Nokea
Which statement regarding the human papillomavirus vaccine (Gardasil) is true?
- A. Gardasil is administered in a two-dose series.
- B. Gardasil provides protection against chlamydia.
- C. Gardasil is recommended for males and females.
- D. Gardasil becomes effective after the first dose.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
- A. Elevate the head of the child's bed
- B. Insert a large-bore IV catheter for the child
- C. Determine the allergen that caused the child's reaction
- D. Administer IM epinephrine to the child
Correct Answer: D
Rationale: In the management of anaphylaxis, the priority action for the nurse is to administer IM epinephrine to the child. Epinephrine is the first-line treatment for anaphylaxis as it helps reverse the severe manifestations of the reaction by constricting blood vessels, relaxing airway muscles, and decreasing hives and swelling. Elevating the head of the child's bed may be beneficial for respiratory distress but is not the priority over administering epinephrine. Inserting a large-bore IV catheter may be necessary for fluid resuscitation but is not the initial priority. Identifying the allergen is important for prevention and future management but is not the immediate action needed in the acute phase of an anaphylactic reaction.
Regarding the language skills, a 2-year-old child can
- A. count
- B. name colors
- C. define words
- D. name pictures
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with cerebral palsy is being taught about home care by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will perform range-of-motion exercises twice a day.
- B. I will apply a heating pad on my child's legs to reduce spasms.
- C. I will allow my child to rest in a recliner for 1 hour each day.
- D. I will use wrist splints to maintain alignment.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?
- A. Limit the child's movement of the large joints.
- B. Encourage the child to perform independent self-care.
- C. Provide the child with a soft mattress for sleeping.
- D. Schedule a 2-hour daily nap for the child in the afternoon.
Correct Answer: B
Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.
Oral medications are often used as an early treatment for generalized spasticity. Which of the following works at the level of skeletal muscle to block calcium release from the sarcoplasmic reticulum?
- A. dantrolene sodium
- B. clonidine
- C. tizanidine
- D. baclofen
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.