Nokea
Which nursing action would best help the child to cope with the effects of the chemotherapy?
- A. Serve the child a well-balanced meal before beginning the chemotherapy.
- B. Give the child an antiemetic before beginning the chemotherapy.
- C. Encourage the child to get plenty of rest before beginning the chemotherapy.
- D. Give the child pain medication before beginning the chemotherapy.
Correct Answer: B
Rationale: Chemotherapy often causes nausea and vomiting. Administering an antiemetic prophylactically manages these side effects, improving the child's comfort and coping.
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A child weighs 22 kg and is prescribed a medication at 5 mg/kg/day in two divided doses. How many milligrams should the nurse administer per dose?
Correct Answer: 55 mg
Rationale: Calculation: 22 kg × 5 mg/kg/day = 110 mg/day. Divided into two doses: 110 ÷ 2 = 55 mg per dose. Since no options are provided, the calculated dose is noted for accuracy.
During preoperative preparation, which nursing action is most appropriate?
- A. Give analgesics.
- B. Give nothing by mouth (NPO).
- C. Give an enema.
- D. Apply heat to the abdomen.
Correct Answer: B
Rationale: Keeping the patient NPO prevents aspiration during surgery and reduces complications, as food in the stomach could interfere with anesthesia.
A primigravida is in second stage of labour for the past two hours. Fetal head is at +1 station. Inspite of effective uterine contractions,mother is unable to push as she is exhausted. What will be the next step in her management:
- A. Wait for another one hour.
- B. Give sedation to the mother.
- C. Shift her for emergency section.
- D. Instrumental delivery.
- E. Call the anaesthetist for regional anaesthesia.
Correct Answer: D
Rationale: Instrumental delivery (e.g. forceps or vacuum) is indicated for prolonged second stage due to maternal exhaustion provided the fetal head is engaged (+1 station). Cesarean section is considered if instrumental delivery is not feasible.
The most common side effect of tocolytic agents is:
- A. Vaginal bleeding.
- B. Abdominal pain.
- C. Nausea,vomiting.
- D. Palpitations.
- E. Oliguria.
Correct Answer: D
Rationale: Tocolytics such as beta-agonists commonly cause palpitations due to their sympathomimetic effects. Other side effects are less frequent or not primarily associated.
Organogenesis is complete at:
- A. 2 weeks after ovulation.
- B. 6 weeks after ovulation.
- C. 8 weeks after ovulation.
- D. 18 weeks after ovulation.
- E. 20 weeks after ovulation.
Correct Answer: C
Rationale: Organogenesis the process of organ formation occurs during the embryonic period primarily between weeks 3 to 8 after ovulation (or 5 to 10 weeks gestational age). By 8 weeks post-ovulation major organ systems are formed making this the correct answer. Earlier or later weeks do not align with this developmental milestone.