Nokea
When teaching a parent of a toddler with a new prescription for liquid ferrous sulfate, which of the following instructions should the nurse include?
- A. Mix the medication with milk.
- B. Give the medication with orange juice.
- C. Give the medication with meals.
- D. Administer the medication with an antacid.
Correct Answer: B
Rationale: The correct answer is to give the medication with orange juice. Orange juice helps increase the absorption of iron from ferrous sulfate. This acidic environment aids in the absorption of iron, making it a suitable choice for administration. Mixing the medication with milk or an antacid may decrease iron absorption, and giving it with meals may not optimize its absorption as effectively as with orange juice.
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In the management of heart failure, which diuretic is preferred due to its demonstrated significant mortality reduction in patients with heart failure?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (HydroDIURIL)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fractureusing fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?
- A. 2 weeks
- B. 4 weeks
- C. 8 weeks
- D. 10 weeks
Correct Answer: C
Rationale: In general, it takes approximately 6 to 8 weeks for a fractured femur in a 3-year-old child to heal. Children tend to heal faster than adults due to their higher metabolism and more robust bone growth. The spica cast helps stabilize the fracture and provides the necessary support for proper healing. Regular monitoring through x-ray imaging ensures the healing progress and guides the decision for cast removal.
When receiving change-of-shift report for children, which child should the nurse assess first?
- A. A toddler who has a concussion and an episode of forceful vomiting
- B. An adolescent with infective endocarditis who reports having a headache
- C. An adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
- D. A school-age child with acute glomerulonephritis and brown-colored urine
Correct Answer: A
Rationale: The nurse should assess the toddler with a concussion and an episode of forceful vomiting first when receiving change-of-shift report for children. Forceful vomiting in a toddler with a concussion indicates increased intracranial pressure, requiring immediate assessment and intervention to prevent further complications.
Centers for Disease Control and Prevention (CDC) recommend the blood lead level that may cause learning problems is
- A. 1 to 5¼g/dL
- B. 5 to 10 μg/dL
- C. 10 to 15¼g/dL
- D. 15 to 20¼g/dL
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who underwent litholapaxy surgery for removing bladder stones wants to know how long the urethral catheter needs to stay in place. Which of the ff is the correct response?
- A. The catheter should remain in place for 7 days
- B. The catheter should remain in place for 1-2 days
- C. The catheter should remain in place for 2-3 days
- D. The catheter should remain in place for 3-4 days
Correct Answer: B
Rationale: After a litholapaxy surgery for bladder stones, it is common for the urethral catheter to remain in place for 1-2 days. This timeframe allows for adequate drainage and healing of the bladder following the procedure. The healthcare team will monitor the patient's progress and determine the appropriate timing for catheter removal based on individual factors such as the size of the stones removed and the patient's overall condition. Early removal of the catheter may increase the risk of complications, while leaving it in place for too long may also lead to problems such as infection. Therefore, the recommended duration of 1-2 days strikes a balance between allowing for proper healing and minimizing potential issues related to catheterization.