
  • B. type 16
  • C. type 18
  • D. type 31
Correct Answer: A

Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.

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