Nokea
The nurse anticipates that the cerebrospinal fluid (CSF) taken from a child with bacterial meningitis would have a low
Correct Answer: glucose
Rationale: The glucose level in the CSF of a child with bacterial meningitis is low because the bacteria in the fluid have digested the glucose.
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What is the best time to administer pancreatic enzyme replacement?
- A. Before meals and snacks
- B. Before bedtime
- C. Early in the morning
- D. After meals and snacks
Correct Answer: A
Rationale: Pancreatic enzymes are administered before meals and snacks to digest carbohydrates, fats, and proteins.
What should the therapeutic management of iron deficiency anemia include?
- A. Multivitamins
- B. Calcium
- C. Ferrous sulfate
- D. Iodine
Correct Answer: C
Rationale: Therapeutic management of iron deficiency anemia is iron (ferrous sulfate) supplementation, nutritional counseling, and treatment of any underlying condition.
A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?
- A. No. When the lesions have gone you may stop the nystatin.
- B. Yes. You should continue it for the full 7 days.
- C. No. Thrush is a self-limiting disorder and nystatin is given for comfort only.
- D. Yes. The medication should be refilled for a second week of therapy.
Correct Answer: B
Rationale: Nystatin should be given for the full 7 days even if the lesions are no longer present.
What could suddenly occur in a child with acute epiglottitis?
- A. Increased carbon dioxide levels
- B. Airway obstruction
- C. Inability to swallow
- D. Bronchial collapse
Correct Answer: B
Rationale: In acute epiglottitis, the infected epiglottis becomes inflamed and causes total airway obstruction. Immediate treatment of acute epiglottitis includes an artificial airway.
What other congenital defects are common in children with Down syndrome?
- A. Hypospadias
- B. Pyloric stenosis
- C. Heart defects
- D. Hip dysplasia
Correct Answer: C
Rationale: Many children with Down syndrome have congenital heart defects.