Nokea
The child is hospitalized with dehydration and is receiving IV fluids. What is the best indicator that the child's dehydration is improving?
- A. The child's urine output increases
- B. The child's skin turgor is normal
- C. The child's weight increases
- D. The child's vital signs are stable
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 16-year-old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Proventil) metered-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky and her heart feels like it is 'beating a mile a minute.' Which information is most important for the nurse to obtain?
- A. When she last took the antihistamine.
- B. When her last asthma attack occurred.
- C. Duration of most asthma attacks.
- D. How often the MDI is used daily.
Correct Answer: D
Rationale: The most important information for the nurse to obtain in this scenario is how often the MDI is used daily. This is crucial to assess if the symptoms the student is experiencing, such as insomnia, shakiness, and tachycardia, could be related to overuse of the inhaler. Overuse of albuterol can lead to side effects like tremors, palpitations, and difficulty sleeping, so understanding the frequency of MDI use is key in determining a potential cause for the student's symptoms.
The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?
- A. We should give our child acetaminophen when they have a fever.
- B. We should place our child in a cool bath during a seizure.
- C. We should call 911 if the seizure lasts longer than 5 minutes.
- D. We should try to keep our child's fever under control.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which developmental behavior should the practical nurse identify as normal for a 6-month-old infant?
- A. Rolls over completely.
- B. Creeps on all four extremities.
- C. Pulls self to a standing position.
- D. Assumes a sitting position independently.
Correct Answer: A
Rationale: By 6 months of age, infants typically achieve the milestone of rolling over completely. This ability demonstrates increasing strength and coordination. Creeping on all fours, pulling self to a standing position, and assuming a sitting position independently are skills that are usually developed at later stages of infancy.
A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the nurse make for this situation?
- A. DTaP and IPV can be safely given to the infant at the scheduled time.
- B. DTaP and IPV are contraindicated because the infant has a cold.
- C. IPV is contraindicated because her sister is immunocompromised.
- D. DTaP is contraindicated because her sister is immunocompromised.
Correct Answer: A
Rationale: DTaP and IPV can be safely administered to a child with a mild illness like a cold, even if there is an immunocompromised family member, as these vaccines do not contain live viruses. It is important to ensure that the child is otherwise healthy and afebrile before administering the vaccines. The presence of a cold is not a contraindication for receiving DTaP and IPV vaccines.
A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management?
- A. I hope I will be able to drive while taking these pills.
- B. My friends will think I am a freak if I take these pills.
- C. I don't want my parents monitoring my medications.
- D. I will take the pills at home so others will not see me.
Correct Answer: B
Rationale: The statement 'My friends will think I am a freak if I take these pills' indicates concerns about peer perception, which can lead to non-compliance in adolescents. Peer pressure and fear of social stigma can significantly impact medication adherence in this age group, making option B the most concerning response regarding the client's compliance with life-long medication management.