Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

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Management of hypercalcemia includes all of the following actions except administration of:

  • A. Fluid to dilute the calcium levels
  • B. The diuretic furosemide (Lasix), without saline, to increase calcium excretion through kidneys
  • C. Inorganic phosphate salts
  • D. Intravenous phosphate therapy
Correct Answer: B

Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.

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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.

A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?

  • A. Furosemide (Lasix)
  • B. Hydrochlorothiazide (Aquazide)
  • C. Spironolactone (Aldactone)
  • D. Mannitol (Osmitrol)
Correct Answer: A

Rationale: Furosemide (Lasix) is a loop diuretic that acts on the ascending loop of Henle in the kidney to increase calcium excretion. In the setting of hypercalcemia, where there is an elevated level of calcium in the blood, Furosemide can help promote the elimination of excess calcium through the urine, thereby aiding in the management of hypercalcemia.

A nurse is admitting a preterm newborn to the NICU. Which interventions should the nurse implement to prevent retinopathy? (Select all that apply.)

  • A. Place on pulse oximetry.
  • B. Decrease exposure to bright, direct lighting.
  • C. Place on a cardiac monitor.
  • D. Cover eyes with an eye shield at night.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

  • A. Large PDA
  • B. Severe mitral incompetence
  • C. Aortic rheumatic carditis with mitral valvulitis
  • D. Large atrial septal defect
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which of the following is a common extra-articular manifestation of rheumatoid arthritis?

  • A. Interstitial lung disease
  • B. Cardiovascular disease
  • C. Neuropathy
  • D. All of the above
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.