Burns Pediatric Primary Care Test Bank

Burns Pediatric Primary Care Test Bank Related

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Clients will go through operations and who have undergone surgery need the proper observation, treatment, and care. Implementing the nursing process to these patients will help reduce complications. Nurse Maria is preparing Mr. Sy for surgery. Which of the following statements by the client would indicate he is well-informed about his imminent surgery?

  • A. " Right after the operation, I will wear the pneumatic compression device while sitting on the chair."
  • B. "I will not eat anything after 12 pm the night befire my operation, but I sure can drink."
  • C. "The skin preparation site is longer and wider than the actual incision site."
  • D. "I will need to sign the consent from after I get to the operating table."
Correct Answer: B

Rationale: Option B, "I will not eat anything after 12 pm the night before my operation, but I sure can drink," indicates that the client understands and is knowledgeable about the pre-operative fasting guidelines. It is crucial for patients to have an empty stomach before surgery to prevent complications related to anesthesia, such as aspiration pneumonia. This statement shows that Mr. Sy is well-informed and compliant with this important pre-operative instruction. Options A, C, and D do not directly demonstrate specific knowledge regarding the surgery preparations.

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Which bite causes Rocky Mountain spotted fever?

  • A. Flea
  • B. Tick
  • C. Mosquito
  • D. Mouse or rat
Correct Answer: B

Rationale: Rocky Mountain spotted fever is caused by the bite of an infected tick. The bacterium Rickettsia rickettsii is transmitted to humans through the bite of the American dog tick, the Rocky Mountain wood tick, or the brown dog tick. These ticks are commonly found in wooded areas and attach themselves to the skin of humans or animals, transmitting the bacteria responsible for Rocky Mountain spotted fever. It is important to take precautions to prevent tick bites, such as using insect repellent, wearing long sleeves and pants when in wooded areas, and conducting thorough tick checks after being outdoors.

Barbiturate anticonvulsants are effective in treating all of these seizure types, except:

  • A. partial seizures.
  • B. febrile seizures.
  • C. tonic-clonic seizures.
  • D. absence seizures.
Correct Answer: D

Rationale: Barbiturate anticonvulsants are effective in treating partial seizures, tonic-clonic seizures, and febrile seizures. However, they are not considered first-line treatment for absence seizures. Absence seizures typically respond better to other anticonvulsant medications such as ethosuximide or valproic acid. Barbiturates have a sedative effect and can cause drowsiness or cognitive impairment, which may not be ideal for managing absence seizures where maintaining alertness and cognitive function is important.

A first-time mother brings in her 5-day-old baby for a well-child visit. The baby weighs 7 lb 5 oz, down from 7 lb 10 oz at discharge. The nurse's best response is:

  • A. I will notify the doctor about this weight loss.
  • B. Newborns can lose up to 10% of their birth weight and regain it by 2 weeks of age.
  • C. I can tell you are a first-time mother; don't worry.
  • D. Maybe the baby isn't getting enough milk. How often are you feeding?
Correct Answer: B

Rationale: A small weight loss is normal in the first week of life; infants typically regain their birth weight by 2 weeks.

The nurse is caring for a very low birth weight (VLBW) newborn with a peripheral intravenous infusion. Which statement describes nursing considerations regarding infiltration?

  • A. Infiltration occurs infrequently because VLBW newborns are inactive.
  • B. Continuous infusion pumps stop automatically when infiltration occurs.
  • C. Hypertonic solutions can cause severe tissue damage if infiltration occurs.
  • D. Infusion site should be checked for infiltration at least once per 8-hour shift.
Correct Answer: C

Rationale: Infiltration of intravenous fluids in VLBW newborns can lead to serious complications, especially if hypertonic solutions are being administered. Hypertonic solutions have a higher osmolarity than the body's fluids, which can cause severe tissue damage if there is infiltration. It is crucial for the nurse to monitor the infusion site closely for signs of infiltration and take prompt action to prevent further harm to the newborn's delicate skin and tissues. The other options are not directly related to the risk and consequences of infiltration in VLBW newborns.

The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

  • A. teratoma
  • B. germinoma
  • C. endodermal sinus tumor
  • D. embryonal carcinoma
Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

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