Nokea
Clinical examination of a child with large unilateral pneumothorax can show:
- A. Decreased breath sound intensity
- B. Increased tactile vocal fremitus
- C. Crepitations
- D. Bronchial breathing
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Management of hypercalcemia includes all of the following actions except administration of:
- A. Fluid to dilute the calcium levels
- B. The diuretic furosemide (Lasix), without saline, to increase calcium excretion through kidneys
- C. Inorganic phosphate salts
- D. Intravenous phosphate therapy
Correct Answer: B
Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.
A preterm infant develops sudden onset respiratory distress with decreased breath sounds and increased transillumination on one side. What is the most likely diagnosis?
- A. Transient tachypnea of the newborn
- B. Meconium aspiration syndrome
- C. Pneumothorax
- D. Neonatal pneumonia
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
- A. Poison ivy does not itch and needs further investigation.
- B. Scratching the lesions will not cause a problem.
- C. Scratching the lesions will cause the poison ivy to spread.
- D. Scratching the lesions may cause them to become secondarily infected.
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.
Childhood vasculitis encompasses a broad spectrum of diseases that share inflammation of blood vessels. The disease that affects predominantly large blood vessels is
- A. Henoch-Schonlein purpura
- B. polyarteritis nodosa
- C. Kawasaki disease
- D. Takayasu arteritis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In infants, inferences about vision may be made by physical examination of the eye and assessment of
- A. language
- B. intelligence
- C. gross motor
- D. personal-social
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.