Pediatric Emergency Nursing PICO Questions

Pediatric Emergency Nursing PICO Questions Related

Review Pediatric Emergency Nursing PICO Questions related questions and content

Following hypophysectomy, patients require extensive teaching regarding this major alteration in their lifestyle

  • A. Abnormal distribution of body hair
  • B. Lifetime dependency on hormone replacement
  • C. The need to drink many fluids to replace those lost
  • D. The need to undergo repeat surgical procedures
Correct Answer: B

Rationale: Following hypophysectomy, which is the surgical removal of the pituitary gland, patients will require lifetime dependency on hormone replacement therapy. The pituitary gland plays a crucial role in regulating various hormones in the body, and without it, the body will not be able to produce essential hormones like growth hormone, thyroid-stimulating hormone, and others. Therefore, hormone replacement therapy is necessary to maintain hormone balance and prevent complications associated with hormone deficiencies. This major alteration in the patient's lifestyle necessitates ongoing medical management and monitoring to ensure hormone levels are maintained within a normal range. The other options (A, C, D) are not directly related to the necessary lifestyle changes following hypophysectomy.

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A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is

  • A. radiotherapy of both eyes
  • B. retinal examination of 1st degree relatives
  • C. orbital ultrasonography
  • D. bilateral enucleation
Correct Answer: B

Rationale: Retinal examination of first-degree relatives is crucial to identify hereditary forms of retinoblastoma.

The clue to need help by age of 24 months, if the child

  • A. speech is not understood by familiar listeners
  • B. speech is not understood by unfamiliar listeners
  • C. has not begun to ask questions (using where, what, why)
  • D. is not using short sentences (e.g., 'Daddy went bye-bye')
Correct Answer: D

Rationale: By 24 months, children should begin using short sentences.

The nurse is assessing a child with croup and a sore throat in the ED. The child is drooling and agitated. The nurse should know that examining the child's throat using a tongue depressor might precipitate which of the following?

  • A. Profuse coughing
  • B. Inspiratory stridor
  • C. Complete obstruction
  • D. Increased agitation
Correct Answer: C

Rationale: When assessing a child with croup who is drooling and agitated, the nurse should be aware that examining the throat using a tongue depressor can potentially precipitate a complete airway obstruction. Croup is characterized by upper airway inflammation, particularly around the larynx and trachea, leading to a barking cough, hoarseness, and respiratory distress. In a child with croup who is already showing signs of airway compromise such as drooling and agitation, any manipulation in the throat area can cause further swelling and lead to a complete obstruction of the airway. This can be a life-threatening emergency requiring immediate intervention to secure the airway and ensure adequate oxygenation. Therefore, utmost caution should be taken when performing any procedures that may exacerbate the child's respiratory distress in this situation.

Which medication is most likely included in post-operative care of a child with repair of bladder exstrophy?

  • A. Lasix
  • B. Mannitol
  • C. Meperidine
  • D. Oxybutynin
Correct Answer: D

Rationale: Oxybutynin helps control bladder spasms and improves comfort after urinary reconstructive surgery.

A nurse approaches a hospitalized poststroke patient from the patient's left side to do an assessment. The patient is staring straight ahead, and does not respond to the nurse's presence or voice. Which action should the nurse take first?

  • A. Walk to the other side of the bed and try again
  • B. Speak more loudly and clearly
  • C. Wave his or her fingers in front of the patient's face
  • D. Use a picture to explain to the patient what the nurse is going to do.
Correct Answer: A

Rationale: The nurse should walk to the other side of the bed and approach the patient from the right side. Poststroke patients may have neglect syndrome, which can cause them to ignore stimuli on one side of their body. By approaching from the neglected side (the right side in this case), the nurse may be able to better capture the patient's attention and engage them in the assessment process. It is essential to adapt care to accommodate the patient's condition and ensure effective communication and interaction.

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