Nokea
Heimlich maneuver is used for which of the following purposes:
- A. Assessing if the child is breathing
- B. Expelling a foreign body in an unconscious child
- C. Chest compression in a large child
- D. Opening the airway in possible cervical spine injury
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which neurotransmitter mediates the sympathetic response?
- A. Norepinephrine
- B. Prostaglandin
- C. Acetylcholine
- D. Serotonin
Correct Answer: A
Rationale: The sympathetic nervous system is responsible for our "fight or flight" response to stressful situations. Norepinephrine is the primary neurotransmitter that mediates the sympathetic response, acting on adrenergic receptors in various target tissues. It helps to increase heart rate, elevate blood pressure, dilate air passages in the lungs, and mobilize energy stores in the body to prepare for physical exertion or stress. Acetylcholine is another neurotransmitter involved in the sympathetic nervous system, but norepinephrine is the primary mediator of the fight or flight response.
Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:
- A. Urinary output
- B. Serum ammonia level
- C. Abdominal girth
- D. Hepatic encephalopathy
Correct Answer: C
Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.
A healthcare professional is reviewing the laboratory results of a child who has nephrotic syndrome. Which of the following findings should the professional expect?
- A. Hypoalbuminemia
- B. Hyperkalemia
- C. Polyuria
- D. Hyperglycemia
Correct Answer: A
Rationale: In nephrotic syndrome, there is excessive loss of protein in the urine, leading to hypoalbuminemia. This results in decreased oncotic pressure, causing fluid to shift into the interstitial spaces, leading to edema. Hyperkalemia, polyuria, and hyperglycemia are not typically associated with nephrotic syndrome.
Nasal polyps in children younger than 10 years warrant evaluation for
- A. celiac disease
- B. ulcerative colitis
- C. unilateral choanal atresia
- D. primary ciliary dyskinesia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.