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.
You may also like to solve these questions
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which issue is associated with globalization?
- A. Decreased international trade
- B. Cultural homogenization
- C. Isolationist policies
- D. Local market growth
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
- A. Hemodialysis is not used in pediatrics.
- B. Peritoneal dialysis has no complications.
- C. Peritoneal dialysis removes fluid at a slower, more controlled rate, which minimizes complications.
- D. Peritoneal dialysis is more efficient than hemodialysis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
- A. Spironolactone (Aldactone)
- B. Sodium polystyrene sulfonate (Kayexalate)
- C. Lactulose (Cephulac)
- D. Calcium carbonate (Calcitab)
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.
A patient develops a postoperative deep vein thrombosis and is started on IV heparin. Which of the ff. laboratory tests is monitored during the heparin therapy?
- A. Plasma fibrinogen c.Partial thromboplastin time (PTT)
- B. Prothrombin time (PT)
- C. International normalized ratio (INR)
Correct Answer: C
Rationale: During heparin therapy, the laboratory test that is monitored is the partial thromboplastin time (PTT). Heparin acts by potentiating the activity of antithrombin III, leading to the inhibition of both thrombin and factor Xa. The PTT measures the intrinsic pathway of coagulation and is prolonged with heparin due to its anticoagulant effect. Monitoring the PTT helps to ensure that the patient is within the therapeutic range of anticoagulation to prevent clot formation without increasing the risk of bleeding complications. Plasma fibrinogen, prothrombin time (PT), and international normalized ratio (INR) are not routinely monitored during heparin therapy.