Which characteristics could the nurse expect when observing Mr. Gil? a.Transient ischemic attacks
- A. Remissions & exacerbations
- B. Rapid deterioration of mental functioning because of arteriosclerosis
- C. Slowly progressive deficits in intellect, which may be noted for a long time HEMATOLOGY SITUATION: Aisa, is a 4-year old with severe anemia. She is seen by the nurse in the clinic.
Correct Answer: C
Rationale: The question is asking about the characteristics the nurse might expect to observe in Mr. Gil. Given the information provided, Mr. Gil's possible condition can be related to a slowly progressive deficit in intellect. This might manifest as cognitive decline, memory issues, and other intellectual challenges over an extended period of time. This description aligns with conditions such as dementia or Alzheimer's disease, which are characterized by a gradual decline in cognitive abilities rather than rapid deterioration (as in option B) or transient episodes (as in option A). Therefore, option C is the most likely characteristic the nurse could expect when observing Mr. Gil.
You may also like to solve these questions
Nurse Kai is evaluating a female child with acute post-streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
- A. Increased urine output
- B. Increased appetite
- C. Increased energy level
- D. Decreased diarrhea
Correct Answer: A
Rationale: In a female child with acute post-streptococcal glomerulonephritis, the earliest sign of improvement is often seen as an increase in urine output. This occurs as the kidneys start to recover and normal functioning is restored. Increased urine output indicates improved glomerular filtration and clearance of waste products from the body. It is an essential indicator of renal function and overall improvement in the condition of the child. Other signs such as increased appetite and energy levels may follow but increased urine output is typically the first noticeable sign of improvement in cases of glomerulonephritis.
The nurse is preparing to care for a newborn receiving phototherapy. Which interventions are appropriate? (Select all that apply.)
- A. Avoid stimulation.
- B. Decrease fluid intake.
- C. Expose all the newborn's skin.
- D. Monitor skin temperature closely.
Correct Answer: A
Rationale: Avoid stimulation: Newborns receiving phototherapy are often jaundiced, and reducing stimulation helps to minimize stress and agitation, promoting better outcomes.
A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?
- A. WBC <1; specific gravity 1.008
- B. WBC <2; specific gravity 1.025
- C. WBC >2; specific gravity 1.016
- D. WBC >2; specific gravity 1.030
Correct Answer: C
Rationale: When a child is admitted to the hospital with dehydration and a urinary tract infection (UTI), the urinalysis result that the nurse should expect is an increased white blood cell (WBC) count, indicated by WBC >2, along with a slightly elevated specific gravity, typically around 1.016. A specific gravity of 1.016 suggests some concentration of urine due to dehydration, while an increased WBC count indicates the presence of infection in the urinary tract. These findings are consistent with dehydration and UTI in a preschool child. Options A, B, and D do not fully align with the expected urinalysis results in this clinical scenario.
Which is the best position for an 8-year-old who has returned after an appendectomy for a ruptured appendix?
- A. Right side-lying.
- B. Semi-Fowler.
- C. Prone.
- D. Left side-lying.
Correct Answer: A
Rationale: Right side-lying promotes drainage of the peritoneal cavity and enhances comfort after surgery.
the most dangerous complication of untreated hypothyroidism is
- A. mental retardation.
- B. hypertension.
- C. low weight gain.
- D. sensitivity to heat.
Correct Answer: A
Rationale: The most dangerous complication of untreated hypothyroidism is mental retardation, especially in infants and children. Thyroid hormones play a vital role in the brain development of infants and young children. Severe and prolonged hypothyroidism during this critical period can lead to irreversible cognitive impairment, affecting intelligence and neurodevelopment. Therefore, timely diagnosis and treatment of hypothyroidism are essential to prevent this serious complication, particularly in children.