Nokea
For which of the ff conditions would the use of salt tablets be considered?
- A. a. Mild deficits of serum sodium
- B. Severe deficits of serum magnesium
- C. Severe deficits of serum potassium
- D. Severe deficits of serum calcium
Correct Answer: A
Rationale: Salt tablets should be considered for mild deficits of serum sodium. Salt tablets contain sodium chloride, which helps increase the sodium levels in the body. In cases of mild deficits of serum sodium, also known as hyponatremia, salt tablets can help replenish the sodium levels and correct the electrolyte imbalance. However, for severe deficits of serum magnesium, potassium, or calcium, other specific electrolyte replacement therapies are usually preferred over salt tablets. It is important to consult a healthcare professional for proper diagnosis and treatment of electrolyte imbalances.
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While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?
- A. Activate the code blue or emergency system
- B. Do nothing because acrocyanosis is normal in the neonate
- C. Immediately take the newborn's temperature according to hospital policy
- D. Notify the physician of the need for a cardiac consult
Correct Answer: B
Rationale: Acrocyanosis is a normal finding in newborns, characterized by bluish discoloration of the hands and feet due to immature circulation. It usually resolves on its own within 24 hours after birth and does not require any intervention. It is essential for the nurse to recognize this normal physiological process to avoid unnecessary interventions. Activating the code blue system, taking the newborn's temperature immediately, or notifying the physician of the need for a cardiac consult is not indicated in this scenario because acrocyanosis is a benign condition in neonates.
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
- A. CT scan of the chest
- B. CT scan of the brain
- C. bone scan
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C
Rationale: Clear cell sarcoma of the kidney has a propensity to metastasize to bones, making a bone scan essential.
One nursing diagnosis for JRA is impaired physical mobility. Select all nursing interventions that apply.
- A. Give pain medication prior to ambulation.
- B. Assist with range-of-motion activities.
- C. Encourage the child to eat a high-fat diet.
- D. Provide oxygen as necessary.
Correct Answer: A
Rationale: Giving pain medication prior to ambulation can help alleviate discomfort and improve the child's ability to perform physical activities, thus promoting mobility.
Which type of leukemia has been MOST likely developed in a 2-year-old child with Down syndrome in the neonatal period?
- A. ALL
- B. CML
- C. AML M1
- D. AML M6
Correct Answer: D
Rationale: Transient myeloproliferative disorder in neonates with Down syndrome can evolve into AML M6.
In preparing a preschool-aged patient for an injection, the most appropriate nursing intervention is to:
- A. allow the patient to administer an injection to a doll.
- B. arrange for the patient to watch a peer receive an injection.
- C. have the parents explain the process to the patient.
- D. suggest diversionary activities like singing.
Correct Answer: A
Rationale: Allowing the child to practice on a doll can help reduce anxiety and prepare them for the procedure.