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HESI LPN · HESI LPN Pediatrics · LPN Nursing Care of Pediatrics Respiratory Disorders Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The Alvarado/MANTRELS rule is scored by 1 point for each of the following: migration of pain to the right lower quadrant, anorexia, nausea/vomiting, rebound pain, temperature of at least 37.3°C, and WBC shift to greater than 75% neutrophils; 2 points are given for each of tenderness in the right lower quadrant and leukocytosis greater than 10,000/cmm. Children with a score of 4 or less are unlikely to have appendicitis; a score of 7 or greater increases the likelihood that the patient has appendicitis.

A. Migration of pain to the right lower quadrant
B. Anorexia, nausea/vomiting, rebound pain
C. Temperature of at least 37.3°C, WBC shift to greater than 75% neutrophils
D. Tenderness in the right lower quadrant and leukocytosis greater than 10,000/cmm

Expert Explanatory Rationale

Correct Answer: Tenderness in the right lower quadrant and leukocytosis greater than 10,000/cmm

Question 2 of 5

Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)?

A. Vomiting
B. Stools
C. Uterine
D. Weight

Expert Explanatory Rationale

Correct Answer: Vomiting

Question 3 of 5

Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?

A. En face behavior is observed between father and infant.
B. Mother relates that she feels exhilarated post-birth.
C. Mother states that she feels excessive fatigue as a result of the childbirth experience.
D. Father displays finger tipping behavior toward infant.

Expert Explanatory Rationale

Correct Answer: Mother states that she feels excessive fatigue as a result of the childbirth experience.

Question 4 of 5

Which of the following is a contraindication for the use of surfactant therapy in neonates?

A. Meconium aspiration syndrome
B. Pulmonary hemorrhage
C. Respiratory distress syndrome
D. Transitional respiratory distress

Expert Explanatory Rationale

Correct Answer: Pulmonary hemorrhage

Question 5 of 5

A chloride level greater than what value is a positive diagnostic indicator of cystic fibrosis (CF)?

A. 40 mEq/L
B. 50 mEq/L
C. 55 mEq/L
D. 60 mEq/L

Expert Explanatory Rationale

Correct Answer: 60 mEq/L

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