Nokea
Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
- A. Urine output
- B. Urine specific gravity
- C. Vital signs
- D. Daily weight
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the hallmark symptom of Gout?
- A. Joint Swelling
- B. Tophi
- C. Severe Pain
- D. Redness
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Although children with Wilms tumor have a favorable prognosis, there are some adverse prognostic factors in children with Wilms tumor EXCEPT
- A. large tumors
- B. anaplastic histology
- C. loss of heterozygosity at chromosome 1p and 16q
- D. young age at diagnosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which clean-catch urinalysis finding should raise the most concern for a child admitted to an urgent care center to rule out a urinary tract infection?
- A. 2+ white blood cells
- B. 1+ red blood cells
- C. Urine appearance: cloudy
- D. Specific gravity: 1.009
Correct Answer: D
Rationale: A specific gravity of 1.009 is low, indicating diluted urine, which can be concerning in the context of a urinary tract infection. Diluted urine may suggest inadequate concentration due to increased fluid intake or impaired kidney function, which are important considerations in the assessment of a possible UTI.
An adult is brought in by ambulance after a motor vehicle accident. He is unconscious, on a backboard with his neck immobilized. He is bleeding profusely from a large gash on his right thigh. What is the first action the nurse should take?
- A. Stop the bleeding
- B. Take his vital signs
- C. Check his airway
- D. Find out what happened from eyewitnesses
Correct Answer: C
Rationale: The first action the nurse should take in this situation is to check the patient's airway. Ensuring a patent airway is a critical step as it is essential for breathing and oxygenation. In this case, the unconscious patient may be at risk of airway obstruction due to various factors such as blood, secretions, or swelling from the injury. By checking the airway first, the nurse can quickly identify and address any blockages or issues that may compromise the patient's ability to breathe effectively. Once the airway is secured, the nurse can then proceed to address the other needs of the patient, such as controlling bleeding and stabilizing other vital signs.
If a client's parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
- A. Hypomagnesemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hypocalcemia
Correct Answer: D
Rationale: The parathyroid glands play a crucial role in regulating calcium levels in the body. If the parathyroid glands are accidentally removed during a procedure, the patient is at risk for developing hypocalcemia due to the lack of parathyroid hormone (PTH) production. PTH helps to maintain normal calcium levels in the blood by stimulating the release of calcium from the bones, increasing calcium absorption in the intestines, and reducing calcium excretion by the kidneys. Without PTH, the body's ability to regulate calcium is impaired, leading to low calcium levels, which is known as hypocalcemia. Symptoms of hypocalcemia can include muscle cramps, spasms, and tingling sensations. Nurses should be prepared to monitor for and manage hypocalcemia in a patient who has had their parathyroid glands accidentally removed during a procedure.