Janae has a seizure disorder; which of the following would be the lowest priority when caring for her? Observing and taking down data on all seizures

Correct Answer: C

Rationale: When caring for someone with a seizure disorder like Janae, the highest priority is ensuring their immediate safety and protection from injury during a seizure. This includes preventing falls, removing nearby hazards, and providing support during and after the seizure. Assessing for signs and symptoms of increased intracranial pressure is also important as it may indicate a serious complication requiring prompt medical attention. On the other hand, educating the family about anticonvulsant therapy, while important for long-term management, is considered a lower priority compared to the immediate safety and medical assessment needs of Janae during a seizure episode.

Correct Answer: C

Rationale: Methotrexate is a chemotherapy medication that is commonly used in the treatment of various types of cancers, including leukemia. Leukemia is a cancer of the blood and bone marrow that affects the white blood cells. Methotrexate works by interfering with the growth and division of cancer cells, thereby helping to slow down or stop the progression of the disease. It is not typically used to treat thalassemia, hemophilia, or sickle cell anemia, as these conditions are not cancers and require different types of treatment approaches.

Correct Answer: C

Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.

Correct Answer:

Rationale: Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to decreased plasma filtration. As a result, fluid volume excess occurs due to impaired kidney function in regulating the fluid balance. Symptoms may include hypertension, edema, weight gain, and oliguria. Therefore, the most appropriate nursing diagnosis for a child with acute glomerulonephritis would be "Fluid Volume Excess related to decreased plasma filtration". This diagnosis focuses on the pathophysiological process of the condition and helps guide nursing interventions aimed at managing fluid volume overload.

Correct Answer: C

Rationale: The best place to assess for jaundice in a dark-skinned newborn is in the sclera, conjunctiva, and oral mucosa. Jaundice, which is caused by elevated levels of bilirubin in the blood, is more easily seen in these areas compared to the skin. While jaundice is commonly assessed on the skin in light-skinned individuals, it may not be as readily apparent in dark-skinned newborns. Therefore, examining the sclera, conjunctiva, and oral mucosa for a yellowish discoloration provides a more reliable indication of jaundice in dark-skinned infants. This approach ensures that healthcare providers can accurately detect and monitor jaundice in newborns of all skin tones.