Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following labratory results should the nurse notify the HCP?
A. creatinine 1.4
A creatinine level of 1.4 mg/dL is higher than the normal range and could indicate kidney damage, which is a known side effect of gentamicin. Therefore, the nurse should notify the healthcare provider.
B. creatinine 0.3
A creatinine level of 0.3 mg/dL is within the normal range, so it would not typically be a cause for concern.
C. BUN 12
A BUN level of 12 is within the normal range, so it would not typically be a cause for concern.
D. BUN 6
A BUN level of 6 is within the normal range, so it would not typically be a cause for concern.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Pediatrics Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale
A creatinine level of 1.4 mg/dL is higher than the normal range and could indicate kidney damage, which is a known side effect of gentamicin. Therefore, the nurse should notify the healthcare provider.
Choice B rationale
A creatinine level of 0.3 mg/dL is within the normal range, so it would not typically be a cause for concern.
Choice C rationale
A BUN level of 12 is within the normal range, so it would not typically be a cause for concern.
Choice D rationale
A BUN level of 6 is within the normal range, so it would not typically be a cause for concern.
Similar Questions
A nurse is planning to perform tracheostomy care for a toddler.
which of the following is an appropriate action for nurse to take?
A. use clean technique to change the tracheostomy tube.
Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
B. clean around the stoma with full -strength hydrogen peroxide.
Cleaning around the stoma with full-strength hydrogen peroxide is not typically recommended. Hydrogen peroxide can be too harsh for the sensitive skin around the stoma.
C. Place the child in Trendelenburg position when performing care.
Placing the child in the Trendelenburg position (head lower than the feet) when performing care is not typically recommended. This position could increase the risk of aspiration.
D. Have the child flex his head when securing the ties.
When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.
Full Explanation
The correct answer is D. Have the child flex his head when securing the ties.
Explanation:
When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.
Why the other options are incorrect:
-
A. Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
-
B. Clean around the stoma with full-strength hydrogen peroxide – Incorrect. Diluted hydrogen peroxide or saline is recommended to avoid tissue irritation. Full-strength hydrogen peroxide can damage delicate skin around the stoma.
-
C. Place the child in Trendelenburg position when performing care – Incorrect. The Trendelenburg position (head down, feet up) is not used for tracheostomy care and can increase the risk of aspiration or breathing difficulties.
A nurse is teaching a group of parents about childhood immunizations.
The nurse should identify that infant should receive the first dose of which of the following immunizations.at 12 months of age.
A. human papillomavirus.
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
B. inactivated polio virus
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
C. hepatitis B
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
D. Varicella
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
Full Explanation
Choice A rationale
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
Choice B rationale
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
Choice C rationale
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
Choice D rationale
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
A nurse is assessing an client who has Hodgkin's lymphoma.
Which of the following finding s should the nurse expect?
A. unexplained weight gain
Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.
B. Flushed skin
Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.
C. decrease body temperature
Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.
D. night sweat.
Night sweats are a common symptom of Hodgkin’s lymphoma.
Full Explanation
Choice A rationale
Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.
Choice B rationale
Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.
Choice C rationale
Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.
Choice D rationale
Night sweats are a common symptom of Hodgkin’s lymphoma.