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.
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If a baby weighs 14 kg, how much fluid should be administered to the baby over 24 hours using a rate of 100 ml/kg?
- A. 1400ml
- B. 2600ml
- C. 1650ml
- D. 3360ml
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Beta-adrenergic agonists such as albuterol are given to Reggie, a child with asthma, to primarily do which of the following?
- A. Dilate the bronchioles
- B. Reduce secondary infections
- C. Decrease postnasal drip
- D. Reduce airway inflammation
Correct Answer: A
Rationale: Beta-adrenergic agonists like albuterol are bronchodilators that primarily work by relaxing and dilating the bronchioles, which helps to alleviate bronchoconstriction, a characteristic feature of asthma. This action leads to improved airflow and easier breathing for individuals experiencing asthma symptoms.
Madam Serwaa's 7-month-old baby was admitted to your ward with malnutrition. The child has diarrhea with signs of moderate dehydration but can drink. Which of the following will be the most appropriate fluid for Madam Serwaa's baby?
- A. ORS
- B. Resomal
- C. Rice water
- D. I.V. Ringer's lactate
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When treating Baby John, who has been diagnosed with a lower respiratory infection, the selection of drugs of choice for the treatment depends primarily on:
- A. Preference of the physician
- B. Selectivity of the organism
- C. Sensitivity of the organism
- D. Tolerance of the client
Correct Answer: C
Rationale: The primary factor in selecting drugs for the treatment of a lower respiratory infection in Baby John is the sensitivity of the organism causing the infection. The choice of antibiotics should be guided by the susceptibility of the specific pathogen to ensure effective treatment and prevent resistance.
Serwaa, a 26-year-old mother has brought her daughter to the OPD with signs of lower respiratory tract infections. The following are the diagnoses that can be given to the daughter except:
- A. Pneumonia
- B. Asthma
- C. Bronchiolitis
- D. Coryza
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.