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In planning for the admission of this infant, the nurse's highest priority should be to:
- A. Connect the resuscitation bag to the oxygen outlet
- B. Turn on the apnea and cardiorespiratory monitors
- C. Set up the intravenous line with 5% dextrose in water
- D. Set the radiant warmer control temperature at 36.5* C (97.6*F)
Correct Answer: B
Rationale: When planning for the admission of an infant, the nurse's highest priority should be to turn on the apnea and cardiorespiratory monitors. Monitoring the baby's breathing and heart rate is crucial for assessing the infant's overall condition and detecting any signs of distress. This allows for early intervention if any issues arise and helps ensure the infant's safety and well-being. Once the monitors are on and the baby is stable, other interventions like providing oxygen or setting up an IV line can be addressed. However, monitoring the baby's vital signs takes precedence in ensuring immediate and continuous assessment.
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When a patient participates in a research study, the pediatric nurse's primary concern is to ensure that the:
- A. parent or guardian has given verbal consent for the patient's participation.
- B. quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study.
- C. research meets the developmental needs of the patient.
- D. research will directly benefit the patient.
Correct Answer: B
Rationale: Ensuring that the quality of care remains unaffected regardless of the patient's participation status is paramount to ethical research practices.
What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?
- A. Clean the perineum front-to-back and apply a urine collection bag.
- B. Insert an indwelling Foley catheter.
- C. Place a sterile cotton ball in the diaper and collect with a syringe.
- D. Perform an in-and-out (straight) catheterization.
Correct Answer: D
Rationale: For infants who are not toilet-trained, an in-and-out catheterization is the most reliable method for obtaining a sterile urine sample.
Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?
- A. Low fowler's
- B. Modified trendelenburg
- C. Side lying
- D. Supine
Correct Answer: C
Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.
A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?
- A. Night sweats, weight loss, and diarrhea
- B. Nausea, vomiting, and anorexia
- C. Dyspnea, tachycardia, and pallor
- D. Itching, rash, and jaundice  A1 PASSERS TRAINING, RESEARCH, REVIEW & DEVELOPMENT COMPANY MEDICAL SURGICAL NURSING SET H
Correct Answer: C
Rationale: Iron-deficiency anemia is a common type of anemia characterized by a lack of iron in the body, which leads to decreased production of red blood cells containing hemoglobin. The assessment findings characteristic of iron-deficiency anemia include dyspnea (shortness of breath) due to decreased oxygen-carrying capacity of the blood, tachycardia (rapid heart rate) as the body tries to compensate for decreased oxygen delivery, and pallor (pale skin and mucous membranes) due to reduced red blood cell production. These symptoms result from insufficient iron levels affecting the body's ability to produce an adequate number of healthy red blood cells. Night sweats, weight loss, and diarrhea are not typically associated with iron-deficiency anemia. Nausea, vomiting, anorexia, itching, rash, and jaundice are also not primary manifestations of iron-deficiency an
Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
- A. focal dorsally exophytic
- B. cervicomedullary diffuse intrinsic
- C. none of the above
- D. diffuse intrinsic
Correct Answer: D
Rationale: Diffuse intrinsic pontine gliomas (DIPG) have the worst prognosis among brainstem tumors.