Nokea
The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
- A. Can interfere with the treatment for nephrosis.
- B. Require that the child have antibiotic coverage.
- C. Can be given in smaller, divided doses.
- D. Should be delayed.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Osteopenia begins immediately after a spinal cord injury (SCI) occurs and plateaus 6-12 mo later. Pathologic fractures occur as a consequence of loss of bone mineral density. Of the following, the MOST common site of fracture is
- A. distal tibia
- B. supracondylar region of the femur
- C. lumbosacral spine
- D. proximal humerus
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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 four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Criteria of patent ductus arteriosus (PDA)?
- A. Wide pulse pressure
- B. Pan-systolic murmur
- C. Right apical impulse
- D. Normal pulmonary venous markings
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is an appropriate action when an infant becomes apneic?
- A. Shake vigorously
- B. Roll head side to side
- C. Hold by feet upside down with head supported
- D. Gently stimulate trunk by patting or rubbing
Correct Answer: D
Rationale: When an infant becomes apneic (stops breathing), the appropriate action is to gently stimulate the trunk by patting or rubbing. This can help stimulate the infant to resume breathing. It is important to avoid any rough handling or shaking as this can cause harm to the infant. Rolling the head side to side or holding the infant by the feet upside down is not recommended in this situation and could potentially be dangerous. Gently stimulating the trunk is a safe and appropriate response to help the infant start breathing again.