Nokea
The healthcare provider is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
- A. Vital signs and neurologic checks hourly
- B. Small, frequent formula feedings
- C. Elevate the head of the bed
- D. Daily head circumference measurements
Correct Answer: C
Rationale: Elevating the head of the bed in a child with hydrocephalus can potentially increase intracranial pressure. This can be counterproductive and may lead to complications after shunt placement surgery. Keeping the head of the bed flat or slightly elevated is often recommended to optimize cerebral perfusion and reduce the risk of increased intracranial pressure.
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Epstein-Barr virus (EBV) infection is more likely to be associated with all the following malignancies EXCEPT
- A. Burkitt lymphoma
- B. nasopharyngeal T-cell lymphoma
- C. carcinoma
- D. Hodgkin lymphoma
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Psychosocial problems may manifest as disturbances in
- A. feelings
- B. body function
- C. behavior
- D. performance
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented.
- B. Infants do not feel pain as adults do.
- C. This is not a good reason for refusing immunizations.
- D. A topical anesthetic, EMLA, can be applied before injections are given.
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.
You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is
- A. affected children usually do not have antisocial tendencies
- B. girls are more likely affected than boys
- C. there is strong association with social class
- D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.