Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

Review Burns Pediatric Primary Care 7th Edition Test Bank related questions and content

Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis; which of the following is of primary importance when caring for the child?

  • A. Giving I.V. NPH insulin in high doses
  • B. Evaluating the child for cardiac abnormalities
  • C. Limiting fluids to prevent aggravating cerebral edema
  • D. Monitoring and recording the child's vital signs for hypertension
Correct Answer: B

Rationale: When caring for a child with diabetic ketoacidosis in the intensive care unit, evaluating the child for cardiac abnormalities is of primary importance. Diabetic ketoacidosis can lead to electrolyte imbalances, such as hypokalemia, which can result in cardiac complications, such as arrhythmias and cardiac arrest. Monitoring the child's cardiac function, including obtaining an electrocardiogram (EKG) and assessing for signs of heart failure, is essential in managing and preventing potential cardiac complications in this critical condition. While the other options are important considerations in the care of a child with diabetic ketoacidosis, evaluating the child for cardiac abnormalities takes precedence due to the life-threatening implications of cardiac complications in this setting.

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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.

Which white blood cells are involved in releasing histamine during an allergic reaction?

  • A. Basophils
  • B. Monocytes
  • C. Eosinophils
  • D. Neutrophils
Correct Answer: A

Rationale: Basophils are a type of white blood cell that are involved in releasing histamine during an allergic reaction. When an allergen triggers the immune system, basophils release histamine and other chemical mediators. Histamine plays a key role in the inflammatory response associated with allergies, leading to symptoms such as itching, hives, and swelling. Basophils are known for their role in allergic reactions and are an important part of the body's defense against parasites and in the inflammatory response.

A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?

  • A. Proper administration of thyroid hormone
  • B. Proper administration of human growth hormones
  • C. Child's self-esteem and sense of competence
  • D. Helping child understand that his height is most likely caused by chronic illness and is not his fault
Correct Answer: C

Rationale: The nurse should be most concerned about the child's self-esteem and sense of competence. A 12-year-old male with short stature due to a constitutional growth delay may experience feelings of inadequacy or embarrassment because of his height. It is important for the nurse to address these emotional aspects of the condition and support the child in developing a positive self-image. By promoting the child's self-esteem and sense of competence, the nurse can help the child navigate any challenges associated with his height and build confidence in his abilities and worth as an individual.

Children with anterior mediastinal masses are at serious risk for airway compromise and vascular obstruction. Which of the following is NOT an indication for CT scan in these cases?

  • A. Cardiac tamponade
  • B. Airway compromise
  • C. Carina compression
  • D. Temporo-mandibular subluxation
Correct Answer: D

Rationale: Temporo-mandibular subluxation is unrelated to the assessment of mediastinal masses.

A patient has orders to receive 1 L (1000 mL) of 5% dextrose and lactated Ringer's solution to be infused over 8 hours. How many millilitres will be infused per hour?

  • A. 80
  • B. 100
  • C. 125
  • D. 150
Correct Answer: C

Rationale: The total volume to be infused over 8 hours is 1000 mL. To determine how many millilitres will be infused per hour, you can divide the total volume by the total time:

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