Nokea
During cardiopulmonary resuscitation of an infant, how should chest compressions be performed?
- A. With the heel of one hand and the other hand on top of the first
- B. With the heel of one hand only
- C. With 4 fingers of one hand
- D. With 2 fingers of one hand
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The following are manifestations of hypocalcemia in the neonate EXCEPT
- A. Jitteriness
- B. Seizures
- C. Carpopedal spasm
- D. High-pitched cry
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How do models of practice help therapists engage in sound therapeutic reasoning?
- A. They provide structure to guide thinking
- B. They address theory but not practice
- C. They predict the outcome of intervention
- D. They examine physical characteristics of the child
Correct Answer: A
Rationale: Models of practice help therapists engage in sound therapeutic reasoning by providing a structured framework to guide their thinking process. These models offer a systematic approach that assists therapists in organizing their thoughts and decision-making processes during therapy sessions. By following a specific model, therapists can ensure they consider all relevant factors and make informed therapeutic choices, leading to effective interventions and better outcomes for their clients.
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
- A. Spironolactone (Aldactone)
- B. Sodium polystyrene sulfonate (Kayexalate)
- C. Lactulose (Cephulac)
- D. Calcium carbonate (Calcitab)
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.
Contact lenses are associated with
- A. contact allergy
- B. allergic conjunctivitis
- C. vernal keratoconjunctivitis
- D. giant papillary conjunctivitis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.