Nokea
Interpret the following ABG results (pH: 7.48 - PaCO2: 42 - HCO3:30):
- A. Metabolic acidosis without compensation
- B. Respiratory alkalosis with partial compensation
- C. Respiratory alkalosis with full compensation
- D. Metabolic alkalosis without compensation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Of the following, the WORST prognostic factor in pediatric osteosarcoma is
- A. primary pelvic bone tumor
- B. poor histologic response to treatment
- C. bony metastases at the time of diagnosis
- D. lung metastases at the time of diagnosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When discussing hyperlipidemia with a group of adolescents, which high level labs should the nurse explain can prevent cardiovascular disease?
- A. Cholesterol
- B. Triglycerides
- C. Low-density lipoproteins (LDLs)
- D. High-density lipoproteins (HDLs)
Correct Answer: D
Rationale: High-density lipoproteins (HDLs) are often referred to as "good" cholesterol because they help remove other forms of cholesterol from your bloodstream, including low-density lipoproteins (LDLs) which are considered "bad" cholesterol. HDLs play a protective role in preventing cardiovascular disease as they transport cholesterol from the arteries to the liver for excretion. Therefore, having higher levels of HDL cholesterol is associated with a lower risk of heart disease, making it an important focus when discussing hyperlipidemia prevention strategies.
What is the hallmark symptom of Gout?
- A. Joint Swelling
- B. Tophi
- C. Severe Pain
- D. Redness
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is the appropriate intervention when providing care to a child diagnosed with nephrotic syndrome, who is edematous and on bed rest?
- A. Monitor blood pressure every 30 minutes.
- B. Reposition every 2 hours.
- C. Limit visitors.
- D. Encourage fluids.
Correct Answer: B
Rationale: Repositioning every 2 hours is crucial in preventing skin breakdown in an edematous child on bed rest. This intervention helps redistribute pressure and maintain skin integrity, reducing the risk of pressure ulcers. It is an essential part of care for patients with limited mobility to ensure their comfort and prevent complications related to immobility.
When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?
- A. My child will have a cast until healing is complete.
- B. My child will receive antibiotics for several weeks.
- C. My child can return to playing sports once he is discharged.
- D. My child needs to be in contact isolation.
Correct Answer: B
Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.