Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

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Which of the ff nursing interventions is taken as a precautionary measure if shock develops when a client with a spinal cord injury is hospitalized?

  • A. An IV line is inserted to provide access to a vein
  • B. The head and back are immobilized mechanically with a cervical collar and back support
  • C. Traction with weights and pulleys is applied
  • D. A turning frame is used EMERGENCY AND DISASTER NURSING SITUATION: A group of high school teenagers went camping to Sohoton this summer for one week. You are the nurse assigned to this camp. For the first three days, you were busy with several emergencies.
Correct Answer: A

Rationale: In a hospital setting, if shock develops in a client with a spinal cord injury, one of the initial nursing interventions as a precautionary measure is to establish intravenous access by inserting an IV line. This is important for administering fluids, medications, and blood products promptly to help stabilize the client's condition. IV access is crucial in managing shock to ensure proper fluid resuscitation and support the circulatory system to maintain adequate perfusion to vital organs. It also allows for continuous monitoring of the client's hemodynamic status, electrolyte levels, and responses to interventions. Therefore, inserting an IV line is a critical nursing intervention in addressing shock in clients with spinal cord injuries to promote timely and effective management.

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Assume you are evaluating the specificity of the indirect fluorescence antibody test for rapid diagnosis of Campylobacter enteritis. The number of normal persons tested is 150 and the test is positive in 30 persons. The specificity of this test is

  • A. 20%
  • B. 40%
  • C. 60%
  • D. 80%
Correct Answer: D

Rationale: Specificity = (True negatives / Total normals) * 100 = [(150 - 30) / 150] * 100 = 80%.

A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class?

  • A. Appropriate use of car seat restraints
  • B. Safety crossing the street
  • C. Helmet use when riding a bicycle
  • D. Poison control numbers
Correct Answer: A

Rationale: The safety topic that is the priority for the nurse's accident prevention class for parents of toddlers is the appropriate use of car seat restraints. Car accidents are one of the leading causes of injuries and deaths among children, and proper car seat usage is crucial in protecting toddlers during car rides. Following the guidelines for car seat installation and usage can significantly reduce the risk of injury or death in the event of a car accident. Therefore, ensuring that parents understand and implement proper car seat restraint practices is essential in promoting the safety of toddlers. While the other safety topics are also important, the risk of injury or death in car accidents is higher compared to other accidents for toddlers, making car seat safety a priority.

A client is diagnosed with diabetes mellitus. Which assessment finding best supports a nursing diagnosis of Ineffective individual coping related to diabetes mellitus?

  • A. Recent weight gain of 20 lb
  • B. Skipping insulin doses during illness
  • C. Failure to monitor blood glucose
  • D. Crying whenever diabetes is levels mentioned
Correct Answer: D

Rationale: Crying whenever diabetes is mentioned indicates a maladaptive coping mechanism, which can be a sign of ineffective individual coping related to diabetes mellitus. Coping with a chronic condition like diabetes can be overwhelming, and excessive emotional distress may hinder the client's ability to effectively manage their disease. It is important for the nurse to identify maladaptive coping strategies in order to provide appropriate interventions and support for the client.

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

  • A. Enuresis is more common in girls than in boys.
  • B. Enuresis is neither inherited nor has a familial tendency.
  • C. Organic causes that may be related to enuresis should be considered first.
  • D. Psychogenic factors that cause enuresis persist into adulthood.
Correct Answer: C

Rationale: An important consideration when the nurse is discussing enuresis with the parents of a young child is that organic causes related to enuresis should be considered first. Enuresis, or bedwetting, can have various causes including physical issues like urinary tract infections, constipation, or structural abnormalities. It is essential to rule out any underlying medical conditions before addressing behavioral or psychological factors. By focusing on organic causes first, healthcare providers can ensure that the child receives appropriate evaluation and treatment, leading to better outcomes.

The physical manifestations of fetal alcohol syndrome include:

  • A. abnormal facial tissue, cleft lip, and cleft palate.
  • B. hepatomegaly, hypotonia, and microphthalmia.
  • C. microcephaly, short philtrum, and intrauterine growth restriction.
  • D. hyperbilirubinemia, jaundice, and failure to thrive.
Correct Answer: C

Rationale: Fetal alcohol syndrome is characterized by microcephaly, a short philtrum, and intrauterine growth restriction, among other features.

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