Wongs Essentials of Pediatric Nursing 11th Edition Test Bank

Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Related

Review Wongs Essentials of Pediatric Nursing 11th Edition Test Bank related questions and content

Early this morning a client had a subtotal thyroidectomy. During evening rounds, the nurse assesses the client, who has now nausea, a temperature of 105F (40.5C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?

  • A. Diabetic ketoacidosis
  • B. Hypoglycemia
  • C. Thyroid crisis
  • D. Tetany
Correct Answer: C

Rationale: The signs and symptoms described - nausea, elevated temperature, tachycardia, and extreme restlessness - are indicative of a thyroid crisis, also known as thyroid storm. A thyroid storm is a life-threatening condition that can occur after thyroid surgery such as a subtotal thyroidectomy. It is characterized by an exaggerated state of hyperthyroidism, leading to a surge of thyroid hormones in the bloodstream. This can result in severe symptoms such as high fever, tachycardia, nausea, agitation, and even confusion or delirium.

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Regarding speech production, the routine use of sentence sequences; conversational give and-take is usually achieved by age of

  • A. 3 yr
  • B. 4 yr
  • C. 5 yr
  • D. 6 yr
Correct Answer: C

Rationale: Children typically develop the ability to use sentence sequences and engage in conversational give-and-take by age 5.

all the following are true about seizures disorders except :

  • A. involve involuntary muscle contraction and relaxation
  • B. less than one third of seizures in children caused by epilepsy
  • C. febrile seizure usually occur late in the course of high fever
  • D. all the above are correct 120
Correct Answer: C

Rationale: A febrile seizure is a convulsion in a young child triggered by a spike in body temperature, often from an infection. Febrile seizures typically occur early in the course of a high fever in children between the ages of 6 months to 5 years old. They are usually brief, lasting for less than five minutes. In about one-third of cases, febrile seizures may occur before the fever is noted by a caregiver. Therefore, the statement that febrile seizures usually occur late in the course of high fever is incorrect.

The entire process of toilet training need not be hurried and it can take

  • A. 2 months
  • B. 4 months
  • C. 6 months
  • D. 8 months
Correct Answer: C

Rationale: Toilet training typically takes around 6 months, though this varies from child to child.

What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?

  • A. 20 ml/kg
  • B. 10 ml/kg
  • C. 30 ml/kg
  • D. 15 ml/kg
Correct Answer: A

Rationale: The initial bolus of crystalloid fluid replacement for a pediatric patient in shock is generally recommended to be 20 ml/kg. This is based on the principles of fluid resuscitation in pediatric patients to restore perfusion and improve hemodynamic stability. Administering the appropriate initial fluid bolus is crucial in treating pediatric patients in shock to avoid complications like cardiovascular collapse and multi-organ dysfunction. It is important to adjust the volume and rate of fluid administration based on the individual patient's response and ongoing assessment to prevent fluid overload.

Nearly all cervical carcinomas contain human papillomavirus (HPV). Which of the following types is never associated with such malignancy?

  • A. type6
  • B. type 16
  • C. type 18
  • D. type 31
Correct Answer: A

Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.

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