Nokea
During a well-child visit, a nurse is assessing a three-year-old toddler. Which of the following manifestations should the nurse report to the provider?
- A. Blood pressure 90/50
- B. Respiratory rate 45/min
- C. Weight 14.5 kg or 32 lb
- D. Heart rate 110/min
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
- A. Elevate the head of the child's bed
- B. Insert a large-bore IV catheter for the child
- C. Determine the allergen that caused the child's reaction
- D. Administer IM epinephrine to the child
Correct Answer: D
Rationale: In the management of anaphylaxis, the priority action for the nurse is to administer IM epinephrine to the child. Epinephrine is the first-line treatment for anaphylaxis as it helps reverse the severe manifestations of the reaction by constricting blood vessels, relaxing airway muscles, and decreasing hives and swelling. Elevating the head of the child's bed may be beneficial for respiratory distress but is not the priority over administering epinephrine. Inserting a large-bore IV catheter may be necessary for fluid resuscitation but is not the initial priority. Identifying the allergen is important for prevention and future management but is not the immediate action needed in the acute phase of an anaphylactic reaction.
Malignant hyperthermia is a life-threatening condition triggered by certain anesthetic agents. Which of the following is NOT a sign of malignant hyperthermia?
- A. Rapid onset fever
- B. Hypercarbia
- C. Ventricular fibrillation
- D. Muscle rigidity
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is assessing a child who has a rotavirus infection. Which of the following is an expected manifestation?
- A. Constipation
- B. Vomiting
- C. Jaundice
- D. Abdominal pain
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is reviewing the home medication list with the patient. The nurse recognizes that hydrochlorothiazide is used primarily for which condition?
- A. Hypertension
- B. Edema
- C. Diabetes insipidus
- D. Protection against postmenopausal osteoporosis
Correct Answer: A
Rationale: Hydrochlorothiazide is primarily indicated for hypertension (HTN). Thiazides like hydrochlorothiazide are commonly the first-line treatment for hypertension. While hydrochlorothiazide can be used for edema, diabetes insipidus, and postmenopausal osteoporosis to some extent, its main use and efficacy lie in managing hypertension.
A nurse is providing discharge teaching to the parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse include?
- A. Encourage the child to sleep for 8 hours each night.
- B. Perform range-of-motion exercises once per week.
- C. Give your child NSAIDs on a regular schedule.
- D. Apply heat to the child's affected joints twice daily.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.