Nokea
As a nurse caring for Asana, a 9-year-old girl with the stature of a 4-year-old due to growth hormone deficiency, which of the following will be your priority during follow-up visits?
- A. Vital signs monitoring
- B. Height and weight monitoring
- C. Bone age studies
- D. Dietary assessment
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Justine is admitted to the pediatric unit due to the occurrence of diabetic ketoacidosis signaling a new diagnosis of diabetes. The diabetes team explores the cause of the episode and takes steps to prevent a recurrence. Diabetic ketoacidosis (DKA) results from an excessive accumulation of which of the following?
- A. Sodium bicarbonate from renal compensation
- B. Potassium from cell death
- C. Glucose from carbohydrate metabolism
- D. Ketone bodies from fat metabolism
Correct Answer: D
Rationale: Diabetic ketoacidosis (DKA) results from the excessive accumulation of ketone bodies from fat metabolism. During DKA, there is a lack of insulin leading to the breakdown of fat stores into fatty acids and their subsequent conversion into ketone bodies. These ketone bodies accumulate in the blood, leading to metabolic acidosis and the characteristic symptoms of DKA.
A mother of a 6-year-old actively playing child, diagnosed with type 1 diabetes mellitus a year ago, calls a clinic nurse and reports that the child has been sick. She checked the child's urine, which was positive for ketones. What should the nurse instruct the mother to do?
- A. Administer an additional dose of regular insulin
- B. Come to the clinic immediately
- C. Encourage the child to drink liquids
- D. Hold the next dose of insulin
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mrs. Byers tells the nurse that she is very worried because her 2-year-old child does not finish his meals. What should the nurse advise the mother?
- A. Make the child seat with the family in the dining room until he finishes his meal
- B. Provide quiet environment for the child before meals
- C. Do not give snacks to the child before meals
- D. Put the child on a chair and feed him
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?
- A. I should mix the medication in the baby food and give it when I feed the child
- B. I should administer the oral medication sitting in an upright position and with the head elevated
- C. I will give my child a toy after giving the medication
- D. I will offer my child a juice drink after swallowing the medication
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What should be the drop rate per minute using a drop factor of 20 drops/ml?
- A. 19 drops/min
- B. 23 drops/min
- C. 36 drops/min
- D. 46.7 drops/min
Correct Answer: A
Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.