Aling Maria, a 58-year old female, was admitted for the third time because of myxedema. Initial assessment by Nurse Mida should include symptoms of:

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Burns Pediatric Primary Care Test Bank Questions

Question 1 of 5

Aling Maria, a 58-year old female, was admitted for the third time because of myxedema. Initial assessment by Nurse Mida should include symptoms of:

Correct Answer: C

Rationale: The symptoms of myxedema, which is a severe form of hypothyroidism, include lethargy, weight gain, slow speech, and decreased respiratory rate. Aling Maria being a 58-year old female who was admitted for the third time because of myxedema would likely present with these symptoms upon assessment by Nurse Mida. Other common symptoms of myxedema include cold intolerance, dry skin, hair loss, and brittle nails. It is important for Nurse Mida to identify these symptoms during the initial assessment to provide appropriate care and management for Aling Maria.

Question 2 of 5

After general anesthesia, elective procedures should generally be avoided in children with a URI for how long?

Correct Answer: B

Rationale: It is recommended to wait at least 2-4 weeks after resolution of a URI before proceeding with elective surgery.

Question 3 of 5

Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?

Correct Answer: B

Rationale: Corticosteroids are commonly used to reduce inflammation in various conditions, including nephritic syndrome. In nephritic syndrome, there is inflammation in the glomeruli of the kidneys, leading to symptoms such as proteinuria, hematuria, and reduced kidney function. Corticosteroids work by suppressing this inflammatory response, which helps alleviate the symptoms and improve kidney function in patients with nephritic syndrome. Administering corticosteroids to this child aims to reduce the inflammation in the kidneys, thereby improving their condition.

Question 4 of 5

The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

Question 5 of 5

Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?

Correct Answer: B

Rationale: Gastroesophageal reflux (GER) primarily involves issues with the digestive system, such as regurgitation of stomach contents into the esophagus. Impaired oral mucous membrane is not directly related to GER. The other nursing diagnoses are more relevant and applicable in a case of GER:

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