A nurse has completed an assessment on a newborn. Which finding is considered abnormal?

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Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions

Question 1 of 5

A nurse has completed an assessment on a newborn. Which finding is considered abnormal?

Correct Answer: A

Rationale: Nystagmus refers to involuntary and repetitive eye movements. It is considered abnormal in a newborn as it may be a sign of a neurological or visual problem. Therefore, if a nurse observes nystagmus during a newborn assessment, it should be further investigated and discussed with a healthcare provider to determine the underlying cause and appropriate management. Profuse drooling, dark green or black stools, and slight vaginal reddish discharge are common findings in newborns and do not typically indicate a serious health issue.

Question 2 of 5

What are the essential nursing actions that should be taken for a client with immune system disorder? Choose all that apply

Correct Answer: E

Rationale: Clients with immune system disorders may receive treatments such as immunoglobulin therapy or biologic agents through infusions. It is essential for the nurse to monitor the client for infusion reactions, which can include symptoms such as fever, chills, nausea, and allergic reactions. Early recognition of infusion reactions is crucial for prompt intervention to prevent complications and ensure the client's safety. By closely monitoring the client during and after the infusion, the nurse can detect and address any adverse reactions promptly.

Question 3 of 5

You have the results of PCR tests for Mycoplasma pneumoniae; the number of positive tests is 83 collected from a 100 truly-infected persons. The sensitivity of this test is

Correct Answer: D

Rationale: Sensitivity = (True positives / Truly infected) * 100 = (83 / 100) * 100 = 83%.

Question 4 of 5

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?

Correct Answer: A

Rationale: Methylphenidate (Ritalin) is a stimulant medication commonly used in the treatment of ADHD. One of the possible side effects of methylphenidate is an increase in nervousness or jitteriness. This side effect is more common at the beginning of treatment or when the dosage is increased. It is important for parents to be aware of this potential side effect and to inform the healthcare provider if it becomes bothersome for the child. Other common side effects of methylphenidate may include decreased appetite, insomnia, and stomach upset.

Question 5 of 5

You are explaining the risk of leukemia in children with Down syndrome to medical students; your discussion will include all the following statements EXCEPT

Correct Answer: D

Rationale: Children with Down syndrome often have better outcomes when treated with specific regimens, contrary to this option.

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