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Which clinical manifestations should the nurse anticipate upon assessment for a preschool-age child with a urinary tract infection (UTI)?
- A. Headache, hematuria, and vertigo
- B. Foul-smelling urine, elevated blood pressure (BP), and hematuria
- C. Urgency, dysuria, and fever
- D. Severe flank pain, nausea, and headache
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Postanesthetic respiratory illness in premature infants should be avoided in infants younger than what postconceptual age?
- A. 44 weeks
- B. 46 weeks
- C. 48 weeks
- D. 50 weeks
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When preparing an adolescent for a lumbar puncture, which of the following actions should the nurse take?
- A. Place a cardiac monitor on the adolescent prior to the procedure
- B. Apply topical analgesic cream to the site one hour prior to the procedure
- C. Keep the adolescent in a semi-Fowler's position for 4 hours following the procedure
- D. Restrict fluids for 2 hours following the procedure
Correct Answer: B
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.
A healthcare professional is preparing to insert an intravenous catheter for a 7-year-old child. Which of the following actions should the professional take?
- A. Apply an anesthetic cream to the insertion site 1 hr before the procedure.
- B. Use a 16-gauge needle for the insertion.
- C. Insert the catheter into a vein of the child's dominant hand.
- D. Choose a site over the child's metacarpal veins.
Correct Answer: A
Rationale: Applying an anesthetic cream to the insertion site 1 hr before the procedure is crucial when inserting an intravenous catheter in a child to minimize pain and discomfort during the procedure. This practice is especially important in pediatric patients to ensure a more comfortable experience and improve cooperation during the insertion process.
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
- A. I will make sure he gets his measles vaccine as soon as he gets home.
- B. He can stop taking his medication next week.
- C. I should check his urine for protein when he goes to the bathroom.
- D. He should eat a low-protein diet for the next few weeks.
Correct Answer: C
Rationale: In nephrotic syndrome, monitoring urine for protein is essential as it helps track the child's condition. Checking urine for protein should be done as part of the discharge teaching to keep a record of the child's urinary proteins and to monitor the effectiveness of the treatment plan. It is crucial for parents to understand this aspect of care to ensure proper management of the child's condition.