Which is most likely to encourage parents to talk about their feelings related to their child's illness?
- A. Be sympathetic.
- B. Use direct questions.
- C. Use open-ended questions.
- D. Avoid periods of silence.
Correct Answer: C
Rationale: Using open-ended questions encourages parents to freely express their feelings and thoughts without feeling constrained by yes or no answers. Open-ended questions allow for a more open and extensive conversation, encouraging parents to share their emotions and concerns more effectively. This approach can help parents feel understood and supported, ultimately fostering more honest and meaningful discussions about their child's illness.
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A 1-year-old child develops right eye ptosis, miosis, and loss of sweating; you suspect neuroblastoma. The MOST valuable investigation to confirm the diagnosis is
- A. CT scan of the neck and chest
- B. CT scan of the abdomen
- C. CT scan of the brain
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: A
Rationale: CT scan of the neck and chest can help identify a primary neuroblastoma mass in the adrenal gland or sympathetic chain.
One of the following is not a feature of attention deficit/hyperactivity disorder (ADHD)
- A. ADHD is multifactorial in origin
- B. female to male ratio is 2 to 6:1
- C. prenatal exposure to nicotine increases the risk of ADHD.
- D. lead intoxication
Correct Answer: D
Rationale: Lead intoxication is not a recognized feature of ADHD but rather a separate condition with its own set of symptoms.
Which of the following is an adverse reaction to glipizide (Glucotrol)?
- A. Headache
- B. Hypotension
- C. Constipation
- D. Photosensitivity
Correct Answer: B
Rationale: Hypotension, which is low blood pressure, can be an adverse reaction to glipizide (Glucotrol). Glipizide is a medication used to treat type 2 diabetes by helping to control blood sugar levels. Hypotension could occur as a side effect of glipizide, causing symptoms such as dizziness, lightheadedness, and fainting. If a patient experiences hypotension while taking glipizide, medical attention should be sought immediately to address this potentially serious adverse reaction.
Which combination of signs is commonly associated with glomerulonephritis?
- A. Mild proteinuria, hematuria, decreased urine output, and lethargy.
- B. Massive proteinuria, hematuria, increased output, and lethargy.
- C. Mild proteinuria, increased output, and lethargy.
- D. Massive proteinuria, decreased output, and hypotension.
Correct Answer: A
Rationale: Glomerulonephritis typically presents with mild to moderate proteinuria, hematuria, decreased urine output, and lethargy.
Which of the ff. subjective data questions would assist the nurse in assessing the patient's eye health?
- A. "Have you had any recent upper respiratory infections?"
- B. "Have you ridden in a car recently?"
- C. "Have you been scuba diving lately?"
- D. "Have you seen halos around lights?"
Correct Answer: D
Rationale: This question specifically pertains to visual disturbances and can provide valuable information about the patient's eye health. Seeing halos around lights can indicate increased intraocular pressure, which could be a sign of conditions such as glaucoma. Therefore, this subjective data question would assist the nurse in assessing the patient's eye health. On the other hand, choices A, B, and C are not directly related to eye health and would not provide relevant information in assessing the patient's eyes.