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Viewing questions 21-30 out of questions
Questions # 21:

A 15-year-old patient with a history of anxiety is experiencing palpitations, dizziness, nausea, diaphoresis, and tachypnea. This is most likely:

Options:

A.

A panic attack

B.

Supraventricular tachycardia

C.

An asthma exacerbation

D.

Due to caffeine consumption

Expert Solution
Questions # 22:

The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:

Options:

A.

Rotate assignments among staff members

B.

Arrange a patient care conference with the family

C.

Suggest the family discuss their concerns with the nurse manager

D.

Discuss the issue with the physician

Expert Solution
Questions # 23:

A school-age child is admitted in acute respiratory failure requiring mechanical ventilation. Endotracheal aspirate Gram staining is positive for an acid-fast bacillus. The nurse’s initial action should be to:

Options:

A.

Initiate antiviral therapy

B.

Contact the parents and discuss the implications of the laboratory findings

C.

Send another specimen for repeat laboratory examination

D.

Move the patient to a negative-pressure room

Expert Solution
Questions # 24:

A 2-month-old with a VP shunt has a fever, irritability, and a bulging fontanel. Blood and urine cultures are negative. The most likely cause is:

Options:

A.

Intracranial hemorrhage

B.

Perforation of the small bowel

C.

A faulty valve

D.

Shunt infection

Expert Solution
Questions # 25:

A 2-day-old infant develops a tachycardia of 300. A 12-lead ECG reveals narrow complexes and prominent delta waves. The patient most likely has:

Options:

A.

Sick sinus syndrome

B.

Ventricular tachycardia

C.

Junctional ectopic tachycardia

D.

Wolff-Parkinson-White syndrome

Expert Solution
Questions # 26:

A nursing practice council is reviewing a protocol for flushing unused IV lines. A team member questions the use of saline vs. dextrose. What should the council do first?

Options:

A.

Identify the outcomes

B.

Develop research methods

C.

Determine the problem

D.

Plan interventions

Expert Solution
Questions # 27:

A child is admitted following chest trauma, and a small pneumothorax (less than 10%) is noted. A nurse should anticipate which of the following?

Options:

A.

Chest tube insertion

B.

Chest percussion

C.

Incentive spirometry

D.

Observation

Expert Solution
Questions # 28:

A child with short bowel syndrome presents with fever, dehydration, and weight loss. To ensure nutrition, the nurse should anticipate:

Options:

A.

Transpyloric tube for continuous feeds

B.

NG tube for bolus feeds

C.

Total parenteral nutrition (TPN)

D.

Encouraging oral feeds

Expert Solution
Questions # 29:

The plan of care for a child with possible epiglottitis should include:

Options:

A.

ABG analysis

B.

A racemic epinephrine treatment

C.

Visualization of the airway

D.

An x-ray of the lateral neck

Expert Solution
Questions # 30:

Following a MVC with prolonged entrapment of the legs, a 7-year-old has:

    BP: 75/40

    HR: 145

    K⁺: 5.9 mEq/L

    Hypocalcemia

    Elevated CK

What urine output should the nurse expect?

Options:

A.

Yellow urine with clots of blood

B.

Red-brown "tea" color urine

C.

Anuria

D.

>4 cc/kg of clear, colorless urine

Expert Solution
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