Nokea
What would be included in regard to potential side effects?
- A. Diarrhea
- B. Skin rash
- C. Red stool
- D. Metallic taste
Correct Answer: C
Rationale: Pyrvinium, used for pinworm treatment, commonly causes red stools and can stain clothing.
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A child is brought into the ED with suspected appendicitis.
- A. Left lower quadrant pain
- B. Guarding
- C. Rebound tenderness
- D. Decreased C-reactive protein
- E. Pain on lifting thigh when supine
Correct Answer: B,C,E
Rationale: Guarding, rebound tenderness, and pain on thigh lifting are signs of appendicitis; pain is in the right lower quadrant, and C-reactive protein is elevated.
What would the nurse expect to find in a child admitted to the hospital for nonorganic failure to thrive?
- A. Cry to be picked up
- B. Be limp like a rag doll
- C. Be responsive to cuddling
- D. Weigh in the 10th percentile for age
Correct Answer: B
Rationale: Rag-doll limpness (hypotonia) is a characteristic finding in nonorganic failure to thrive, often with wariness of caregivers.
How does the nurse interpret these values?
- A. Metabolic acidosis
- B. Metabolic alkalosis
- C. Respiratory acidosis
- D. Respiratory alkalosis
Correct Answer: A
Rationale: A pH of 7.32 and low HCO3- (21) indicate metabolic acidosis, common in severe dehydration.
Which statement made by a parent alerts the nurse to the need for additional education about poison prevention?
- A. I keep the poison control center phone number easily accessible.'
- B. All medication is kept out of reach in a locked cabinet.'
- C. I keep a bottle of syrup of ipecac handy.'
- D. Our garden is free from marigolds.'
Correct Answer: C
Rationale: Keeping syrup of ipecac is outdated; the AAP recommends against it due to risks of uncontrolled vomiting.
For what is this child at the highest risk?
- A. Metabolic alkalosis
- B. Hypocalcemia
- C. Sepsis
- D. Shock
Correct Answer: D
Rationale: Severe isotonic dehydration puts the child at highest risk for shock due to significant fluid loss.