Nokea
At a 6-month well-child checkup, a male infant is weighed. The mother asks if his weight is normal. The nurse's best response is:
- A. At 6 months, his weight should be approximately three times his birth weight.
- B. Each child grows at their own pace.
- C. At 6 months, his weight should be approximately twice his birth weight.
- D. At 6 months, a child should weigh about 10 lb more than at birth.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The pediatric nurse cares for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse's intervention?
- A. A blood urea nitrogen level of 10 mg/dL.
- B. A hemoglobin of 8.6 g/dL.
- C. A platelet count of 18 x 10^3/µL.
- D. A serum glucose of 110 mg/dL.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse provides dietary teaching to the guardian of a school-age child with cystic fibrosis. Which statement should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day.
- B. You should decrease your child's dietary fat intake to less than 10% of their caloric intake.
- C. You should restrict your child's calorie intake to 1,200 per day.
- D. You should give your child a multivitamin once weekly.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 30-month-old apparently well child presented with stomping, hitting, head banging, and falling down for few minutes every few days.
- A. brain MRI
- B. serum ferritin
- C. skeletal survey
- D. EEG
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient in the emergency department reports taking sildenafil (Viagra) and nitroglycerin 1 hr before sexual activity. Which finding should the nurse immediately report to the physician?
- A. WBC of 3200 units/L
- B. RR of 26 breaths/min
- C. Temp of 38°C
- D. BP of 70/50
Correct Answer: D
Rationale: The correct answer is D: BP of 70/50. When sildenafil (Viagra) is taken with nitroglycerin, it can cause severe hypotension that is unresponsive to treatment. The combination of these medications can lead to a dangerous drop in blood pressure. It is crucial to immediately report hypotension in this scenario. It is recommended to allow at least 24 hours to elapse between the last dose of sildenafil and nitroglycerin to prevent such adverse effects. The other vital signs and lab values may be abnormal but do not have the immediate life-threatening implications that severe hypotension does in this context.
A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is
- A. radiotherapy of both eyes
- B. retinal examination of 1st degree relatives
- C. orbital ultrasonography
- D. bilateral enucleation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.