Pediatrics Baby Fell off Bed Questions

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The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?

  • A. Best managed through diet, exercise, and oral medication.
  • B. Can be prevented by proper nutrition and activity.
  • C. Characterized mainly by insulin resistance.
  • D. Characterized mainly by insulin deficiency.
Correct Answer: D

Rationale: Type I DM, also known as insulin-dependent diabetes mellitus, is characterized mainly by insulin deficiency. In this type of diabetes, the pancreas produces little to no insulin, which is essential for regulating blood glucose levels. Therefore, individuals with type I DM require lifelong insulin therapy to manage their condition. Unlike type II DM, which is associated with insulin resistance, type I DM is not preventable through lifestyle modifications like diet and exercise alone. It is crucial for the nurse to educate the family about the importance of insulin therapy, monitoring blood glucose levels, carbohydrate counting, and responding to hypoglycemic episodes in caring for their 7-year-old with type I DM.

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Why are older adults with heart and blood vessel diseases susceptible to thrombophlebitis?

  • A. Choose all that apply
  • B. IV drugs and chemicals
  • C. Impaired mobility
  • D. Compromised circulation
Correct Answer: B

Rationale: Thrombophlebitis is the inflammation of a vein with the formation of a blood clot (thrombus) that can lead to serious complications. Older adults with heart and blood vessel diseases are more susceptible to thrombophlebitis due to various reasons:

A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?

  • A. 16 lb 4 oz
  • B. 20 lb 5 oz
  • C. 24 lb 6 oz
  • D. 32 lb 8 oz
Correct Answer: C

Rationale: Infants typically triple their birth weight by 12 months. For an 8-lb infant, that would be approximately 24 lb.

During examination of a toddler's extremities, the nurse notes that the child is bowlegged. What should the nurse recognize regarding this finding?

  • A. Abnormal and requires further investigation
  • B. Abnormal unless it occurs in conjunction with knock-knee
  • C. Normal if the condition is unilateral or asymmetric
  • D. Normal because the lower back and leg muscles are not yet well developed
Correct Answer: A

Rationale: Bowlegged appearance in a toddler is not considered normal and should prompt further investigation by a healthcare provider. Bowlegs, also known as genu varum, can be caused by various underlying conditions such as vitamin D deficiency, rickets, or genetic factors. It is important to determine the cause of bowleggedness in order to provide appropriate treatment or interventions to promote proper development of the child's legs. Bowleggedness on its own is not considered a normal variation in toddler development and warrants further assessment.

An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?

  • A. Use the present solution with the new tubing
  • B. Connect the new tubing to the hub prior to running any fluid through the tubing
  • C. Close the roller clamp on the new tubing after priming it
  • D. Have the client roll to the right side to prevent an air embolus
Correct Answer: C

Rationale: The correct action to be taken when changing the tubing of a central line in the right subclavian vein is to close the roller clamp on the new tubing after priming it. This step is important to prevent air from entering the central line, which can lead to an air embolus. Proper priming and ensuring that the tubing is connected securely are essential steps in maintaining the integrity and safety of the central line system. Therefore, closing the roller clamp after priming the new tubing is crucial to prevent complications.

The nurse practitioner assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?

  • A. Facial erythema, profuse proteinuria, pleuritis, fever, and weight loss
  • B. Pericarditis, photosensitivity, polyarthralgia, and painful mucous membrane ulcers
  • C. Weight gain, hypervigilance, hypothermia, and edema of the legs
  • D. Hypothermia, weight gain, lethargy, and edema of the arms
Correct Answer: B

Rationale: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect various organs and tissues in the body. The assessment findings listed in option B are more indicative of SLE:

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