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A healthcare provider is evaluating the effectiveness of a telemedicine program designed for pediatric patients. Which of the following metrics would best assess the program's impact on patient outcomes?
The total number of telemedicine visits conducted
The number of healthcare providers participating
amount of time spent on each consultation er: C
nation: The percentage of patients reporting improved health status directly measures the pro on patient outcomes.
nurse practitioner is part of a committee focused on health equity in pediatric care. What is the m ve approach to ensure that health equity initiatives are successfully implemented?
gage community stakeholders in the planning and implementation process us solely on increasing funding for health services
mit the program to urban areas with high needs nitor only quantitative outcomes of the initiatives
er: A
nation: Engaging community stakeholders is crucial for understanding the unique needs of th tion and ensuring that health equity initiatives are culturally relevant and effective.
ear-old child is admitted to the ICU with pneumonia and requires mechanical ventilation. Th
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current settings are: tidal volume 8 ml/kg, respiratory rate 20 breaths/min, and PEEP of 5 cm H2O. The latest arterial blood gas shows pH 7.28, PaCO2 60 mmHg, and PaO2 55 mmHg. What is the most appropriate adjustment to improve the child's ventilation?
Increase the respiratory rate to 30 breaths/min
Increase the tidal volume to 10 ml/kg
Decrease the PEEP to 2 cm H2O
Change the mode to CPAP Answer: A
Explanation: Increasing the respiratory rate can help improve ventilation in a patient with hypercapnia and acidosis, aiming to reduce PaCO2 levels.
A nurse practitioner is working with a multidisciplinary team to develop a care plan for a child with behavioral health issues. Which of the following roles is essential to include in the team to address the child's social needs?
ech-language pathologist cupational therapist diatrician
er: A
nation: A social worker is essential for addressing the child's social needs, such as family dy mmunity resources, which impact overall health and well-being.
ear-old child presents with fever and a rash. The lab results show an elevated white blood cel nd elevated C-reactive protein. What is the most likely diagnosis?
cterial infection al exanthem ergic reaction
toimmune disease er: A
nation: The combination of fever, rash, elevated white blood cell count, and C-reactive protei ts a bacterial infection, which requires prompt evaluation and treatment.
Social worker Spe Oc Pe Answ Expla namics and co A 1-y l count a Ba Vir All Au Answ Expla n sugges A 15-year-old boy sustains a traumatic injury during a sports event and presents with hypotension, tachycardia, and altered mental status. Which of the following is the most appropriate initial management step? Administer intravenous fluids Begin high-flow oxygen therapy Perform a rapid trauma assessment Prepare for immediate surgical intervention Answer: C Explanation: A rapid trauma assessment is crucial to identify the extent of injuries and prioritize interventions, including fluid resuscitation and stabilization. nsistent meal times and medication administration xibility in medication schedules based on the child's mood y following the prescribed diet during doctor's visits oring symptoms unless they worsen significantly er: A nation: Consistent meal times and medication administration are critical components of mana conditions effectively and can help stabilize the child's health. atric patient requires a medication that is typically available only in a hospital setting. The care team discusses using telemedicine to facilitate access. What is the most critical factor to er in this scenario? patient's ability to visit the hospital for medication availability of telehealth services in the area potential for coordination with the pharmacy for medication delivery patient's preference for in-person visits er: C nation: Coordination with the pharmacy for medication delivery is crucial to ensure the patie Co Fle Onl Ign Answ Expla ging chronic A pedi health consid The The The The Answ Expla nt has access to necessary medications while utilizing telemedicine. During a wellness visit, a nurse practitioner notices that a 6-year-old child is significantly underweight for their height, with a BMI in the 5th percentile. The child's mother mentions that they primarily consume sugary beverages and snacks. Which intervention should be prioritized to promote healthy eating habits? Educate the family about the importance of balanced meals and healthy snacks Refer to a pediatric nutritionist for detailed dietary planning Schedule a follow-up visit in one month to monitor weight Suggest switching to low-calorie beverages to reduce sugar intake Answer: A Explanation: Education about balanced nutrition is crucial for establishing