Pediatrics Baby Fell off Bed Questions

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The nurse must assess a 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next. Which initial action by the nurse would be most appropriate?

  • A. Initiate a game of peek-a-boo.
  • B. Ask father to place the infant on the examination table.
  • C. Undress the infant while he is still sitting on his father's lap.
  • D. Talk softly to the infant while taking him from his father.
Correct Answer: D

Rationale: Talking softly to the infant while taking him from his father would be the most appropriate initial action by the nurse in this situation. This approach allows the nurse to maintain communication with the infant to provide comfort and minimize fear or anxiety. By using a gentle tone and reassuring words, the nurse can help establish a sense of safety for the infant as he is transitioned from his father's lap to the examination table. This gradual and supportive approach is likely to facilitate a smoother assessment process and help build trust with the infant and the family.

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Which is a common side effect of short-term corticosteroid therapy?

  • A. Fever
  • B. Hypertension
  • C. Weight loss
  • D. Increased appetite
Correct Answer: D

Rationale: Increased appetite is a common side effect of short-term corticosteroid therapy. Corticosteroids can affect the areas of the brain that control appetite, leading to an increase in hunger and potentially weight gain. While weight loss can occur with long-term corticosteroid use, short-term therapy is more likely to cause increased appetite as a side effect. Fever and hypertension are less commonly associated with short-term corticosteroid therapy.

Granulocytic sarcoma masses are commonly seen in which type of the following malignancies?

  • A. neuroblastoma
  • B. rhabdomyosarcoma
  • C. soft tissue sarcoma
  • D. AML
Correct Answer: D

Rationale: Granulocytic sarcoma is most commonly associated with acute myeloid leukemia (AML).

For the first 72 hours thyroidectomy surgery, the nurse would assess the client for Chvostek's sign and Trousseau's sign because they indicate which of the following?

  • A. Hypocalcamia
  • B. hypokalemia
  • C. Hypercalcemia
  • D. Hyperkalemia
Correct Answer: A

Rationale: Chvostek's sign and Trousseau's sign are both clinical manifestations of hypocalcemia, which is a common complication following thyroidectomy surgery.

Which of the ff vessels is often used for grafting?

  • A. The basic and cephalic veins in the arm
  • B. The internal mammary and internal thoracic arteries in the chest
  • C. The saphenous vein in the leg
  • D. The radial artery in the arm
Correct Answer: B

Rationale: The internal mammary and internal thoracic arteries in the chest are often used for grafting in procedures such as coronary artery bypass surgery. These arteries have been found to have good long-term patency rates when used as grafts to bypass blocked coronary arteries. The internal mammary artery, in particular, is commonly used for this purpose due to its accessibility and long-term durability. The use of these arteries for grafting helps to improve blood flow to the heart muscle, relieving symptoms of coronary artery disease and reducing the risk of heart-related complications.

The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:

  • A. Intense abdominal cramps
  • B. Profuse diarrhea
  • C. Anal fissures
  • D. Abdominal distention
Correct Answer: B

Rationale: Profuse diarrhea is the most common assessment finding in a child with ulcerative colitis. Ulcerative colitis is a type of inflammatory bowel disease that primarily affects the colon and rectum. It causes inflammation and ulcers in the lining of the colon, leading to symptoms such as frequent and urgent bowel movements, abdominal pain, and bloody diarrhea. The diarrhea in ulcerative colitis is typically watery and can be very severe, often leading to dehydration and electrolyte imbalances. Intense abdominal cramps, anal fissures, and abdominal distention can also be present in ulcerative colitis, but profuse diarrhea is the hallmark symptom that is commonly seen in affected children.

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