Nokea
Indications of severe exacerbation of asthma include the following EXCEPT
- A. breathlessness
- B. accessory muscle use
- C. labored breathing
- D. PEF or FEV1 value <70% of personal best
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fractureusing fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?
- A. 2 weeks
- B. 4 weeks
- C. 8 weeks
- D. 10 weeks
Correct Answer: C
Rationale: In general, it takes approximately 6 to 8 weeks for a fractured femur in a 3-year-old child to heal. Children tend to heal faster than adults due to their higher metabolism and more robust bone growth. The spica cast helps stabilize the fracture and provides the necessary support for proper healing. Regular monitoring through x-ray imaging ensures the healing progress and guides the decision for cast removal.
A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)
- A. Unfamiliar environment
- B. Usual day-night routine
- C. Strange smells
- D. Provision of privacy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Early sign of shock is:
- A. Hypotension
- B. Disturbed consciousness level
- C. Cheyne-Stokes breathing
- D. Tachycardia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are recognizable teratogens EXCEPT
- A. ethanol
- B. antiepileptic medications
- C. toxoplasmosis
- D. hypothermia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT
- A. risk of postoperative apnea is increased by anemia
- B. accepted standard of care includes overnight inpatient apnea monitoring for this infant after general anesthesia because of a significant risk of postoperative apnea
- C. postponing the surgery incurs a small but real risk of incarceration, with complications that may include bowel obstruction and infarction of testes or ovaries
- D. after a spinal anesthetic, monitoring for apnea is not required, and the infant can be sent home from the postanesthetic care unit on the day of surgery
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.