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NEW QUESTION 34
The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nursing intervention would be to:

• A. Discontinue the IV
• B. Stop the medication, and begin a normal saline infusion
• C. Take all vital signs, and report to the physician
• D. Assess urinary output, and if it is 30 mL an hour, maintain current treatment

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The IV line should not be discontinued because other IV medications will be needed. (B) Stop the medication and begin a normal saline infusion. The child is exhibiting signs of an allergic reaction and could go into shock if the medication is not stopped. The line should be kept opened for other medication.
(C) Taking vital signs and reporting to the physician is not an adequate intervention because the IV medication continues to flow. (D) Assessing urinary output and, if it is 30 mL an hour, maintaining current treatment is an inappropriate intervention owing to the child's obvious allergic reaction.

NEW QUESTION 35
A child with celiac disease is being discharged from the hospital. The mother demonstrates knowledge of nutritional needs of her child when she is able to state the foods which are included in a:

• A. Gluten-restricted diet
• B. Phenylalanine-restricted diet
• C. Lactose-restricted diet
• D. Fat-restricted diet

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) A lactose-restricted diet is prescribed for children with lactose intolerance or diarrhea. (B) A gluten- restricted diet is the diet for children with celiac disease. (C) A phenylalaninerestricted diet is prescribed for children with phenylketonuria. (D) A fat-restricted diet is prescribed for children with disorders of the liver, gallbladder, or pancreas.

NEW QUESTION 36
At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:

• A. The client's previous abortion
• B. The client's young age
• C. The client's late prenatal care
• D. The client's history of drug, ethyl alcohol, and tobacco use

Answer: D

Explanation:
Explanation
(A) Although adolescents frequently have a higher incidence of low-birth-weight infants, this client is 21 years old. (B) Uncomplicated induced abortions have not been proved to influence the growth of infants of subsequent pregnancies. (C) Compounds in cigarettes and some illicit drugs cause maternal vasoconstriction and a subsequent reduction in O2 availability for the fetus owing to the resulting reduction in uteroplacental blood flow. As few as one or two drinks of alcohol per day will decrease birth weight. (D) Although early prenatal care has been shown to improve pregnancy outcomes, not seeking care until the second week of gestation does not, in and of itself, cause intrauterine growth retardation.

NEW QUESTION 37
A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?

• A. Apathy and flatness
• B. Hostility
• C. Anger
• D. Smiling

Answer: A

Explanation:
(A) Anger is an emotion that is not necessarily present in schizophrenia. (B) Lack of response to or involvement with environment and distancing are characteristic of schizophrenia. (C) Euphoria is more characteristic of manic-depressive disorder (bipolar disorder). (D) Hostility is an emotion that is not necessarily present in schizophrenia.

NEW QUESTION 38
......

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