Nokea
Concerning acute bronchiolitis, all of the following are true except:
- A. Epidemics often occur during winter
- B. The disease typically affects infants younger than 2 years of age
- C. Immunodeficiency is an indication for treatment with ribavirin
- D. The disease is more benign in infants born prematurely
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the hallmark symptom of Gout?
- A. Joint Swelling
- B. Tophi
- C. Severe Pain
- D. Redness
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Stage 1 hypertension in children is defined as:
- A. Average SBP or DBP levels <90th percentile
- B. Average SBP or DBP levels > 99th percentile
- C. BP > 120/80
- D. Average SBP or DBP levels 95-99th percentile
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When the nurse is reviewing a patient's daily laboratory test results, which of the ff. electrolyte imbalances should the nurse recognize as predisposing the patient to digoxin toxicity?
- A. Hypokalemia
- B. Hyponatremia
- C. Hyperkalemia
- D. Hypernatremia
Correct Answer: A
Rationale: Hypokalemia, or low potassium levels, predisposes the patient to digoxin toxicity because potassium is essential for proper digoxin metabolism. Potassium competes with digoxin for binding sites on sodium-potassium ATPase pumps in the myocardial cells. When potassium levels are low, digoxin binding is increased, leading to an increased risk of digoxin toxicity. Monitoring and correcting hypokalemia are important in patients taking digoxin to reduce the risk of toxicity. Hyperkalemia, on the other hand, can increase the risk of digoxin toxicity by affecting electrophysiological properties of the heart, but hypokalemia is the most significant imbalance predisposing to digoxin toxicity.
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
- A. Report the signs and symptoms to the
- B. Monitor the client's vital signs
- C. Assess respiratory status
- D. Stop the infusion
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.