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

Nurse Christine is planning a client education program for sickle cell disease (SCD) in children; which of the following interventions would be included in the care plan?

  • A. Health teaching to help reduce sickling crises
  • B. Avoidance of the use of opioids
  • C. Administration of an anticoagulant to prevent sickling
  • D. Observation of the imposed fluid restriction
Correct Answer: A

Rationale: The most appropriate intervention to include in the client education program for sickle cell disease (SCD) in children is health teaching to help reduce sickling crises. Education plays a crucial role in managing SCD, and teaching children and their families about strategies to prevent sickling crises can significantly improve health outcomes. This may include advising on proper hydration, avoiding extreme temperatures, maintaining a healthy lifestyle, recognizing the early signs of a crisis, and seeking prompt medical attention when necessary. By providing education on ways to reduce sickling crises, Nurse Christine can empower the children and their families to better manage the condition and improve quality of life.

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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: Poor histologic response to neoadjuvant chemotherapy is a strong predictor of poor prognosis.

In terms of gross motor development, which should the nurse expect a 5-month-old infant to do? (Select all that apply.)

  • A. Roll from abdomen to back.
  • B. Put feet in mouth when supine.
  • C. Roll from back to abdomen.
  • D. Sit erect without support.
Correct Answer: A

Rationale: At 5 months old, an infant would typically be able to roll from abdomen to back (Choice A). This is an important gross motor skill that develops during this stage. Additionally, putting their feet in their mouth when lying on their back (Choice B) is also a common movement seen at this age. Both these actions demonstrate the increasing strength and coordination of the infant's muscles as they develop and explore their physical abilities. Rolling from back to abdomen (Choice C) and sitting erect without support (Choice D) typically develop later, around 6-7 months and 8-9 months, respectively. Moving from prone to sitting position (Choice E) and adjusting posture to reach an object (Choice F) are usually mastered around 8-9 months as well.

a woman who is pregnant is undergoing an amniocentesis. during the test, elevated levels of AFP are found. this indicate to which of the following conditions :

  • A. CP
  • B. spina bifida
  • C. down syndrome
  • D. hydrocephalus
Correct Answer: B

Rationale: Elevated levels of AFP (alpha-fetoprotein) in the amniotic fluid during an amniocentesis often indicate neural tube defects, such as spina bifida. Spina bifida is a condition where the spinal cord does not develop properly, leading to a range of possible issues depending on the severity of the defect. In this case, the elevated AFP levels point towards a higher likelihood of spina bifida rather than other conditions like CP (cerebral palsy), Down syndrome, or hydrocephalus.

A nurse is doing an assessment on a newborn. Which is characteristic of a newborn's vision at birth and an expected finding during the assessment?

  • A. Ciliary muscles are mature.
  • B. Blink reflex is absent.
  • C. Tear glands function.
  • D. Pupils react to light.
Correct Answer: D

Rationale: At birth, a newborn's vision is not fully developed. However, one of the characteristics of a newborn's vision is that their pupils are able to react to light. This response helps to protect the newborn's developing eyes from excessive light exposure. During a newborn assessment, it is expected that the nurse will observe the pupil constriction in response to a bright light source, indicating a normal functioning of the pupillary reflex. This physiological response is vital for assessing the newborn's neurological integrity and visual function.

The nurse is preparing an intravenous infusion of phenytoin (Dilantin) as prescribed by the physician for the client with seizures. Which of the following solutions will the nurse plan to use to dilute this medication?

  • A. Dextrose 5%
  • B. Lactated Ringer's solution
  • C. Normal saline solution
  • D. Dextrose 5% and half-normal saline (0.45%)
Correct Answer: C

Rationale: Phenytoin (Dilantin) is known to be incompatible with dextrose solutions (such as dextrose 5% or dextrose 5% and half-normal saline). Therefore, the nurse would plan to use normal saline solution to dilute phenytoin in order to ensure medication effectiveness and prevent any potential adverse reactions. Lactated Ringer's solution is not commonly used for diluting phenytoin as normal saline solution is the preferred choice due to compatibility considerations.

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