Nokea
The MOST common cause of sleeping difficulty in the first 2 months of life is
- A. gastroesophageal reflux
- B. colic
- C. formula intolerance
- D. developmentally self-resolving sleeping behavior
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare provider at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the provider recognize as a manifestation of pertussis?
- A. Inflamed throat with exudate
- B. Purulent eye drainage
- C. Dry, hacking cough
- D. Koplik spots on buccal mucosa
Correct Answer: C
Rationale: The correct answer is C: 'Dry, hacking cough.' A dry, hacking cough is a classic manifestation of pertussis. Pertussis typically presents with symptoms of an upper respiratory tract infection, starting with a persistent, severe, and uncontrollable cough that can worsen at night. This cough is often followed by a high-pitched 'whoop' sound as the patient tries to catch their breath, hence the term 'whooping cough.' In contrast, options A, B, and D are not typically associated with pertussis. Inflamed throat with exudate may suggest a bacterial throat infection like streptococcal pharyngitis, purulent eye drainage is more indicative of a bacterial conjunctivitis, and Koplik spots on the buccal mucosa are specific to measles. Therefore, recognizing the dry, hacking cough as a manifestation of pertussis is crucial for early identification and appropriate management of the disease.
A 5-year-old boy has systemic juvenile idiopathic arthritis (sJIA) with systemic manifestations including fever, hepatosplenomegaly, and pericarditis. Of the following, the BEST initial treatment for this boy is
- A. NSAIDs
- B. systemic glucocorticoids
- C. TNF-a inhibitors
- D. IL-1 antagonists
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 4-year-old client with intractable seizures has been on a ketogenic diet for the last 6 months, with a decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. Which possible complication to this diet does the nurse suspect?
- A. Appendicitis
- B. Bowel obstruction
- C. Urinary tract infection
- D. Kidney stones
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While caring for four different pediatric clients, which child is at the highest risk for dehydration?
- A. 7-year-old child with migraine headaches
- B. 4-year-old child with a broken arm
- C. 2-year-old child with cellulitis of the left leg
- D. 18-month-old child with tachypnea
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In infants, inferences about vision may be made by physical examination of the eye and assessment of
- A. language
- B. intelligence
- C. gross motor
- D. personal-social
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.