Nokea
What should be included in the therapeutic management of iron deficiency anemia?
- A. Multivitamins
- B. Calcium
- C. Ferrous sulfate
- D. Iodine
Correct Answer: C
Rationale: The correct answer is C: Ferrous sulfate. The therapeutic management of iron deficiency anemia should include iron supplementation, specifically with ferrous sulfate. This helps to replenish the body's iron stores. Multivitamins (choice A) may contain iron, but iron supplementation is more direct and effective. Calcium (choice B) and iodine (choice D) are not typically part of the primary treatment for iron deficiency anemia.
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When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. Encouraging the parents to have another baby.
- B. Encouraging the parents to remain stoic.
- C. Allaying feelings of guilt and blame.
- D. Learning how the event could have been prevented.
Correct Answer: C
Rationale: The correct answer is C: Allaying feelings of guilt and blame. When parents experience the loss of a SIDS infant, they often struggle with intense feelings of guilt and self-blame. The nurse's role is to provide emotional support and help alleviate these feelings. Choices A and B are incorrect as encouraging the parents to have another baby or to remain stoic is not appropriate or helpful in this situation. Choice D is also incorrect because focusing on how the event could have been prevented may exacerbate feelings of guilt and is not the immediate priority in supporting grieving parents.
The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP). What is a finding that is characteristic of this disorder?
- A. Morning headaches
- B. Pain for 3 consecutive months
- C. Febrile episodes in the late afternoon
- D. Diaphoresis when attacks occur
Correct Answer: B
Rationale: The correct answer is B: Pain for 3 consecutive months. Recurrent abdominal pain (RAP) is characterized by abdominal pain that occurs at least once per week for at least 2 months before diagnosis. Choosing option A is incorrect since morning headaches are not a common characteristic of RAP. Option C is incorrect because febrile episodes in the late afternoon are not typically associated with RAP. Option D is incorrect as diaphoresis (excessive sweating) when attacks occur is not a common finding in RAP.
Which other congenital defects are common in children with Down syndrome?
- A. Hypospadias
- B. Pyloric stenosis
- C. Heart defects
- D. Hip dysplasia
Correct Answer: C
Rationale: The correct answer is C: Heart defects. Many children with Down syndrome are born with congenital heart defects. These heart abnormalities are more prevalent in individuals with Down syndrome than in the general population. Choices A, B, and D are incorrect because while they may be congenital defects in children, they are not commonly associated with Down syndrome. Hypospadias is a urogenital condition, pyloric stenosis affects the stomach, and hip dysplasia involves the hip joint, but these are not typically seen as frequently as heart defects in children with Down syndrome.
What most influences the severity of respiratory distress syndrome (RDS)?
- A. Poor cough and gag reflex
- B. The gestational age at birth
- C. Administering high concentrations of oxygen
- D. The sex of the infant
Correct Answer: B
Rationale: The correct answer is B. The gestational age at birth most influences the severity of respiratory distress syndrome (RDS). RDS is caused by a deficiency of surfactant and it occurs almost exclusively in preterm, low-birth weight infants. Therefore, the gestational age at birth is a key factor in determining the likelihood and severity of RDS. Choices A, C, and D are incorrect as they do not directly relate to the primary factor influencing the severity of RDS.
Which nursing problem has the highest priority when planning care for a client with Meniere's disease?
- A. Potential for injury related to vertigo.
- B. Alteration in comfort due to ear pain.
- C. Impaired skin integrity due to immobility.
- D. Anxiety due to fear of falling.
Correct Answer: A
Rationale: The correct answer is A. When caring for a client with Meniere's disease, the highest priority nursing problem is the potential for injury related to vertigo. Meniere's disease is characterized by symptoms like vertigo, which can increase the risk of falls and injuries. Ensuring the client's safety and preventing falls take precedence over other concerns. Choices B, C, and D are not the highest priority because they do not directly address the immediate risk of harm associated with vertigo and falls.