Nokea
What is an initial sign of nephrosis that the nurse might note in a child?
- A. Raspberry-like rash
- B. Periorbital edema
- C. Temperature elevation
- D. Abdominal pain
Correct Answer: B
Rationale: In nephrotic syndrome, edema is a common symptom that is generalized and not easily noticeable, even by parents. However, an early sign that can be assessed by the nurse is periorbital edema, which refers to swelling around the eyes. This can be an initial indicator of nephrosis and may prompt further evaluation and intervention.
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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.
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
- A. FEV1/FVC ratio >80%
- B. FEV1 >80% of predicted
- C. daytime symptoms ≤2 days/week
- D. 2-4 exacerbations in the past year
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-year-old admitted 2 days ago is crying and inconsolable. The nurse tells the parents this is the:
- A. Detachment phase of separation anxiety.
- B. Despair stage of separation anxiety.
- C. Bargaining stage of separation anxiety.
- D. Protest stage of separation anxiety.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Alcohol acts primarily as a CNS depressant. It produces all the following EXCEPT
- A. euphoria
- B. impaired short-term memory
- C. increased pain threshold
- D. hyperthermia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Anaphylactic shock is characterized by which of the following:
- A. Airway obstruction
- B. Decreased systemic vascular resistance
- C. Generalized vasoconstriction
- D. Hypovolemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.