Nokea
After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching?
- A. “Well follow these instructions until our child’s symptoms disappear.â€
- B. “Our child must maintain these dietary restrictions until adulthood.â€
- C. “Our child must maintain these dietary restrictions lifelong.â€
- D. “We’ll follow these instructions until our child has completely grown and developed.â€
Correct Answer: C
Rationale: Celiac disease requires lifelong adherence to a gluten-free diet to prevent symptoms and complications.
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Indomethacin is being given to an infant with a patent ductus arteriosus in an attempt to promote closure of the PDA. The nurse caring for this infant becomes concerned about adverse side effects when noticing:
- A. decreased urine output, decreased platelets, and abdominal distention.
- B. increased blood pressure, tachycardia, and decreased oxygen requirements.
- C. increased urine output, increased white blood cell count, and increased reticulocyte count.
- D. Jaundice, pallor, and a petechial rash
Correct Answer: A
Rationale: Indomethacin can cause renal side effects, including decreased urine output, as well as hematologic effects such as decreased platelets, and gastrointestinal effects like abdominal distention, which are concerning adverse effects in an infant.
Xanthomas within palmar creases are seen characteristically in
- A. Pseudoxanthoma elasticum
- B. Type II hyperlipoproteinemia
- C. Type IIl hyperlipoproteinemia
- D. Hypothyroidism
Correct Answer: C
Rationale: Xanthomas within palmar creases are characteristic of Type III hyperlipoproteinemia.
An older male client tells the nurse that he is losing sleep because he has to get up several times at night to go to the bathroom, that he has trouble starting his urinary stream, and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?
- A. Collect a urine specimen for culture analysis
- B. Review the client's fluid intake prior to bedtime
- C. Palpate the bladder above the symphysis pubis
- D. Obtain a fingerstick blood glucose level
Correct Answer: C
Rationale: Palpating the bladder helps assess for urinary retention, which is common in older males with prostate issues.
Regarding IUGR:
- A. GH deficiency is a recognised complication in later life
- B. Abdominal circumference measured by USG is a diagnostic parameter
- C. Perinatal morbidity is higher in asymmetric IUGR
- D. Nutritional factor is the commonest cause of IUGR in the UK
Correct Answer: B
Rationale: Abdominal circumference measured by ultrasound is a key diagnostic parameter for intrauterine growth restriction (IUGR).
The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess urine output?
- A. Inserting a foley catheter.
- B. Weighing the diapers.
- C. Comparing intake with output.
- D. Measuring the amount of water added to the formula.
Correct Answer: B
Rationale: Weighing diapers is a non-invasive and accurate method to assess urine output in infants, which is crucial for monitoring the effectiveness of diuretic therapy.