Which medication is most likely included in post-operative care of a child with repair of bladder exstrophy?

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Pediatric Emergency Nursing PICO Questions Questions

Question 1 of 5

Which medication is most likely included in post-operative care of a child with repair of bladder exstrophy?

Correct Answer: D

Rationale: Oxybutynin helps control bladder spasms and improves comfort after urinary reconstructive surgery.

Question 2 of 5

The parent of a 2-week-old infant, exclusively breastfed, asks the nurse if fluoride supplements are needed. What is the nurse's best response?

Correct Answer: B

Rationale: The nurse's best response to the parent of a 2-week-old infant, exclusively breastfed, regarding the need for fluoride supplements is that they are not needed if the infant is already drinking fluoridated water. Fluoride supplements are typically recommended for infants who are not receiving enough fluoride through their water source. Breast milk itself does not contain a significant amount of fluoride, but if the family's water supply is fluoridated, the infant will likely receive an adequate amount of fluoride without the need for supplements. It is important for the parent to verify the fluoride content of their water supply with their local water utility to ensure the infant is receiving the appropriate amount of fluoride for dental health.

Question 3 of 5

A man with a history of diabetes and chronic lung disease is admitted to the hospital with prostate cancer. He has all the following symptoms. Which should the nurse address first?

Correct Answer: C

Rationale: In this case, the nurse should address the respiratory rate of 36 breaths per minute first, as it indicates potential respiratory distress in a patient with chronic lung disease. Rapid and shallow breathing could be a sign of worsening lung function or complications such as pneumonia, which require immediate attention to ensure adequate oxygenation and prevent further deterioration. Monitoring and addressing the patient's respiratory status are crucial in preventing respiratory failure and other serious complications.

Question 4 of 5

Small round blue cell tumors refer to all the following EXCEPT

Correct Answer: B

Rationale: Osteosarcoma does not typically fall under the category of small round blue cell tumors.

Question 5 of 5

A 2-year-old male child has an asymptomatic right flank mass discovered incidentally by the mother while bathing. Suspicion of Wilms tumor is raised. Of the following, the LEAST likely investigation to be performed in this child is

Correct Answer: D

Rationale: Biopsy is generally avoided in suspected Wilms tumor to prevent upstaging the disease.

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