Nokea
The child refusing to go to bed and remaining active is likely due to
- A. thyrotoxicosis
- B. ADHD
- C. primary sleep disorder
- D. limit-setting behavioral insomnia of childhood
Correct Answer: D
Rationale: Limit-setting insomnia involves resistance to bedtime routines.
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Which of the ff adverse reactions may occur when a client is taking danazol (Danocrine) for fibrocystic breast disease?
- A. Nausea
- B. Amenorrhea
- C. Confusion
- D. Hypotension
Correct Answer: B
Rationale: Danazol (Danocrine) is a synthetic androgen that is used to treat conditions such as fibrocystic breast disease. One of the known adverse effects of danazol is the development of amenorrhea, which refers to the absence of menstrual periods. This occurs because danazol suppresses ovarian function by inhibiting the release of gonadotropins, leading to decreased production of estrogen and progesterone. Amenorrhea associated with danazol use is typically reversible upon discontinuation of the medication. Nausea, confusion, and hypotension are not common adverse reactions associated with danazol use for fibrocystic breast disease.
A client has undergone a nephrectomy and is placed under observation after a urethral catheter insertion. As part of the nursing care plan, the nurse records the color of drainage from each tube and catheter. Which of the ff is the reason for this?
- A. To restore and maintain intravascular volume
- B. To provide a means for further comparison and evaluation
- C. To avoid interference with wound drainage
- D. To prevent pain related to obstruction
Correct Answer: B
Rationale: Recording the color of drainage from each tube and catheter is crucial in the nursing care plan as it provides a means for further comparison and evaluation. Changes in the color of drainage can indicate potential issues such as infection, bleeding, or other complications post-surgery. By monitoring the color of drainage, the nurse can identify any abnormal changes early on and take appropriate actions to address them promptly. This practice helps in assessing the patient's condition and ensuring optimal recovery and healing after the surgery.
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
- A. liver
- B. spleen
- C. lung
- D. hematopoietic system
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following?
- A. Rheumatoid arthritis
- B. Permanent nerve damage
- C. Osteomyelitis
- D. Bone growth disruption
Correct Answer: D
Rationale: The epiphyseal plate, also known as the growth plate, is the area of growing tissue near the ends of the long bones in children and adolescents. It is crucial for bone growth and development. When a child injures the epiphyseal plate from a fracture, the damage can disrupt the normal growth process of the bone. This disruption can lead to unequal limb length, angular deformities, or other growth abnormalities. Therefore, the damage resulting from an injury to the epiphyseal plate may lead to bone growth disruption. Choices A, B, and C are not directly associated with epiphyseal plate injuries.
A nurse plans therapeutic play time for a hospitalized child. What are the benefits of play? (Select all that apply.)
- A. Serves as method to assist disturbed children
- B. Allows the child to express feelings
- C. The nurse can gain insight into the child's feelings.
- D. The child can deal with concerns and feelings.
Correct Answer: A
Rationale: Play serves as a method to assist disturbed children by providing them with a therapeutic outlet to express themselves and work through their emotions in a safe and constructive manner.