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When caring for a child with hyponatremia, a nurse delegates care to a licensed vocational nurse (LVN) and instructs the LVN to promptly report which clinical manifestation?
- A. Seizures
- B. Respiratory distress
- C. Hyperthermia
- D. Bradycardia
Correct Answer: A
Rationale: Seizures are a significant concern in severe hyponatremia as they indicate potential neurological complications and the need for urgent intervention to prevent further harm to the child. Prompt reporting of seizures allows for timely assessment and appropriate treatment to ensure the child's safety and well-being.
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The nurse would evaluate that the patient understands what triggers allergic rhinitis by which of the following patient responses?
- A. "Injected medications."
- B. "Ingested food and medications."
- C. "Topical creams and ointments."
- D. "Airborne pollens and molds."
Correct Answer: D
Rationale: Allergic rhinitis is a condition characterized by inflammation of the nasal passages caused by exposure to allergens. Common triggers include airborne pollens and molds, which are inhaled through the nose and can lead to symptoms such as sneezing, nasal congestion, and itchy/watery eyes. Understanding these triggers is essential for managing allergic rhinitis effectively, as patients can take steps to minimize their exposure to these allergens and reduce their symptoms. The correct answer is D because it specifically addresses the environmental triggers associated with allergic rhinitis.
A term infant is born with Apgar scores of 5 at minute and 7 at 5 minutes The infant has a heart rate of 7 and demonstrates pallor with hepatosplenomegaly A Coombs test on maternal blood yields positive results The most likely diagnosis is
- A. Erythroblastosis fetalis
- B. Hereditary spherocytosis
- C. Chronic fetal-maternal hemorrhage
- D. ABO incompatibility
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When conducting an initial feeding evaluation, the therapist asks the caregiver to bring the utensils, food, and high chair that they typically use. Which statement best reflects the therapist's reasoning for this?
- A. Using the child's actual materials will give the therapist an accurate picture
- B. The therapist wants to be sensitive to the child's culture
- C. The center has limited funds for food and materials
- D. The therapist would like to know if the caregiver can follow directions
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
- A. 8 mmol/L
- B. 12 mmol/L
- C. 16 mmol/L
- D. 20 mmol/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child?
- A. Pulmonary secretions are abnormally thick.
- B. Elevated levels of potassium are found in the sweat.
- C. CF is an autosomal dominant hereditary disorder.
- D. Obstruction of the endocrine glands occurs.
Correct Answer: A
Rationale: Cystic fibrosis (CF) is a genetic disorder that primarily affects the lungs and digestive system. One of the key characteristics of CF is the production of abnormally thick and sticky mucus in the respiratory system. This thick mucus can obstruct the airways, leading to recurrent lung infections, difficulty breathing, and other respiratory complications. Therefore, Nurse Archie must keep in mind the need to address and manage the thick pulmonary secretions when developing a care plan for Betty, the 9-year-old girl with cystic fibrosis.