Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

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A patient develops a postoperative deep vein thrombosis and is started on IV heparin. Which of the ff. laboratory tests is monitored during the heparin therapy?

  • A. Plasma fibrinogen c.Partial thromboplastin time (PTT)
  • B. Prothrombin time (PT)
  • C. International normalized ratio (INR)
Correct Answer: C

Rationale: During heparin therapy, the laboratory test that is monitored is the partial thromboplastin time (PTT). Heparin acts by potentiating the activity of antithrombin III, leading to the inhibition of both thrombin and factor Xa. The PTT measures the intrinsic pathway of coagulation and is prolonged with heparin due to its anticoagulant effect. Monitoring the PTT helps to ensure that the patient is within the therapeutic range of anticoagulation to prevent clot formation without increasing the risk of bleeding complications. Plasma fibrinogen, prothrombin time (PT), and international normalized ratio (INR) are not routinely monitored during heparin therapy.

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An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?

  • A. Ceftriaxone (Rocephin) IM
  • B. Azithromycin (Zithromax) PO
  • C. Acyclovir (Zovirax) PO
  • D. Penicillin G benzathine (Bicillin) IV
Correct Answer: B

Rationale: Chlamydia infection is commonly treated with antibiotics, such as azithromycin or doxycycline. Azithromycin is often preferred due to its convenience of a single oral dose. It is effective in treating Chlamydia infections in both adolescents and adults. Ceftriaxone, penicillin G benzathine, and acyclovir are used to treat different types of infections and are not appropriate choices for Chlamydia infection.

Which menu choices for a child diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?

  • A. Carrots and green, leafy vegetables
  • B. Spaghetti and meat sauce with breadsticks
  • C. Hamburger on a bun and cherry gelatin
  • D. Chips, cold cuts, and canned foods
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is

  • A. affected children usually do not have antisocial tendencies
  • B. girls are more likely affected than boys
  • C. there is strong association with social class
  • D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D

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.

Which of the following is NOT a seronegative spondyloarthropathy?

  • A. Ankylosing spondylitis
  • B. Reactive arthritis
  • C. Psoriatic arthritis
  • D. Rheumatoid arthritis
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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