Nokea
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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All the following are characteristic of retinal hemorrhage caused by abusive head trauma (AHT) EXCEPT
- A. multiple
- B. involve more than one layer of the retina
- C. central
- D. traumatic retinoschisis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which is the appropriate intervention when providing care to a child diagnosed with nephrotic syndrome, who is edematous and on bed rest?
- A. Monitor blood pressure every 30 minutes.
- B. Reposition every 2 hours.
- C. Limit visitors.
- D. Encourage fluids.
Correct Answer: B
Rationale: Repositioning every 2 hours is crucial in preventing skin breakdown in an edematous child on bed rest. This intervention helps redistribute pressure and maintain skin integrity, reducing the risk of pressure ulcers. It is an essential part of care for patients with limited mobility to ensure their comfort and prevent complications related to immobility.
When discussing hyperlipidemia with a group of adolescents, which high level labs should the nurse explain can prevent cardiovascular disease?
- A. Cholesterol
- B. Triglycerides
- C. Low-density lipoproteins (LDLs)
- D. High-density lipoproteins (HDLs)
Correct Answer: D
Rationale: High-density lipoproteins (HDLs) are often referred to as "good" cholesterol because they help remove other forms of cholesterol from your bloodstream, including low-density lipoproteins (LDLs) which are considered "bad" cholesterol. HDLs play a protective role in preventing cardiovascular disease as they transport cholesterol from the arteries to the liver for excretion. Therefore, having higher levels of HDL cholesterol is associated with a lower risk of heart disease, making it an important focus when discussing hyperlipidemia prevention strategies.
After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first?
- A. Page an anesthesiologist immediately and prepare to intubate the client
- B. Administer epinephrine, as prescribed, and prepare to intubate the client if necessary
- C. Administer the antidote for penicillin, as prescribed, and continue to monitor the client's vital signs
- D. Insert an indwelling urinary catheter and begin to infuse IV fluids as ordered
Correct Answer: B
Rationale: When a client exhibits symptoms of anaphylactic shock after receiving penicillin, the priority nursing intervention is to administer epinephrine, as prescribed, to counteract the severe allergic reaction. Epinephrine helps to improve breathing and increase blood pressure. Intubation may be necessary in severe cases to maintain airway patency. Therefore, the nurse should administer epinephrine first before considering intubation. It is crucial to act swiftly to prevent further deterioration in the client's condition.
You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
- A. first traumatic lumbar puncture (LP)
- B. T-cell leukemia
- C. cranial nerve involvement at the time of diagnosis
- D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.