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A toddler is admitted to the hospital because of sudden hoarseness, holding or pointing to their neck, and continuous cough. The nurse will be particularly concerned about:
- A. Acute respiratory tract infection
- B. Respiratory tract obstruction caused by a foreign body
- C. Retropharyngeal abscess
- D. Undetected laryngeal abnormality
Correct Answer: B
Rationale: In a toddler presenting with sudden hoarseness, holding or pointing to their neck, and continuous cough, the nurse should be particularly concerned about respiratory tract obstruction caused by a foreign body. These symptoms are indicative of a possible foreign body in the airway, which can lead to serious complications and requires immediate attention to ensure the toddler's airway remains patent and unobstructed.
You may also like to solve these questions
Which of the following are not infectious causes of diarrhea?
- A. Allergy
- B. Bacteria
- C. Parasite
- D. Virus
Correct Answer: A
Rationale: Diarrhea can be caused by various infectious agents such as bacteria, parasites, and viruses. Allergy, on the other hand, is a non-infectious cause of diarrhea. When an individual with a food allergy consumes the specific food they are allergic to, it can trigger diarrhea as a part of the allergic reaction.
When educating the mother of a child with respiratory disease who needs a lot of fluids, the mother tells the nurse that when she offers her 24-month-old son juice, he always shakes his head and says, 'No'. The nurse suggests that the mother:
- A. Be firm and hand him the glass
- B. Distract him with some food
- C. Let him see that he is making her angry
- D. Offer him a choice of two things to drink
Correct Answer: D
Rationale: Offering a choice can help the child feel more in control and willing to drink. By providing the child with options, the mother empowers him to make a decision, which can increase his willingness to drink fluids. This approach promotes a sense of autonomy and may lead to a more positive response from the child, ultimately contributing to better fluid intake, especially important for a child with a respiratory disease.
A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?
- A. 5% dextrose infusion
- B. Normal saline infusion
- C. NPH insulin infusion
- D. Potassium infusion
Correct Answer: B
Rationale: In the management of diabetic ketoacidosis (DKA), the initial intravenous (IV) fluid of choice is normal saline infusion. Normal saline helps to correct dehydration and electrolyte imbalances commonly seen in DKA patients. It does not contain glucose to prevent worsening hyperglycemia or ketoacidosis. NPH insulin infusion is not the initial treatment for DKA; it is typically used after fluid resuscitation. Potassium infusion may be required in DKA to address electrolyte imbalances, but normal saline is the priority for fluid resuscitation.
When educating the parents of a child diagnosed with hypothyroidism, the nurse mentions that the child should avoid goitrogens. Which of the following will the nurse mention as an example?
- A. Orange
- B. Tomatoes
- C. Cabbage
- D. Grapes
Correct Answer: C
Rationale: Cabbage is an example of a goitrogen. Goitrogens are substances that interfere with the normal function of the thyroid gland by inhibiting iodine uptake. Cabbage, along with other cruciferous vegetables like broccoli and cauliflower, contain compounds that can have this effect and should be consumed in moderation by individuals with hypothyroidism to prevent worsening of their condition.
What is the main cause or association of Type 2 diabetes?
- A. Mostly associated with autoantibodies
- B. Mostly associated with childhood cancer
- C. Commonly associated with obesity and metabolic syndrome
- D. Commonly associated with overeating
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.