Nokea
Regarding swaddling, one of the following is correct
- A. swaddling is effective if practiced during a crying episode
- B. swaddling is effective if practiced before a crying episode
- C. there is no place for swaddling to calm a crying infant
- D. swaddling may interfere with vascular supply
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which causes the clinical manifestations of hydronephrosis?
- A. A structural abnormality causes urine to back up, increasing pressure and causing cell death.
- B. Urine flows too freely, causing imbalances.
- C. Decreased urine production causes electrolyte issues.
- D. Abnormal urine composition leads to high blood pressure and increased GFR.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
- A. Take vital signs.
- B. Establish an intravenous line.
- C. Perform rapid neurologic assessment.
- D. Maintain a patent airway.
Correct Answer: D
Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. Establishing an intravenous line and performing other assessments are important but maintaining a patent airway takes precedence to prevent hypoxia and ensure the child's safety.
Which medication is most likely to cause serious respiratory depression as a potential adverse reaction?
- A. Morphine
- B. Pentazocine
- C. Hydrocodone
- D. Nalmefene
Correct Answer: A
Rationale: Morphine, as a strong opioid agonist, has the highest likelihood of causing serious respiratory depression due to its potent effects on the central nervous system. While Pentazocine and Hydrocodone can also cause respiratory depression, they are less likely to do so compared to morphine. Nalmefene, an opioid antagonist, is used to reverse respiratory depression caused by opioids rather than causing it.
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The daily weight gain in the first 3-4 months of life is
- A. 10-20 gm
- B. 20-30 gm
- C. 30-40 gm
- D. 40-50 gm
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.