Nokea
What is the recommended hourly maintenance fluid rate (water) for a 20 kg child?
- A. 50 ml/hour
- B. 60 ml/hour
- C. 80 ml/hour
- D. 100 ml/hour
Correct Answer: B
Rationale: The recommended hourly maintenance fluid rate for a 20 kg child is 60 ml/hour, calculated using the formula: 100 ml/kg for the first 10 kg + 50 ml/kg for the next 10 kg.
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After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops pontine myelinolysis. Which intervention should the nurse implement first?
- A. Reorient client to his room
- B. Place a patch on one eye
- C. Evaluate client's ability to swallow
- D. Perform range of motion exercises
Correct Answer: A
Rationale: Reorienting the client helps in managing confusion and disorientation, which are common in pontine myelinolysis.
The following are major side effects of PGE1 EXCEPT
- A. apnea
- B. fever
- C. cutaneous flushing
- D. hypertension
Correct Answer: D
Rationale: Cutaneous flushing is a common side effect of PGE1, while hypertension is not typically observed.
A child has been diagnosed with valvular disease following rheumatic fever (RF). During patient teaching, the nurse discusses the child’s long-term prophylactic therapy with antibiotics for dental procedures, surgery, and childbirth. The parents Indicate they understand when they say:
- A. “She will need to take the antibiotics until she turns 18 years old.â€
- B. “She will need to take the antibiotics for 5 years after the last attack.â€
- C. “She will need to take the antibiotics for 10 years after the last attack.â€
- D. “She will need to take the antibiotics for the rest of her life.â€
Correct Answer: D
Rationale: Lifelong antibiotic prophylaxis is recommended for individuals with valvular disease following rheumatic fever to prevent recurrent infections and further cardiac damage.
Features of congenital rubella syndrome include:
- A. Intrauterine growth retardation
- B. Hepatomegaly
- C. Thrombocytopenia
- D. Polydactyly
Correct Answer: A
Rationale: Intrauterine growth retardation is a classic feature of congenital rubella syndrome due to the teratogenic effects of the virus.
Prevalence of psychiatric disorder:
- A. Is higher in urban than in rural areas
- B. Is increased in children with moderate learning difficulties
- C. Is increased in severe physical disability
- D. Is higher in children in social service care
Correct Answer: A
Rationale: Psychiatric disorders are more prevalent in urban areas compared to rural areas. They are also increased in children with learning difficulties and those in social service care.