Nokea
After general anesthesia, elective procedures should generally be avoided in children with a URI for how long?
- A. 1-2 weeks
- B. 2-4 weeks
- C. 4-6 weeks
- D. 6-8 weeks
Correct Answer: B
Rationale: It is recommended to wait at least 2-4 weeks after resolution of a URI before proceeding with elective surgery.
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Which nursing diagnosis is most appropriate for a client with Addison's disease?
- A. Risk for infection
- B. Urinary retention
- C. Excessive fluid volume
- D. Hypothermia
Correct Answer: C
Rationale: Addison's disease is a condition characterized by adrenal insufficiency, resulting in a deficiency of aldosterone and cortisol. Without aldosterone, the body is unable to regulate fluid and electrolyte balance properly, leading to sodium loss and potassium retention. This imbalance can result in excessive fluid volume, as the kidneys retain water and sodium. Symptoms of excessive fluid volume in Addison's disease can include edema, weight gain, and hypertension. Therefore, the most appropriate nursing diagnosis for a client with Addison's disease would be Excessive Fluid Volume.
Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)?
- A. Baby Angela who was premature
- B. A sibling of Baby Angie who died of SIDS
- C. Baby Gabriel with prenatal drug exposure
- D. Baby Gabby who sleeps on his back
Correct Answer: B
Rationale: Sibling of Baby Angie who died of SIDS is the least probable to develop sudden infant death syndrome (SIDS) among the given choices. This is because siblings of infants who have died of SIDS are at a higher risk themselves due to potential genetic or environmental factors. Research suggests that siblings of infants who died of SIDS are at an increased risk compared to the general population, indicating a possible genetic predisposition or shared environmental influences. It is crucial for parents and caregivers of these siblings to take extra precautions and follow safe sleep practices to reduce the risk of SIDS.
Janae has a seizure disorder; which of the following would be the lowest priority when caring for her? Observing and taking down data on all seizures
- A. Assuring safety and protection from injuring
- B. Assessing for signs and symptoms of increased intracranial pressure (ICP)
- C. Educating the family about anticonvulsant therapy
Correct Answer: C
Rationale: When caring for someone with a seizure disorder like Janae, the highest priority is ensuring their immediate safety and protection from injury during a seizure. This includes preventing falls, removing nearby hazards, and providing support during and after the seizure. Assessing for signs and symptoms of increased intracranial pressure is also important as it may indicate a serious complication requiring prompt medical attention. On the other hand, educating the family about anticonvulsant therapy, while important for long-term management, is considered a lower priority compared to the immediate safety and medical assessment needs of Janae during a seizure episode.
The child who walks backward, scribbles, and uses spoon and fork has achieved the developmental age of
- A. 9 mo
- B. 12 mo
- C. 15 mo
- D. 18 mo
Correct Answer: D
Rationale: These milestones are typically achieved around 18 months of age.
The nurse is aware that the shift of body fluids associated with the intravenous administration of albumin occurs by the process of:
- A. Filtration
- B. Osmosis
- C. Diffusion
- D. Active Transport
Correct Answer: B
Rationale: Osmosis is the process by which water moves across a semi-permeable membrane to equalize concentrations on both sides of the membrane. When albumin is administered intravenously, it creates an osmotic pressure in the bloodstream that draws water from the interstitial space into the blood vessels. This shift of body fluids associated with the intravenous administration of albumin occurs through the process of osmosis.