Nokea
Why is it important to assess for in a child receiving prednisone to treat nephrotic syndrome?
- A. Infection
- B. Urinary retention
- C. Easy bruising
- D. Hypoglycemia
Correct Answer: A
Rationale: When a child is receiving prednisone to treat nephrotic syndrome, it is crucial to assess for infection. Prednisone suppresses the immune system, making the child more vulnerable to infections. Since steroids can mask typical signs of infection, it is essential to look for subtle symptoms to ensure prompt treatment and prevent complications.
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Radiotherapy is an effective modality of treatment in variable pediatric solid tumors. Of the following, the LEAST responsive tumor to radiotherapy is
- A. rhabdomyosarcoma
- B. neuroblastoma
- C. nephroblastoma
- D. osteosarcoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child with suspected bacterial meningitis is under the care of a nurse. Which action should the nurse prioritize?
- A. Administer antibiotics as prescribed.
- B. Maintain the child on NPO status.
- C. Monitor the child's intake and output.
- D. Implement seizure precautions.
Correct Answer: D
Rationale: The priority action for a child with suspected bacterial meningitis is to implement seizure precautions. Meningitis can lead to increased intracranial pressure, which may trigger seizures. By implementing seizure precautions, such as padding the side rails of the bed and ensuring a clear environment, the nurse aims to prevent injury during a potential seizure episode, prioritizing the child's safety.
The American Academy of Pediatrics (AAP) recommends the fasting total cholesterol level is elevated when serum cholesterol is
- A. ≥150 mg/dL
- B. ≥175 mg/dL
- C. ≥200 mg/dL
- D. ≥225 mg/dL
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A neonate with a meningomyelocele is scheduled for surgery in the morning. Which nursing action is appropriate for this neonate?
- A. Applying a diaper to prevent contamination of the sac
- B. Positioning the newborn in a side-lying position
- C. Encouraging the mother to hold the newborn because she will not be able to pick him up after surgery
- D. Positioning the newborn in a prone position
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are risk factors for obstructive sleep apnea in children EXCEPT
- A. peculiar facial anatomy
- B. hypotonia
- C. developmental delay
- D. central adiposity
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.