Nokea
Which clinical manifestation should a nurse monitor for when assessing a pediatric client diagnosed with a basilar skull fracture?
- A. Periorbital ecchymosis
- B. Subdural hematoma
- C. Protruding bone
- D. Epidural hematoma
Correct Answer: A
Rationale: Periorbital ecchymosis, also known as raccoon eyes, is a classic sign of a basilar skull fracture. It presents as bruising around the eyes due to blood collecting in the tissues. Monitoring for periorbital ecchymosis is crucial in assessing a pediatric client with a basilar skull fracture because it can indicate the presence of this serious injury.
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The therapeutic effect of phototherapy depends on the following factors EXCEPT
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- B. skin color
- C. surface area of exposed skin
- D. in vivo metabolism and excretion of bilirubin
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
One of the following is microcytic hypochromic anemia:
- A. Aplastic anemia
- B. Iron deficiency anemia
- C. Leukemia
- D. Sickle cell anemia
Correct Answer: B
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Lobar pneumonia is characterized by the following EXCEPT:
- A. Bronchial breathing
- B. Fine consonating crepitations
- C. Increase vocal resonance
- D. Hyper-resonance on percussion
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child has a brain tumor. Which of the following findings should the nurse expect?
- A. Decreased head circumference
- B. Frequent headaches
- C. Increased appetite
- D. Increased blood pressure
Correct Answer: B
Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.
Which manifestations are expected in the early stages of acute hepatitis?
- A. Nausea, vomiting, and generalized malaise.
- B. Nausea, vomiting, and left-upper quadrant pain.
- C. Malaise and jaundice only.
- D. Jaundice only.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.