Nokea
A school-age child is 4 hours postoperative following perforated appendicitis repair. Which of the following actions should the nurse take?
- A. Maintain the child on a clear liquid diet for 48 hours.
- B. Administer antibiotics for 7 days.
- C. Apply warm compresses to the surgical site every 4 hours.
- D. Keep the child on NPO status for 24 hours.
Correct Answer: B
Rationale: Administering antibiotics for 7 days is essential postoperatively to prevent infections and complications in a child who underwent perforated appendicitis repair. This helps in reducing the risk of secondary infections and promoting healing. Clear liquid diets, warm compresses, and prolonged fasting are not the primary interventions indicated in this scenario.
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When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. How should this question be considered?
- A. Unnecessary information because child is age 3 years
- B. An important part of the family history
- C. An important part of the child's past history
- D. An important part of the child's review of systems TestBankWorld.org
Correct Answer: C
Rationale: Asking about developmental milestones such as the age at which a child started walking without assistance is considered an important part of the child's past medical history. This information helps the nurse assess if the child is meeting typical developmental milestones for their age. It also provides valuable insight into the child's growth and development, aiding in early identification of any potential developmental delays or concerns. Therefore, in the context of interviewing the mother of a 3-year-old child, inquiring about such developmental milestones is relevant and important for the child's past history.
Hyperkalemia without K+ excess occurs in:
- A. Potassium-sparing diuretics
- B. Leukocytosis and tumor lysis syndrome
- C. Renal failure
- D. Addison's disease
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
- A. Attention deficit hyperactivity disorder
- B. Conduct disorder
- C. Major depressive disorder
- D. Separation anxiety disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which neurotransmitter mediates the sympathetic response?
- A. Norepinephrine
- B. Prostaglandin
- C. Acetylcholine
- D. Serotonin
Correct Answer: A
Rationale: The sympathetic nervous system is responsible for our "fight or flight" response to stressful situations. Norepinephrine is the primary neurotransmitter that mediates the sympathetic response, acting on adrenergic receptors in various target tissues. It helps to increase heart rate, elevate blood pressure, dilate air passages in the lungs, and mobilize energy stores in the body to prepare for physical exertion or stress. Acetylcholine is another neurotransmitter involved in the sympathetic nervous system, but norepinephrine is the primary mediator of the fight or flight response.
What is normally the earliest age at which an infant begins teething with eruption of lower central incisors?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 12 months
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.