Nokea
Nurses should be alert for increased fluid requirements in which circumstance?
- A. Fever
- B. Mechanical ventilation
- C. Congestive heart failure
- D. Increased intracranial pressure
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the most frequent cause of hypovolemic shock in children?
- A. Sepsis
- B. Blood loss
- C. Anaphylaxis
- D. Heart failure
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is an approximate method of estimating output for a child who is not toilet trained?
- A. Have parents estimate output.
- B. Weigh diapers after each void.
- C. Place a urine collection device on the child.
- D. Have the child sit on a potty chair 30 minutes after eating.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A mother delivers an infant at 30 weeks gestation. The mother asks the nurse for information on nutrition and if formula would be better since the baby is premature. What is the foundation for the response to the mother by the nurse?
- A. Human milk is preferred over other types of nutrition.
- B. Human milk lacks essential nutrients when the infant is preterm.
- C. Commercial infant formulas are preferred over other types of nutrition.
- D. Commercial infant formulas have not been designed to meet the nutritional needs of preterm infants.
Correct Answer: A
Rationale: The correct answer is A. Human milk is the preferred food for infants, including preterm infants. It contains essential ingredients necessary for the infant's growth and development. The mother should pump her breasts to provide milk for the infant if the child is receiving enteral feedings. Once the infant can coordinate breathing, sucking, and swallowing, breastfeeding directly is encouraged. Studies have shown that preterm infants fed fortified human milk have better outcomes compared to those fed commercial infant formulas. Commercial infant formulas may not fully meet the unique nutritional needs of preterm infants, leading to potential longer hospital stays. Therefore, human milk is the best choice for feeding premature infants.
The nurse is caring for a child with hypernatremia. The nurse evaluates the child for which signs and symptoms of hypernatremia? (Select all that apply.)
- A. All below
- B. Lethargy
- C. Oliguria
- D. Intense thirst
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth. What is the most appropriate nursing action?
- A. Reassure the father that Visine is harmless.
- B. Direct him to seek immediate medical treatment.
- C. Recommend inducing vomiting with ipecac.
- D. Advise him to dilute Visine by giving his daughter several glasses of water to drink.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.