Pediatrics Baby Fell off Bed Questions

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Which of the ff is the most important factor in the nursing management of a client with CFS?

  • A. Teaching the client how to avoid aggravating the disease
  • B. Informing the client about the drug therapy that will provide significant improvement
  • C. Advising the client to alter the diet and environment
  • D. Educating the client about the disease process and its limitations
Correct Answer: D

Rationale: Educating the client about the disease process and its limitations is the most important factor in the nursing management of a client with Chronic Fatigue Syndrome (CFS). Providing information about the disease, its symptoms, potential triggers, and the importance of self-care is crucial in empowering the client to manage their condition effectively. Understanding the limitations imposed by CFS can help the client make necessary adjustments in their lifestyle, activities, and energy management. Education also plays a key role in setting realistic expectations and preventing exacerbation of symptoms by avoiding overexertion or pushing beyond their limits. By understanding the disease process and its impact, the client can actively participate in their care and strive for better quality of life.

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A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is

  • A. refer her to an obstetrician
  • B. explain the way of milk expression
  • C. apply Edinburgh postnatal depression scale
  • D. advise her on milk engorgement
Correct Answer: C

Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.

A client is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?

  • A. 1 mg/kg of body weight
  • B. 5 mg/70kg of body weight
  • C. 5 mg/kg of body weight
  • D. 10mg/70kg of body weight
Correct Answer: C

Rationale: When calculating the appropriate dose of morphine for a client, the nurse should consider the client's body weight. The most commonly used formula for calculating the appropriate dose of morphine is 0.1 to 0.2 mg/kg of body weight for hourly dosing or 2.5 to 10 mg/kg/day for continuous infusions.

Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?

  • A. Negative scarf sign
  • B. Asymmetric Moro reflex
  • C. Swelling of fingers on affected side
  • D. Paralysis of affected extremity and muscles
Correct Answer: C

Rationale: A newborn with a clavicle fracture may present with swelling of the fingers on the affected side. This is due to the injury disrupting the nerves and blood vessels that supply the arm, leading to edema and swelling in the fingers. The other signs mentioned in the options are not typically associated with a clavicle fracture. A negative scarf sign relates to positioning of the arm and is not specific to a clavicle fracture. Asymmetric Moro reflex can be a normal finding in newborns and not indicative of a fracture. Paralysis of the affected extremity and muscles would be more suggestive of a nerve injury rather than a clavicle fracture.

The most serious manifestation of lead intoxication is

  • A. peripheral neuropathy
  • B. mental retardation
  • C. anemia
  • D. cerebral edema
Correct Answer: D

Rationale: Cerebral edema is the most serious manifestation of lead intoxication, as it can be life-threatening.

Which of the ff. interventions can help minimize complications related to Hypercalcemia?

  • A. Encourage 3 to 4 L of fluid daily
  • B. Place the patient on bed rest
  • C. Have the patient cough and deep
  • D. Apply heat to painful areas breathe every 2 hours
Correct Answer: A

Rationale: Encouraging a high fluid intake, typically around 3 to 4 liters daily, is an intervention that can help minimize complications related to hypercalcemia. Adequate hydration helps prevent the formation of kidney stones, a common complication of hypercalcemia. The increased fluid intake can also promote renal excretion of excess calcium, aiding in its elimination from the body. Additionally, adequate hydration supports overall kidney function and can help prevent renal damage that may result from high calcium levels.

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