Nokea
While caring for four different pediatric clients, which child is at the highest risk for dehydration?
- A. 7-year-old child with migraine headaches
- B. 4-year-old child with a broken arm
- C. 2-year-old child with cellulitis of the left leg
- D. 18-month-old child with tachypnea
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Why should clients who take warfarin (Coumadin) refrain from food items such as green leafy vegetables and soybeans?
- A. Because the foods contain Vitamin K, which reduces the anti coagulant effect of the medication
- B. Because the foods contain Vitamin K, which increases the anti coagulant effect of the medication
- C. Because the foods help stimulate salivation
- D. Because the foods minimize the volume of food consumption
Correct Answer: A
Rationale: Clients who take warfarin (Coumadin) should refrain from foods such as green leafy vegetables and soybeans because these foods contain high levels of Vitamin K. Vitamin K plays a crucial role in blood clotting, which may counteract the anti-coagulant effects of warfarin. Therefore, consuming large amounts of Vitamin K-rich foods can reduce the effectiveness of warfarin in preventing blood clots, leading to potential health risks. It is important for clients on warfarin therapy to maintain a consistent intake of Vitamin K in their diet to ensure the medication works effectively.
A school-age child has peripheral edema. Which of the following assessments should the nurse perform to confirm peripheral edema?
- A. Palpate the dorsum of the child's feet
- B. Weigh the child daily using the same scale
- C. Assess the child's skin turgor
- D. Observe the child for periorbital swelling
Correct Answer: A
Rationale: To confirm peripheral edema in a child, the nurse should palpate the dorsum of the child's feet by pressing a fingertip against a bony prominence for 5 seconds. This assessment helps detect the presence of pitting edema, which is characterized by an indentation that remains after the pressure is released.
A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?
- A. Apply a warm compress to the infant's surgical site twice daily.
- B. Avoid giving the infant a tub bath for 1 week.
- C. Apply an antibiotic ointment to the infant's penis daily.
- D. Clamp the infant's catheter for 30 minutes every 4 hours.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After intubation and resuscitation, the patient in Question 8 remains limp but appears aware and looks around, although the baby does not cry when the toes are pinched This most likely diagnosis is
- A. Congenital botulism
- B. Narcotic overdose
- C. Transection of the spinal cord
- D. Congenital myasthenia gravis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A classic example of type III (immune complex) reactions is
- A. serum sickness
- B. TB skin test reactions
- C. contact dermatitis (neomycin)
- D. graft versus-host disease
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.