Nokea
What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
- A. Thirst
- B. Irritability
- C. Apprehension
- D. Confusion and somnolence
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the most frequent cause of hypovolemic shock in children?
- A. Sepsis
- B. Blood loss
- C. Anaphylaxis
- D. Heart failure
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When caring for a child with an intravenous (IV) infusion, what is an appropriate nursing action?
- A. Change the insertion site every 24 hours.
- B. Check the insertion site frequently for signs of infiltration.
- C. Use a macrodropper to facilitate reaching the prescribed flow rate.
- D. Avoid restraining the child to prevent undue emotional stress.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Urinary tract anomalies are frequently associated with what irregularities in fetal development?
- A. Myelomeningocele
- B. Cardiovascular anomalies
- C. Malformed or low-set ears
- D. Defects in lower extremities
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is an advantage of the ventrogluteal muscle as an injection site in young children?
- A. Easily accessible from many directions
- B. Free of significant nerves and vascular structures
- C. Can be used until the child reaches a weight of 9 kg (20 lb)
- D. Increased subcutaneous fat, which provides sustained drug absorption
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurses caring for a child are concerned about the child's frequent requests for pain medication. During a team conference, a new nurse suggests they consider administering a placebo instead of the usual pain medication to see how the child responds. The team educates the nurse on why this is not appropriate and bases the decision on what knowledge?
- A. This practice is unjustified and unethical.
- B. This practice is effective in determining whether a child's pain is real.
- C. The absence of a response to a placebo means the child's pain has an organic basis.
- D. A positive response to a placebo will not occur if the child's pain has an organic basis.
Correct Answer: A
Rationale: The correct answer is A. The use of placebos without the patient's consent is unethical and goes against the principles of beneficence and autonomy. Choice B is incorrect because using placebos does not provide reliable information about the presence or severity of the pain; it only indicates the response to the placebo itself. Choice C is wrong as the absence of a response to a placebo does not definitively mean that the child's pain has an organic basis; there could be various reasons for the lack of response. Choice D is also incorrect as individuals may have a positive response to a placebo even if their pain has a significant organic cause. Therefore, the most appropriate response is A, emphasizing the ethical concerns surrounding the use of placebos without informed consent.