Nokea
Which of the ff. safety instructions should the nurse give a patient who has temporarily dilated pupils?
- A. Keep eyes closed
- B. Wear sunglasses
- C. Do not drive for 8 hours
- D. Avoid caffeinated beverages
Correct Answer: B
Rationale: Dilated pupils can cause increased sensitivity to light, leading to discomfort or visual disturbances. Wearing sunglasses can help protect the eyes from bright light and reduce potential discomfort for the patient. This safety instruction is important to promote the patient's comfort and prevent any potential harm due to light sensitivity.
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A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
- A. 6 to 8
- B. 8 to 12
- C. 12 to 24
- D. 24 to 48
Correct Answer: A
Rationale: In term newborns, the first meconium stool typically occurs within the first 6 to 8 hours after birth. Meconium is the baby's first stool, and its presence signifies that the baby's gastrointestinal system is functioning properly. If a newborn has not passed meconium within this timeframe, it may indicate an issue such as bowel obstruction that requires further evaluation and intervention. Therefore, the nurse should document and monitor the situation closely to ensure the newborn's health and well-being.
A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?
- A. Antidepressant
- B. Antidiuretic
- C. Antispasmodic
- D. Analgesic
Correct Answer: A
Rationale: Imipramine (Tofranil) is a tricyclic antidepressant (TCA) that is commonly used to treat enuresis in children. Enuresis is a condition characterized by involuntary urination, especially observed during sleep in children who are old enough to have bladder control. Imipramine works by affecting the balance of certain neurotransmitters in the brain, which helps regulate the bladder and reduce involuntary urination. While imipramine has antidepressant properties, it is also effective in treating enuresis by reducing the frequency of bedwetting episodes.
Older school-age children who begin to participate in competitive sports should have a careful evaluation of the
- A. vision
- B. hearing
- C. sexual maturity
- D. cardiovascular system
Correct Answer: D
Rationale: Cardiovascular evaluation is important for children participating in competitive sports.
all the following are true about seizures disorders except :
- A. involve involuntary muscle contraction and relaxation
- B. less than one third of seizures in children caused by epilepsy
- C. febrile seizure usually occur late in the course of high fever
- D. all the above are correct 120
Correct Answer: C
Rationale: A febrile seizure is a convulsion in a young child triggered by a spike in body temperature, often from an infection. Febrile seizures typically occur early in the course of a high fever in children between the ages of 6 months to 5 years old. They are usually brief, lasting for less than five minutes. In about one-third of cases, febrile seizures may occur before the fever is noted by a caregiver. Therefore, the statement that febrile seizures usually occur late in the course of high fever is incorrect.
A 52-year old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
- A. Eversion of the right nipple and mobile
- B. Mobile mass that is soft and easily mass delineated
- C. Non-mobile mass with irregular edges
- D. Non palpable right axillary lymph nodes
Correct Answer: C
Rationale: A non-mobile mass with irregular edges is a strong indicator of a cancerous lump in the breast. Cancerous lumps often feel fixed or attached to the surrounding tissue and may have irregular shapes rather than smooth, round contours. The lack of mobility and irregular edges increase suspicion for malignancy and warrant further investigation, such as imaging studies and biopsies. It is important for this patient to follow up with a healthcare provider promptly for further evaluation and appropriate management.