Nokea
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
- A. reassures her that this is a normal phenomenon of temper tantrum
- B. seek more history regarding other skills and developmental domains
- C. refer her to pediatric psychiatry
- D. investigate social issues of the family
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
You may also like to solve these questions
The examiner shines a light in the patient's eyes and notes that the pupils are round and constrict from 4 to 2 mm bilaterally. Next, the examiner asks the patient to focus on a far object, then on the examiner's finger as it is brought from 3 feet distance to 5 inches distance. The pupils constrict bilaterally and the eyes turn inward. Which of the ff. would be the correct documentation of these findings?
- A. Pupils 2 mm
- B. PERRLA
- C. Pupils constricted
- D. Pupils normal
Correct Answer: B
Rationale: PERRLA stands for Pupils Equal Round Reactive to Light and Accommodation. This acronym is used to document the findings seen during a neurological examination of the pupils.
When caring for Mr. Reyes, the nurse should assess for
- A. Decreased carotid pulses
- B. Altered level of consciousness
- C. Bleeding from oral cavity
- D. Absence of deep tendon-reflexes
Correct Answer: B
Rationale: When caring for Mr. Reyes, the nurse should assess for an altered level of consciousness as it is a crucial indicator of his overall neurological status. Changes in consciousness can signify multiple underlying issues such as neurological, metabolic, or circulatory problems. It is important for the nurse to monitor Mr. Reyes closely for any signs of confusion, disorientation, agitation, drowsiness, or changes in behavior that could indicate a decline in his neurological function. Assessing and addressing alterations in consciousness promptly is essential for providing appropriate care and preventing further complications.
As the nurse talks to the daughter of Mr. Dela Isla, which of the following statement of the daughter will require the nurse to give further teaching?
- A. I know the hallucinations are parts of the disease
- B. I told her she is wrong and I explained to her what is right
- C. I help her do some tasks he cannot do for himself
- D. Ill turn off the TV when we go to another room
Correct Answer: B
Rationale: Option B, "I told her she is wrong and I explained to her what is right," would require the nurse to give further teaching because it indicates a lack of understanding about how to communicate with a person experiencing hallucinations. People with hallucinations may have a distorted sense of reality, and arguing with them or insisting on what is "right" can be counterproductive. The daughter would benefit from additional education on how to effectively communicate and support her father during episodes of hallucinations.
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.
A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?
- A. PID can be sexually transmitted.
- B. PID cannot be treated.
- C. PID can have devastating effects on the reproductive tract.
- D. PID can cause serious defects in future children of affected adolescents.
Correct Answer: C
Rationale: The nurse should emphasize the importance of preventing pelvic inflammatory disease (PID) because it can have devastating effects on the reproductive tract. PID is often caused by untreated sexually transmitted infections (STIs) and can lead to inflammation and scarring of the fallopian tubes, uterus, and surrounding tissues. If left untreated, PID can result in serious complications such as chronic pelvic pain, infertility, and ectopic pregnancy. Therefore, preventing PID through safe sexual practices and seeking prompt treatment for any signs of infection is crucial to protect the reproductive health of adolescent girls.