An adult is on long term aspirin therapy and is experiencing tinnitus. What is the best interpretation of this occurrence?

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Certified Pediatric Nurse Exam Practice Questions Questions

Question 1 of 5

An adult is on long term aspirin therapy and is experiencing tinnitus. What is the best interpretation of this occurrence?

Correct Answer: D

Rationale: Tinnitus (ringing in the ears) is a potential side effect of aspirin overdose. Aspirin can cause toxicity with symptoms like ringing in the ears, dizziness, confusion, and nausea. It is important for the adult to seek medical attention if they are experiencing tinnitus while on long-term aspirin therapy to address the possible overdose situation.

Question 2 of 5

The Denver II assesses the development of children from birth to 6 years of age, it includes the following domains EXCEPT

Correct Answer: B

Rationale: The Denver II does not specifically assess intelligence.

Question 3 of 5

The nursing care for the client in addisonian crisis should include which of the following interventions?

Correct Answer: C

Rationale: The nursing care for a client in Addisonian crisis, also known as adrenal crisis, should include offering extra blankets and raising the heat in the room to keep the client warm. Addisonian crisis is a life-threatening condition that occurs when the body does not have enough cortisol and aldosterone, which are hormones produced by the adrenal glands. Symptoms of Addisonian crisis include severe weakness, fatigue, abdominal pain, nausea, vomiting, and low blood pressure. By offering extra blankets and raising the room temperature, the nurse can help prevent hypothermia, which can worsen the client's condition. It is important to maintain the client's body temperature to promote comfort and prevent further complications during Addisonian crisis.

Question 4 of 5

A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is

Correct Answer: C

Rationale: Clear cell sarcoma of the kidney has a propensity to metastasize to bones, making a bone scan essential.

Question 5 of 5

An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following?

Correct Answer: B

Rationale: Celiac disease is an autoimmune disorder triggered by gluten, a protein found in wheat, barley, and rye. The small intestine's lining is damaged when someone with celiac disease eats gluten, which impairs the absorption of nutrients. Therefore, it is crucial for individuals with celiac disease to avoid wheat and other gluten-containing grains to manage their condition effectively. Sourcers of gluten, like wheat products, need to be eliminated from the diet to prevent symptoms and complications for those with celiac disease. Therefore, teaching the parents of a child diagnosed with celiac disease to avoid wheat would be an essential part of managing the condition.

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