Nokea
The basic defect requiring treatment in RDS is
- A. metabolic acidosis
- B. circulatory insufficiency
- C. hypothermia
- D. inadequate pulmonary exchange of oxygen and carbon dioxide
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
- A. Poison ivy does not itch and needs further investigation.
- B. Scratching the lesions will not cause a problem.
- C. Scratching the lesions will cause the poison ivy to spread.
- D. Scratching the lesions may cause them to become secondarily infected.
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.
A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which statement indicates an accurate understanding of appropriate ways to deal with this deficit?
- A. "I'll play card games with my friends."
- B. "I'll bowl with my team after discharge."
- C. "I'll take a long trip to visit my aunt."
- D. "I'll eat lunch in a restaurant everyday."
Correct Answer: A
Rationale: Option A, "I'll play card games with my friends," indicates an accurate understanding of appropriate ways to deal with the deficit of deficient diversional activity related to decreased energy. Playing card games with friends can provide a social and mentally stimulating activity that can be easily modified based on the client's energy levels. It also promotes social interaction and emotional support, which are important aspects of diversional activities for individuals undergoing chemotherapy. This option aligns well with addressing the nursing diagnosis by engaging in a low-energy but potentially enjoyable activity that can help combat feelings of isolation and boredom.
A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _______ beats/min.
- A. 60
- B. 70
- C. 90 to 110
- D. 110 to 120
Correct Answer: A
Rationale: Digoxin is a medication commonly used to treat infants with heart conditions. One of the primary concerns with digoxin therapy is the risk of toxicity, which can lead to serious cardiac arrhythmias. Bradycardia, or a heart rate less than 60 beats per minute, is a common sign of digoxin toxicity. Therefore, if a 6-month-old infant receiving digoxin has an apical pulse rate of less than 60 beats/min, the nurse should notify the practitioner and withhold the medication to prevent further complications.
Buck's traction with a 10 lb. weight is securing a patient's leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
- A. every shift.
- B. every day.
- C. every 4 hours.
- D. every 15 minutes.
Correct Answer: C
Rationale: It is important to check circulation, sensation, and movement of the patient's leg secured with Buck's traction every 4 hours. Checking every shift may not provide a frequent enough monitoring interval, while checking every day or every 15 minutes may be too infrequent or excessive, respectively. Regular assessments are necessary to detect any changes in the patient's condition promptly and ensure the effectiveness and safety of the traction device. This frequency allows healthcare providers to identify any potential issues early and take appropriate action to prevent complications.
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.