Nokea
Criteria of patent ductus arteriosus (PDA)?
- A. Wide pulse pressure
- B. Pan-systolic murmur
- C. Right apical impulse
- D. Normal pulmonary venous markings
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:
- A. Urinary output
- B. Serum ammonia level
- C. Abdominal girth
- D. Hepatic encephalopathy
Correct Answer: C
Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.
Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
- A. focal dorsally exophytic
- B. cervicomedullary diffuse intrinsic
- C. none of the above
- D. diffuse intrinsic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While caring for four different pediatric clients, which child is at the highest risk for dehydration?
- A. 7-year-old child with migraine headaches
- B. 4-year-old child with a broken arm
- C. 2-year-old child with cellulitis of the left leg
- D. 18-month-old child with tachypnea
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Feature suggestive of hyponatremic dehydration is:
- A. Serum osmolarity>295 mOsm/L
- B. Net loss of water > sodium
- C. Child is very irritable
- D. Marked loss of skin turgor while tongue is not dry
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.