Nokea
As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
- A. Increased PCO2 and respiratory acidosis
- B. Decreased PCO2 and respiratory alkalosis
- C. Low pH and low PCO2
- D. High pH and high PCO2
Correct Answer: A
Rationale: When a child's respirations are slow and shallow due to opioid administration, it results in hypoventilation. This leads to retaining carbon dioxide, indicated by an increased PCO2 level on arterial blood gas analysis, and subsequently causes respiratory acidosis due to the buildup of CO2 in the blood.
You may also like to solve these questions
At what age range is it important to feed a baby in a more upright position and no longer in sidelying?
- A. 6-12 months
- B. 4-6 months
- C. 12-18 months
- D. Birth to 3 months
Correct Answer: B
Rationale: Feeding a baby in a more upright position and no longer in sidelying is important around 4-6 months of age. At this stage, babies start developing better head and trunk control, which allows them to sit in a more upright position for feeding, promoting safer and more efficient swallowing and digestion.
Which level nursery classifications are housed in institutions that can provide on-site surgical repair of serious congenital or acquired malformations?
- A. Level III
- B. Level I
- C. Level IV
- D. Level II
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mary is excited to work with the family of a friend with whom she has lost contact. Mary hopes the family will be able to connect her with her friend and is looking forward to hearing about her friend. At the next session, she asks the mother many questions about her friend and they spend a lot of time discussing their home town, etc. Which statement describes this scenario?
- A. It is not therapeutic: The relationship serves no purpose
- B. It is therapeutic: Therapist, child, and family have a reciprocal caring relationship
- C. It is not therapeutic: Mary is benefiting, but not the child and family
- D. It is therapeutic: Both parties are benefiting in the relationship
Correct Answer: C
Rationale: In this scenario, Mary's focus on her own needs and interests by asking the mother about her lost friend and hometown indicates a lack of therapeutic benefit for the child and family. Effective therapy should prioritize the needs and goals of the child and family, not the therapist's personal desires or connections. Therefore, this interaction is not therapeutic as it fails to address the primary purpose of the therapy, which is to benefit the child and family.
The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?
- A. Analyze HR and rhythm
- B. Assess for Homan’s sign
- C. Check BP
- D. Palpate the pedal pulses
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child returns from exploratory surgery following a gunshot wound to the abdomen. Which nursing intervention should be excluded from the plan of care?
- A. Immediate initiation of oral feedings
- B. Assessment of the surgical site
- C. Administration of opioid narcotics for pain management
- D. Visitation at the bedside
Correct Answer: A
Rationale: Immediate initiation of oral feedings is contraindicated post-abdominal surgery due to the risk of bowel complications such as paralytic ileus or anastomotic leak. Starting oral feedings immediately can increase the risk of these complications and hinder the healing process. It is crucial to wait until bowel function returns and the patient shows signs of tolerance before introducing oral feedings. Assessment of the surgical site, administration of opioid narcotics for pain management, and visitation at the bedside are essential components of postoperative care and should not be excluded.