NUR206 (NUR206) Expert Based Solutions

NUR206 (NUR206) Paul, a 2 year old, presents with severe bruising and a nose bleed that won't stop. Which of the following values are NOT essential in the diagnosis of the patient? Coagulation studies (PT, PTT, INR) CBC (Complete blood count) CMP (Complete metabolic panel) Family history and reason for presentation - ANS CMP (Complete metabolic panel) Which explains sickle cell anemia best? An inherited disorder affecting the immune system An inherited disorder affecting the red blood cells (answer) A contagious disorder affecting the red blood cells A contagious disorder affecting the immune system - ANS An inherited disorder affecting the red blood cells Are a patient's RBCs always sickled when diagnosed with Sickle Cell Anemia? - ANS No Where are RBCs, WBCs and platelets produced in the body? The spleen RBCs and platelets kidneys, WBCs lymphnodes The bone marrow RBCs kidneys, WBCs and platelets lymphnodes - ANS The bone marrow What is the most common form of treatment for pediatric cancer? Radiation Surgery Bone Marrow Transplant Chemotherapy - ANS Chemotherapy What is the best meal for a patient with iron-deficiency anemia? (Select all that apply.) Spinach and cheese stuffed chicken breast and peas Iceburg lettuce salad with ranch and bacon and rice Lucky Charms and milk with orange juice PBJ sandwich with Dorito Ranch chips - ANS Spinach and cheese stuffed chicken breast and peas Lucky Charms and milk with orange juice What does erythropoietin stimulate? Renal vasodilation Splenic breakdown of red blood cells Bilirubin elimination Red blood cell production - ANS Red blood cell production Besides infection, when do WBCs rise? Never Inflammation Oxygen depletion Hemophelia - ANS Inflammation The nurse is caring for an immobilized preschool child. What intervention is helpful during this period of immobilization? Encourage wearing pajamas Let the child have few behavioral limitations Keep the child away from other immobilized children if possible Take the child for a "walk" by wagon outside of the room - ANS Take the child for a "walk" by wagon outside of the room What is an appropriate nursing intervention when caring for a child in traction? Removing adhesive traction straps daily to prevent skin breakdown Assessing for tightness, weakness, or contractures in uninvolved joints and uninvolved joints and muscles Providing active range of motion exercises to affected extremity three times a day Keeping child prone to maintain good alignment - ANS Assessing for tightness, weakness, or contractures in uninvolved joints and uninvolved joints and muscles The nurse uses the five Ps to assess ischemia in a child with a fracture. What finding is considered a late and ominous sign? Petaling Posturing Pulselessness Positioning - ANS Pulselessness Parents are considering treatment options for their 5-year-old child with Legg-Calvé-Perthes disease. Both surgical and conservative therapies are appropriate. They are able to verbalize the differences between the therapies when they make what statement? "All therapies require extended periods of bed rest." "Conservative therapy will be required until puberty." "Our child cannot attend school during the treatment phase." "If conservative measures are unsuccessful, surgical reconstruction may be necessary." - ANS "If conservative measures are unsuccessful, surgical reconstruction may be necessary." The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia of the hip about preventing skin breakdown under the Pavlik harness. What statement by the parent would indicate a correct understanding of the teaching? "I should gently massage the skin under the straps once a day to stimulate circulation." "I will apply a lotion for sensitive skin under the straps after my baby has been given a bath to prevent skin irritation." "I will place the diaper over the harness, preferably using a superabsorbent disposable diaper that is relatively thin." "I should remove the harness several times a day to prevent contractures." - ANS "I should gently massage the skin under the straps once a day to stimulate circulation." Which electrolyte is most affected when the patient is in DKA? Sodium Potassium Chloride Calcium - ANS Potassium Which is an expected lab result for a patient in DKA? Respiratory Acidosis Respiratory Alkalosis Metabolic Acidosis Metabolic Alkalosis - ANS Metabolic Acidosis Your patient is getting ready to eat 67 carbs. He gets 1 unit of insulin for every 10 carbs eaten. How many units will you draw up in a pen? 6.7 units 7 units 6 units 5 units - ANS 7 units In addition to the carb count of a meal, what other information do is most important to know before drawing up the insulin? Recent blood glucose level History of DKA Favorite candy Recent ingestion of glucose tabs - ANS Recent blood glucose level Which is the best choice of food for a child with SIADH? french fries watermelon strawberry smoothie fried chicken - ANS fried chicken