Nokea
The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
- A. 0.9% normal saline (NS)
- B. D5 0.2% (¼) normal saline
- C. D5W
- D. Albumin
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The age at which the infant can achieve early head control with bobbing motion when pulled to sit is
- A. 2 months
- B. 3 months
- C. 4 months
- D. 6 months
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take?
- A. Administer meperidine for pain.
- B. Apply cold compresses to the child's joints.
- C. Limit the child's fluid intake.
- D. Maintain bed rest for the child.
Correct Answer: D
Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing.
You are evaluating a 9-year-old boy child with ALL who recently develops relapse; an important statement that should be mentioned to his parents is
- A. testicular relapse occurs in the majority of boys with ALL
- B. such relapse occurs as painful swelling of one or both testes
- C. the diagnosis is confirmed by ultrasonography
- D. the majority of affected boys can be successfully retreated, and the survival rate is good
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 5-year-old girl requires a craniotomy for subarachnoid hemorrhage following a motor vehicle collision. Which of the following parameters is consistent with a postoperative diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
- A. Serum osmolality 300 mOsm/L
- B. Serum sodium 128 mEq/L
- C. Urine sodium < 20 mmol/L
- D. N/A
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
- A. Increased PCO2 and respiratory acidosis
- B. Decreased PCO2 and respiratory alkalosis
- C. Low pH and low PCO2
- D. High pH and high PCO2
Correct Answer: A
Rationale: When a child's respirations are slow and shallow due to opioid administration, it results in hypoventilation. This leads to retaining carbon dioxide, indicated by an increased PCO2 level on arterial blood gas analysis, and subsequently causes respiratory acidosis due to the buildup of CO2 in the blood.