Nokea
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
- A. FEV1/FVC ratio >80%
- B. FEV1 >80% of predicted
- C. daytime symptoms ≤2 days/week
- D. 2-4 exacerbations in the past year
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 17-year-old student enters the emergency department with a nosebleed that won't quit. Which of the following positions is recommended for the patient with a nosebleed?
- A. Lying down with feet elevated
- B. Sitting up with neck extended
- C. Lying down with a small pillow under the head
- D. Sitting up leaning slightly forward
Correct Answer: D
Rationale: The recommended position for a patient with a nosebleed is sitting up and leaning slightly forward. This position helps prevent blood from flowing down the back of the throat, which can cause gagging, choking, or vomiting. Leaning forward also helps to prevent blood from accumulating in the sinuses, reducing the risk of aspiration. Additionally, this position allows easy access to apply pressure to the nostrils to help stop the bleeding. It is essential to avoid lying down or tilting the head back, as this can lead to swallowing blood and potentially cause further complications.
In Acute Leukemia, which of the following is a bad prognostic criterion:
- A. Age more than 2 years
- B. Leukocytosis > 50,000 /cm
- C. No mediastinal mass
- D. No CNS manifestations
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is a common feature of vasculitis?
- A. Skin lesions
- B. Nerve damage
- C. Organ dysfunction
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
- A. early signs of ADHD
- B. primary restless legs syndrome
- C. sleep terrors
- D. sleep-onset association disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.