Nokea
The pediatric nurse, who cares for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation on noting:
- A. a heart rate of 50 beats/min.
- B. a temperature of 102°F (38.9°C).
- C. reports of leg pain.
- D. fluid overload or pulmonary edema.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Stimulant drugs are useful for hyperactivity and inattention associated with autism spectrum disorders (ASDs). Of the following, the BEST response of these drugs is seen with
- A. autism
- B. Asperger syndrome
- C. childhood disintegrative disorder
- D. Rett syndrome
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Indications of severe exacerbation of asthma include the following EXCEPT
- A. breathlessness
- B. accessory muscle use
- C. labored breathing
- D. PEF or FEV1 value <70% of personal best
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?
- A. GI function
- B. Locomotion
- C. Sucking ability
- D. Respiratory status
Correct Answer: C
Rationale: A cleft lip (CL) can significantly impact a baby's ability to create a proper seal while sucking. Sucking ability is crucial for a newborn's feeding process, as it is necessary for obtaining nutrition from breast milk or formula. A compromised sucking ability can lead to difficulties in feeding, inadequate intake of nutrients, and poor weight gain. Therefore, Nurse Barbara should be particularly alert to the potential challenges that baby Jonathan may face in establishing a sufficient sucking mechanism.
Which of the following is NOT a seronegative spondyloarthropathy?
- A. Ankylosing spondylitis
- B. Reactive arthritis
- C. Psoriatic arthritis
- D. Rheumatoid arthritis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 5-year-old boy has systemic juvenile idiopathic arthritis (sJIA) with systemic manifestations including fever, hepatosplenomegaly, and pericarditis. Of the following, the BEST initial treatment for this boy is
- A. NSAIDs
- B. systemic glucocorticoids
- C. TNF-a inhibitors
- D. IL-1 antagonists
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.