Nokea
When does the onset of type 2 diabetes typically occur?
- A. Occurs after pubertal onset in the majority of cases
- B. Occurs due to parental financial status
- C. Occurs in childhood
- D. Occurs after giving birth
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When educating the parents of a child diagnosed with hypothyroidism, the nurse mentions that the child should avoid goitrogens. Which of the following will the nurse mention as an example?
- A. Orange
- B. Tomatoes
- C. Cabbage
- D. Grapes
Correct Answer: C
Rationale: Cabbage is an example of a goitrogen. Goitrogens are substances that interfere with the normal function of the thyroid gland by inhibiting iodine uptake. Cabbage, along with other cruciferous vegetables like broccoli and cauliflower, contain compounds that can have this effect and should be consumed in moderation by individuals with hypothyroidism to prevent worsening of their condition.
The parents of a child hospitalized with asthma who is recovering and is being prepared for discharge are receiving home care instructions from the nurse. Which statement by a parent indicates a need for further instruction?
- A. Coughing spells may be triggered by dust or smoke
- B. Vomiting may occur when our child has coughing episodes
- C. We need to encourage our child to drink fluids
- D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks
Correct Answer: D
Rationale: The statement 'We need to maintain droplet precautions and a quiet environment for at least 2 weeks' indicates a need for further instruction. Asthma management does not typically require maintaining droplet precautions. The focus should be on environmental control, medication adherence, and monitoring symptoms rather than droplet precautions, which are more relevant for contagious respiratory infections.
When managing Kofi, a 3-year-old who is on admission and being managed for pneumonia, the nurse has just administered ibuprofen to a child with a temperature of 38.8°C. The nurse should also take which action?
- A. Plan to administer salicylate (aspirin) in 4 hours
- B. Remove excess clothing and blankets from the child
- C. Sponge the child with cold water
- D. Withhold oral fluids for 8 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When managing Akosua Adepa, an eight-year-old diagnosed with Asthma, the nurse will consider the following as complications EXCEPT:
- A. Cor pulmonale
- B. Respiratory arrest
- C. Respiratory distress
- D. Respiratory failure
Correct Answer: C
Rationale: When managing a pediatric patient with asthma, the nurse needs to be vigilant about potential complications. While cor pulmonale, respiratory arrest, and respiratory failure are known complications of asthma, respiratory distress is not typically considered a direct complication. Respiratory distress is more of a symptom or a sign of worsening asthma, indicating the need for immediate intervention to prevent progression to more severe complications.
In the pediatric ward at Nyamebekyere teaching hospital, when should oxygen be applied to children?
- A. Central cyanosis
- B. Respiratory rate >70 breaths per minute
- C. Grunting noted on assessment
- D. All of the above
Correct Answer: D
Rationale: All the listed conditions, central cyanosis, respiratory rate >70 breaths per minute, and grunting on assessment, are indicative of the need for oxygen therapy. Central cyanosis suggests severe hypoxemia, a respiratory rate >70 breaths per minute can indicate respiratory distress, and grunting is a sign of increased work of breathing. Administering oxygen in these situations can help improve oxygenation and support the child's respiratory function, making option D the correct choice.