Nokea
A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
- A. Hemodialysis is not used in pediatrics.
- B. Peritoneal dialysis has no complications.
- C. Peritoneal dialysis removes fluid at a slower, more controlled rate, which minimizes complications.
- D. Peritoneal dialysis is more efficient than hemodialysis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When a preschool child is hospitalized without adequate preparation, how does the child often react to the hospitalization?
- A. Sees it as a punishment
- B. A threat to child's self-image
- C. An opportunity for regression
- D. Loss of companionship with friends
Correct Answer: C
Rationale: When a preschool child is hospitalized without adequate preparation, they may often react to the hospitalization by regressing. This means that the child may revert back to behaviors that they had previously outgrown, such as bedwetting or wanting a bottle. Hospitalization can be a stressful and overwhelming experience for young children, causing them to seek comfort in familiar behaviors from earlier stages of development. This regression can provide a sense of security and control during a time of uncertainty and unfamiliar circumstances. It is important for parents, caregivers, and healthcare providers to be aware of this potential reaction and provide appropriate support and reassurance to help the child cope with the hospitalization.
In the management of heart failure, which diuretic is preferred due to its demonstrated significant mortality reduction in patients with heart failure?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (HydroDIURIL)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
- A. Explain the procedure to the patient's family
- B. Observe the patient for bleeding
- C. Administer an analgesic to the patient
- D. Drape the biopsy site
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
All the following are parasomniac disorders EXCEPT
- A. sleepwalking
- B. sleepterror
- C. confusional arousal
- D. nightmare
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is NOT a potential complication of neonatal jaundice?
- A. kernicterus
- B. deafness
- C. cerebral palsy
- D. cardiomyopathy
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.