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Questions 227

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Extract:


Question 1 of 5

A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?

Correct Answer: D

Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 2 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:


Question 3 of 5

A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?

Correct Answer: C

Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.

Question 4 of 5

A nurse is teaching a patient about a low-sodium diet. Which of the following foods should the patient avoid?

Correct Answer: B

Rationale: Canned soups are high in sodium, worsening conditions like hypertension or heart failure. Fresh fruits, whole grains, and lean meats are low-sodium and appropriate for the diet.

Question 5 of 5

Which of the following nursing actions is most effective when evaluating a kinetic family drawing?

Correct Answer: D

Rationale: Noting omitted family members provides insight into the child's family dynamics and emotional state. The other options are either initial instructions or counterproductive to evaluation. Health Promotion and Maintenance

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