Nokea
One nursing diagnosis for JRA is impaired physical mobility. Select all nursing interventions that apply.
- A. Give pain medication prior to ambulation.
- B. Assist with range-of-motion activities.
- C. Encourage the child to eat a high-fat diet.
- D. Provide oxygen as necessary.
Correct Answer: A
Rationale: Giving pain medication prior to ambulation can help alleviate discomfort and improve the child's ability to perform physical activities, thus promoting mobility.
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The staff nurse in a regional hospital is aware that a dose of parenteral ampicillin must be administered within how many hours after it has been mixed?
- A. 1 hour
- B. 4 hours
- C. 2 hours
- D. 8 hours
Correct Answer: B
Rationale: The correct administration time frame for a dose of parenteral ampicillin after it has been mixed is within 4 hours. This is based on the stability and compatibility of ampicillin when it is mixed and prepared for injection. Beyond 4 hours, the effectiveness and safety of the medication may be compromised due to potential degradation or contamination. It is crucial for healthcare providers to adhere to the recommended administration time frame to ensure the patient receives the full therapeutic benefits of the medication and to prevent any negative outcomes associated with the degradation of the drug.
A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:
- A. Becker's muscular dystrophy
- B. Duchenne muscular dystrophy
- C. Myotonic muscular dystrophy
- D. Cerebral palsy
Correct Answer: B
Rationale: Duchenne muscular dystrophy typically presents in early childhood with difficulty rising from a seated position (Gower's sign), calf muscle hypertrophy, and Trendelenburg gait.
while planning therapeutic care for type ï‰ diabetes mellitus you would expect treatment plan to include:
- A. oral hypoglycemic agents
- B. more physical exercises only
- C. dietary regimen only
- D. insulin injection
Correct Answer: D
Rationale: Type 1 diabetes mellitus is characterized by the body's inability to produce insulin. Therefore, the mainstay of treatment for type 1 diabetes is insulin therapy. Insulin injections are necessary to replace the insulin that the body is unable to produce on its own. While physical exercise and dietary management are important components of managing diabetes, in the case of type 1 diabetes, insulin is an essential part of the treatment plan to control blood glucose levels effectively and prevent complications. Oral hypoglycemic agents, on the other hand, are typically used in the treatment of type 2 diabetes, where the body's insulin production may be insufficient or ineffective.
An adult is on long term aspirin therapy and is experiencing tinnitus. What is the best interpretation of this occurrence?
- A. The aspirin is working correctly
- B. The client has an upper GI bleed
- C. The client has a metal taste in their mouth
- D. The client is experiencing a mild overdosage
Correct Answer: D
Rationale: Tinnitus (ringing in the ears) is a potential side effect of aspirin overdose. Aspirin can cause toxicity with symptoms like ringing in the ears, dizziness, confusion, and nausea. It is important for the adult to seek medical attention if they are experiencing tinnitus while on long-term aspirin therapy to address the possible overdose situation.
A patient is admitted for a splenectomy. Why is an injection of Vit. K ordered before surgery?
- A. To correct clotting problems
- B. To prevent postoperative infection
- C. To promote healing
- D. To dry secretions
Correct Answer: A
Rationale: Vitamin K plays a crucial role in the production of clotting factors in the liver. Patients undergoing a splenectomy may be at an increased risk of bleeding during and after surgery due to the decreased availability of these clotting factors. Administering Vitamin K before the surgery helps to correct any potential clotting problems, ensuring proper hemostasis and reducing the risk of excessive bleeding during the procedure. This preoperative intervention can help optimize the patient's coagulation status and improve their outcomes postoperatively.