Nokea
Which of the following findings should the nurse expect?
- A. Pinpoint pupils
- B. Ataxia
- C. Hyperactive reflexes
- D. Hypothermia
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Ataxia is a neurological finding characterized by lack of coordination and unsteady gait, commonly seen in conditions like cerebellar dysfunction. Pinpoint pupils (A) suggest opioid toxicity, hyperactive reflexes (C) indicate possible hyperthyroidism or CNS injury, and hypothermia (D) is associated with hypothyroidism or hypothermia. Ataxia is the most relevant finding in this context, indicating a potential neurological issue.
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Specify 2 parameters the nurse should monitor to assess the client's progress.
- A. Number of steatorrhea stools
- B. Intake and output
- C. Respiratory Status (Monitor respiratory)
- D. Presence of periorbital edema
Correct Answer: B,C
Rationale: The correct parameters for the nurse to monitor to assess the client's progress are intake and output (B) and respiratory status (C). Monitoring intake and output is crucial to assess fluid balance and kidney function. Changes in these values can indicate dehydration or fluid overload. Respiratory status should be monitored to assess oxygenation and ventilation, which are essential for tissue perfusion and overall health.
The incorrect choices are A, D, E, F, and G. A (Number of steatorrhea stools) is not directly related to assessing overall client progress. D (Presence of periorbital edema) may be indicative of fluid retention but is not as direct as intake and output monitoring. Choices E, F, and G are not provided, thus not applicable to the question.
7 year old with UTI intervention?
- A. Monitor salicylic acid?
- B. Monitor Pain s fever
Correct Answer: B
Rationale: The correct answer is B: Monitor Pain and Fever. In a 7-year-old with a UTI, monitoring pain and fever is crucial as these symptoms indicate the severity of the infection and response to treatment. Pain and fever can also help in assessing the effectiveness of antibiotics. Monitoring salicylic acid is not relevant as it is not commonly used in UTI management in children due to the risk of Reye's syndrome. The other choices are not provided, but they would likely be incorrect as they are unrelated to UTI management in a 7-year-old.
Which of the following statements should the nurse include?
- A. Notify the provider if your child has dark brown blood between their teeth.
- B. Encourage your child to drink liquids through a straw.
- C. Notify the provider if your child is swallowing frequently.
- D. Encourage your child to clear their throat as needed.
Correct Answer: C
Rationale: The correct answer is C, "Notify the provider if your child is swallowing frequently." This statement is important as frequent swallowing may indicate potential issues such as aspiration or difficulty swallowing. It is crucial for the nurse to be aware of this symptom to ensure timely intervention.
Choice A is incorrect because dark brown blood between the teeth is not a typical symptom that would require immediate notification to the provider. Choice B is also incorrect as encouraging a child to drink through a straw may not be relevant to the situation at hand. Choice D is incorrect as clearing the throat as needed may not address the underlying issue of frequent swallowing.
Which of the following recommendations should the nurse make?
- A. Store opened vials of insulin for up to 60 days.
- B. Follow up with physical therapy.
- C. Consult with a nutritionist.
- D. Monitor capillary blood glucose daily.
Correct Answer: C
Rationale: The correct recommendation is to consult with a nutritionist (Choice C). This is crucial in diabetes management as a nutritionist can provide personalized dietary guidance to help control blood sugar levels. By consulting with a nutritionist, the patient can learn about healthy eating habits, portion control, and meal planning tailored to their specific needs. This can lead to better blood glucose control and overall improved health outcomes. Storing opened vials of insulin for 60 days (Choice A) is incorrect as insulin should be discarded after a certain period to ensure its effectiveness. Following up with physical therapy (Choice B) may be beneficial for other health conditions but is not specifically related to managing diabetes. Monitoring capillary blood glucose daily (Choice D) is important but does not address the need for dietary adjustments which a nutritionist can provide.
Which of the following findings is a clinical manifestation associated with this diagnosis?
- A. Tachypnea
- B. Tremors
- C. Increased appetite
- D. Bradycardia
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Tachypnea refers to rapid breathing, which is a common clinical manifestation associated with various medical conditions, including respiratory distress. In this particular diagnosis, tachypnea may indicate underlying respiratory issues or distress. Tremors (B) and increased appetite (C) are not typically associated with this diagnosis. Bradycardia (D), which is a slow heart rate, is also not a common clinical manifestation in this context.