Nokea
One of the following medications used in treatment of atopic dermatitis should be discontinued after failure to achieve good results within 4-6 weeks
- A. methotrexate
- B. azathioprine
- C. omalizumab
- D. mycophenolate mofetil
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT
- A. risk of postoperative apnea is increased by anemia
- B. accepted standard of care includes overnight inpatient apnea monitoring for this infant after general anesthesia because of a significant risk of postoperative apnea
- C. postponing the surgery incurs a small but real risk of incarceration, with complications that may include bowel obstruction and infarction of testes or ovaries
- D. after a spinal anesthetic, monitoring for apnea is not required, and the infant can be sent home from the postanesthetic care unit on the day of surgery
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
The pediatric nurse, who cares for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation on noting:
- A. a heart rate of 50 beats/min.
- B. a temperature of 102°F (38.9°C).
- C. reports of leg pain.
- D. fluid overload or pulmonary edema.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
- A. Taking over total care of the child to reduce stress on the family
- B. Encouraging family dependence on health care systems
- C. Recognizing that the family is the constant in a child's life
- D. Excluding families from the decision-making process
Correct Answer: C
Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.