Which assessment finding for a 4-month-old infant would require further action by the nurse?
- A. The posterior fontanel is open.
- B. The infant has good head control when held upright.
- C. The infant is able to roll only from abdomen to back.
- D. The anterior fontanel is open and soft.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare provider is assessing an infant who has hydrocephalus and is 6 hours postoperative following placement of a ventriculoperitoneal shunt. Which of the following findings should the provider report to the healthcare provider?
- A. Decreased urine output
- B. Temperature of 37.5 degrees C (99.5 degrees F)
- C. Heart rate 130/min
- D. Leakage of cerebrospinal fluid
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient taking isotretinoin (Accutane) for acne vulgaris. Which statement indicates that the patient teaching has been effective?
- A. I should use a reliable form of birth control.
- B. I will stop taking the drug if my skin is dry.
- C. It is important to increase intake of vitamin A.
- D. I do not need to use sunblock while taking Accutane.
Correct Answer: A
Rationale: The correct answer is A. Isotretinoin is highly teratogenic, which means it can cause birth defects. Therefore, it is crucial for patients, especially females of childbearing potential, to use effective forms of birth control to prevent pregnancy while taking this medication. This is a key component of patient teaching to ensure the safe use of isotretinoin.
A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is
- A. radiotherapy
- B. chemotherapy
- C. observation
- D. concomitant chemo-radiotherapy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The pediatric nurse cares for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse's intervention?
- A. A blood urea nitrogen level of 10 mg/dL.
- B. A hemoglobin of 8.6 g/dL.
- C. A platelet count of 18 x 10^3/µL.
- D. A serum glucose of 110 mg/dL.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 30-month-old apparently well child presented with stomping, hitting, head banging, and falling down for few minutes every few days.
- A. brain MRI
- B. serum ferritin
- C. skeletal survey
- D. EEG
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.