Nokea
Which statement is not part of the developmental care approach?
- A. Family-centered care
- B. Care on a sliding payment scale
- C. Healing environment
- D. Protected sleep
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
- A. focal dorsally exophytic
- B. cervicomedullary diffuse intrinsic
- C. none of the above
- D. diffuse intrinsic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which assessment data would cause suspicion that a 3-year-old child has Hirschsprung disease?
- A. Clay-colored stools and dark urine
- B. History of early passage of meconium in the newborn period
- C. History of chronic, progressive constipation and failure to gain weight
- D. Continual bouts of foul-smelling diarrhea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
- A. Explain the procedure to the patient's family
- B. Observe the patient for bleeding
- C. Administer an analgesic to the patient
- D. Drape the biopsy site
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
- A. Report the signs and symptoms to the
- B. Monitor the client's vital signs
- C. Assess respiratory status
- D. Stop the infusion
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.