Nokea
The nurse should implement which prescribed treatment for a child with warts?
- A. Vaccination
- B. Local destruction
- C. Corticosteroids
- D. Specific antibiotic therapy
Correct Answer: B
Rationale: Warts are caused by viral infections, mainly the human papillomavirus (HPV). Local destruction methods, such as cryotherapy (freezing), laser therapy, or chemical treatment, are the preferred treatments for warts in children. These methods physically destroy the wart tissue, helping to eliminate the virus and promote healing. Vaccination, corticosteroids, and specific antibiotic therapy are not typically prescribed treatments for warts.
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Which of the following actions should the nurse take to maintain patient safety when ambulating a patient for the first time postoperatively?
- A. Use one person to assist patient.
- B. Use two people to assist patient.
- C. Encourage patient to "dangle" self 1 hour before ambulation.
- D. Give narcotic 15 minutes before ambulation.
Correct Answer: B
Rationale: When ambulating a patient for the first time postoperatively, it is crucial to ensure patient safety by using two people to assist the patient. This helps in providing adequate support and stability, especially if the patient is weak, dizzy, or at risk of falling. Having two people allows for better control over the patient's movement and reduces the risk of accidents or falls during ambulation. Additionally, having an extra person provides assistance in case the patient becomes unsteady or requires immediate support.
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.
The physical abuse of children affects children of all ages. Serious injuries, such as head or abdominal trauma, are more likely to be inflicted by
- A. mothers
- B. fathers
- C. old brothers
- D. grand mothers
Correct Answer: B
Rationale: Fathers and male caregivers are statistically more likely to inflict serious physical abuse, including head and abdominal trauma, due to greater physical strength and aggression.
A client who has been taking prednisone to treat lupus erythematosus has discontinued the medication because of lack of funds to buy the drug. When the nurse becomes aware of the situation, which assessment is most important for the nurse to make first?
- A. breath sounds
- B. blood pressure
- C. capillary refill
- D. butterfly rash
Correct Answer: B
Rationale: The most important assessment for the nurse to make first in this situation is the client's blood pressure. Abrupt discontinuation of prednisone, especially in a client with lupus erythematosus, can lead to adrenal insufficiency or an Addisonian crisis. Addisonian crisis can present with symptoms such as severe hypotension, fatigue, weakness, and even shock. Therefore, monitoring the client's blood pressure is crucial to assess for signs of adrenal insufficiency and to intervene promptly if needed. Once blood pressure is assessed, the nurse can then proceed to assess other parameters such as breath sounds, capillary refill, and the presence of a butterfly rash.
Which laboratory study is monitored for the patient receiving heparin therapy?
- A. INR
- B. PTT
- C. PT
- D. Bleeding time
Correct Answer: B
Rationale: The laboratory study monitored for a patient receiving heparin therapy is the Partial Thromboplastin Time (PTT). Heparin is an anticoagulant medication that works by inhibiting clot formation. PTT measures the intrinsic pathway of the coagulation cascade, which is affected by heparin administration. Monitoring the PTT helps ensure that the patient's blood is at the appropriate level of anticoagulation and reduces the risk of bleeding or clot formation.