High pH, low carbon dioxide & normal bicarbonate best fit which of the following disorders?

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Pediatric Nursing Practice Questions Questions

Question 1 of 5

High pH, low carbon dioxide & normal bicarbonate best fit which of the following disorders?

Correct Answer: D

Rationale: Uncompensated respiratory alkalosis results from excessive ventilation, leading to low COâ‚‚ and a high pH. Normal bicarbonate indicates that metabolic compensation has not yet occurred.

Question 2 of 5

If the systolic BP is elevated and the diastolic BP is normal, the nurse recognizes that a patient is most likely to have which type of hypertension?

Correct Answer: B

Rationale: Isolated systolic hypertension is characterized by elevated systolic blood pressure (SBP) with normal diastolic blood pressure (DBP). In this case, if the systolic BP is elevated and the diastolic BP is normal, the nurse would recognize this pattern as indicative of isolated systolic hypertension. This condition is more common in older adults and is associated with aging and stiffening of the arteries. Patients with isolated systolic hypertension are at an increased risk of cardiovascular events, so it is important to monitor and manage their blood pressure appropriately.

Question 3 of 5

Regarding school refusal, which statement is FALSE?

Correct Answer: D

Rationale: Somatic symptoms are indeed common in school refusal, making this statement incorrect.

Question 4 of 5

Mr. Reyes has a possible skull fracture. The nurse should:

Correct Answer: A

Rationale: When a patient is suspected to have a possible skull fracture, the nurse should observe him for signs of brain injury. Signs of brain injury can include changes in level of consciousness, altered pupil size or reaction to light, slurred speech, weakness or numbness in extremities, seizures, severe headache, vomiting, and vision changes. Monitoring for these signs would help in early detection of any worsening condition or complications related to the skull fracture. It is crucial to assess and monitor the patient's neurological status closely to provide timely interventions and prevent further damage.

Question 5 of 5

After intubation and resuscitation, the patient in Question 8 remains limp but appears aware and looks around, although the baby does not cry when the toes are pinched This most likely diagnosis is

Correct Answer: D

Rationale: Congenital myasthenia gravis can present with generalized weakness and lack of crying despite awareness

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