Question

244. The nurse is caring for a 17 month old with acetaminophen poisoning Which of the following lab reports should the nurse review first? A Prothrombin Time (PT) and partial thrombosplatin time (PTT) B. Red blood cell and white cell counts C. Blood urea nitrogen and creatinine clearance D. Liver enzyme (AST and ALT) 245. A 6 year old child is seen for the first time in the clinic. Upon s seen for the first time in the clinirle s sment nurse finds than woormities of the joints, limbs, and fingers thinned upper lip, and small teeth with taully enamel. The mother states. My child seems to have problems is learning to con recognizing basic colors. Based on this date the nurse suspects that the child is most showing the effects of which problem? A Congenital abnormalities B. Chronic toxoplasmosis C. Fetal alcohol syndrome (FAS) D. Lead poisoning 246. The nurse is caring for a client with distal tibia fracture: The client has had a closed reduction and application of a toe to groin cast 36 hours after surgery, the client suddenly becomes confused, short of breath and spikes a temperature of 103 degrees F. The first assessment the nurse should perform is A Orientation to time, place and person B. Pulse oximetry C. Circulation to casted extremities D. Blood pressure 247 A client diagnosed with hepatitis C discusses his health history with the admitting nurse. The nurse should recognize which statement by the client as the most important? A. I got bak from Central America a few weeks ago B. I had the best raw oysters last week C. I have many different sex partners D. I had a blood transfusion 15 years ago 248. A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first? A Institute seizure precautions B. Monitor neurologic status every hour C. Place in respiratory/secretion precautions D. Cefotaxime IV 50 mg/kg/day divided q6h

Answer 1

Answers:

244.(D) liver enzymes(AST and ALT).

Reason:

Aletaminopher tonicity is a common causes a acute liver failure is children and adolescentes so we check the liver Erzyme CAST and ALT)

245.(B)chronic toxoplasmosis.

Reason:

chronic tonoplasmosis * It is a parasite disease caused by Tonoplasma gondii, & It have a few weeks a months of mild, the like illness such as muscle ache

246.(A) orientation to time,place and person.

Reason:

orientation to time, plan and Pusor n always the first assessment of the Nuse should perform in confused, shortners of Breath and Temperature Ireases

247.(C) I have many different sex partner s.

Reason:

I have many different sex partners. & It is frash statment, weuse should recognize from the patient, who has hepatitis C

248.(B) monitor neurological status every hour.

Reason:

monitor Neurological status Eury hour * It is meningococcal meringitis, so we check every how abouk the Neurological status