Nokea
The presence of which pair of factors is a good predictor of a fluid deficit of at least 5% in an infant?
- A. Weight loss and decreased heart rate
- B. Capillary refill of less than 2 seconds and no tears
- C. Increased skin elasticity and sunken anterior fontanel
- D. Dry mucous membranes and generally ill appearance
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?
- A. Giving half of the solution and then repeating the other half in 1 hour
- B. Mixing with a flavorful beverage in an opaque container with a straw
- C. Serving it in a clear plastic cup so the child can see how much has been drunk
- D. Administering it through a nasogastric tube because the child will not drink it because of the taste
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the required number of milliliters of fluid needed per day for a 14-kg child?
- A. 800
- B. 1000
- C. 1200
- D. 1400
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In general, how much is a child that was 10 pounds at birth expected to weigh at 6 months old?
- A. Double = 20 lbs
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?
- A. Recreation
- B. Ritualism
- C. Physical activity
- D. Rules
Correct Answer: D
Rationale: The correct answer is D: Rules. When discussing play in school-aged children, rules are essential as they help in structuring games and social interactions. Rules provide a framework for play, ensuring fairness and cooperation among children. Choice A, recreation, is too broad and doesn't specifically address the importance of rules in play. Choice B, ritualism, is unrelated to the concept of play in school-aged children. Choice C, physical activity, is important for overall health but doesn't capture the specific aspect of rules that are crucial in the play of school-aged children.
A new mom is instructed to have her toddler brush his teeth every night after dinner. This is an example of __________ which increases the toddler's sense of security and self-mastery.
- A. Negativism
- B. Diversionary activity
- C. Critical play
- D. Ritualism
Correct Answer: D
Rationale: The correct answer is D, Ritualism. Establishing routines like brushing teeth every night after dinner helps toddlers feel secure and in control. Choice A, Negativism, refers to a child's oppositional behavior. Choice B, Diversionary activity, involves redirecting attention to something else. Choice C, Critical play, does not relate to the scenario of establishing a routine for the toddler.