Question

U. Liver Unzyme (AST and ALT) 245. A 6 year old child is seen for the first time in the clinic. Upon assessment, nurse finds that the child has deformities of the joints, limbs, and fingers, thinned upper lip, and small teeth with faulty enamel. The mother states: "My child seems to have problems is learning to count and recognizing basic colors. Based on this data, the nurse suspects that the child is most likely 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

245.The child having deformities, vision problems can be due to congenital reasons

Toxoplasmosis is a form of infection

FAS can be seen in the child after birth when mother consume alcohol during pregnancy

Lead poisoning can lead to mental disorder, gastrointestinal disorders initially than affecting the musculoskeletal system

Ans:Congenital abnormalities

246.The shortness of breath has to be immediately assessed for the oxygen saturation by using pulse oximeter

Vitals cam be monitored following by assessing circulation at the surgical site

Orientation will be necessary of there is any confusion

Ams: pulse oximetry

247.Bak items ,raw oyster doesn't cause this infection

Multiple partners has to be informed and screened for

Blood transfusion should be risk factor of this disease and nearly 75% account to have HCV infection in later life

Ans:I had a blood transfusion 15 years ago

248.Cefotaxime has to be started and it is the first line treatment

Neurological statis can be assessed later

Seizure precautions can be initiated at the last

Ans:Cefotaxime IV 50mg/kg/day divided q6h