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Nclex Review with Rationales (PEDIATRICS) Questions And Answers
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Nclex Review with Rationales (PEDIATRICS) Questions And Answers
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Nclex Review with Rationales (PEDIATRICS) Questions And Answers A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to paincrisis. Which of the following, if identified by the mother as e precipitating factor, indicates the need for further instructions?
1. infection
2. trauma
3. fluid overload
4. stress - correct answer : 3) Fluid Overload Rationale: Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical or emotional stress. The mother of a child with sickle cell disease should encourage fluid intake of 1.5-2 times the daily requirement to prevent dehydration.
The nurse following a client after a gastric resection observes carefully for evidence of nutritional deficiency anemia related to malabsorption including which of the following?
1.Bone pain
2.Dark yellow or bronze skin
3.Numbness and tingling of extremities Nclex Review with Rationales (PEDIATRICS) Questions And Answers 4. Steatorrhea - correct answer : 3.) Numbness and tingling of extremities
Rationale:The client who has had a gastric resection is at risk for anemia because intrinsic factor may decrease, leading to vitamin B12 deficiency anemia with associated neurologic deficits such as numbness and tingling of extremities. The other symptoms are not related to nutritional deficiency anemia.
The nurse is working with a woman who is pregnant and her husband. The husband asks the nurse why his wife has a folic acid deficiency when she eats healthy meals. The nurse best responds with which of the following?
1.Pregnancy increases metabolic requirements for folic acid.
2.There is inadequate dietary intake of folic acid.
3.Pregnancy causes malabsorption of folic acid.
4.The client has some form of impaired metabolism - correct answer : 1.) Pregnancy increases metabolic requirements for folic acid. Rationale: Pregnancy increases the metabolic requirements for folic acid. Since the husband states that they eat healthy meals, inadequate intake of folic acid is Nclex Review with Rationales (PEDIATRICS) Questions And Answers a less likely cause of the deficiency. Malabsorption and impaired metabolism are causes of folic acid deficiency that are not associated with pregnancy.
Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
1. Peaches
2. Cottage cheese
3. Popsicle
4. Lima beans - correct answer : 3.) Popsicle Rationale: Hydration is important in the client with sickle cell disease to prevent thrombus formation. Popsicles, gelatin, juice, and pudding have HIGH FLUID CONTENT.
_______________ is the presence of cells of an abnormal type within a tissue, which may signify a stage preceding the development of cancer. - correct answer dysplasia
The nurse prepares to administer an intravenous
(IV) medication when the nurse notes that Nclex Review with Rationales (PEDIATRICS) Questions And Answers the medication is incompatible with the IV solution.
Which is the best intervention for the
nurse to implement for safe medication
administration?
1. Ask the provider to prescribe a compatible
IV solution.
2 Start a new IV catheter for the incompatible
medication.
3 Collaborate with the provider for a new administration
route.
4 Flush tubing before and after administering
the medication with normal saline. - correct answer : 4.) flush tubing before & after administering the medication with normal saline Rationale: When giving a medication intravenously, if the medication is incompatible with the IV solution, the tubing is flushed before and after
the medication with infusions of normal saline to prevent in-line precipitation of the incompatible agents. Starting a
new IV, changing the solution,
or changing the administration route are unnecessary because a simpler, less risky, viable option exists.
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