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 line on assessment, nurse the child has deformities of the joints. limbs and fingers thinned upper lip. anos faulty enamel. The mother states: "My child seems to have problems is learning s uspects that the child is most at the child is most likely recognizing basic colors." Based on this data the showing the effects of which problem? ngers, thinned upper lip, and small teeth with eems to have problems is learning to count and 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

244.Acetaminophen is a drug which is metabolized in liver dp theses enzymes namely AST,ALT has to be assessed.

It does not change the levels of RBC,BUN Creatinine

Ans:Liver enzyme

245.Congenital anamolies usually occurs right from birth. The child is showing symptoms of congenital anatomy.

Chronic toxoplasmosis is an infection

FAH occurs immediately after child birth to the newborn

Lead poisoning can occur in children less than six years but this child doesn't show any signs of it

Ans:Congenital anamoly

246.It has to be checked as airway,breathing and circulation by checking oxygen saturation,circulation blood pressure monitoring  

Orientation to time ,place and person is done to assess consciousness and mental status which can be done later

Ans:Pulse oximetry

247.Getting bak eating oyster is not related to the infection

Multiple sex partner is a concern and they gave to be notified here

Transfusion can be one of the cause for infection

Ans:I habe many different sex partners