healthy eating habits in children. While referral and follow-up are important, direct education will empower the family to make immediate changes. nurse is preparing to perform tracheostomy care for a child. Which of the following steps should irst to ensure patient safety during the procedure? sess the child's airway patency and respiratory status. her all necessary supplies and equipment. plain the procedure to the child and family. ction the tracheostomy tube to clear any secretions. er: A nation: Assessing the child's airway patency and respiratory status is the first step to ensure p efore initiating any procedures, including tracheostomy care. year-old girl presents with a sudden onset of severe headache, photophobia, and a stiff neck. puncture reveals cloudy cerebrospinal fluid with an elevated white blood cell count. What is ikely diagnosis? cterial meningitis al meningitis cephalitis barachnoid hemorrhage Question: 616 A be taken f As Gat Ex Su Answ Expla atient safety b A 11- A lumbar the most l Ba Vir En Su Answer: A Explanation: The presence of cloudy cerebrospinal fluid and elevated white blood cell count, along with the clinical presentation, indicates bacterial meningitis. A 36-week gestational age infant is being evaluated for developmental milestones in the NICU. Which of the following milestones should the nurse expect at this age? Ability to lift head when prone Ability to roll over from back to stomach Ability to sit independently Ability to crawl Answer: A Explanation: Infants born at 36 weeks gestation can typically lift their heads when placed in a prone position, which is an important developmental milestone. nurse practitioner is reviewing the impact of social determinants of health on pediatric patients. Which ollowing factors is considered a social determinant that can significantly affect health outco netic predisposition to diseases mily history of chronic illness ailability of advanced medical treatments cess to nutritious food er: D nation: Access to nutritious food is a key social determinant of health that can significantly nce health outcomes, particularly in pediatric populations, affecting growth and development. nurse is assessing a child’s airway who is at risk for respiratory compromise. Which of the follo ndicates potential airway obstruction? of accessory muscles during breathing ar lung sounds on auscultation rmal respiratory rate for age mmetrical chest expansion er: A Question: 619 A of the f mes? Ge Fa Av Ac Answ Expla influe A wing signs i Use Cle No Sy Answ Explanation: The use of accessory muscles during breathing is a sign of respiratory distress and potential airway obstruction, indicating the need for immediate intervention. A 8-year-old child is brought to the clinic with a history of progressive weakness and loss of motor skills. A muscle biopsy shows dystrophic changes. What is the most likely diagnosis? Spinal muscular atrophy Myasthenia gravis Becker muscular dystrophy Duchenne muscular dystrophy Answer: D Explanation: Dystrophic changes in muscle biopsy are characteristic of Duchenne muscular dystrophy, which typically presents with progressive muscle weakness. nurse is providing discharge education for parents of a premature infant diagnosed with retinopa turity (ROP). Which of the following statements by the parents indicates a need for further ng? understand that our baby will need follow-up eye exams." can expect our baby to see normally as they grow." should avoid exposing our baby to bright lights." need to monitor for signs of visual impairment." er: B nation: While many infants with ROP may develop normal vision, there is no guarantee, and ave visual impairment; hence, this statement indicates a misunderstanding. nurse is teaching a family about the management of a child with autism spectrum disorder (ASD of the following strategies should the nurse emphasize to support communication developm couraging the child to express emotions verbally at all times tricting interaction with peers to minimize stress owing the child to communicate solely through gestures ng visual aids and structured routines to enhance understanding er: D prema teachi "We "We "We "We Answ Expla some may h A ). Which ent? En Res All Usi Answ Explanation: Using visual aids and structured routines can greatly support communication development in children with ASD by providing clear and consistent cues that enhance understanding. A 4-year-old child presents with signs of dehydration including dry mucous membranes, a capillary refill time of 4 seconds, and lethargy. Laboratory studies reveal a serum sodium level of 150 mEq/L. What is the most appropriate initial treatment? Provide oral rehydration solutions Administer intravenous normal saline Administer hypotonic saline Start intravenous D5W Answer: B Explanation: The child is significantly dehydrated with a hypernatremic state, necessitating intravenous normal saline to restore volume and correct electrolyte imbalances. nurse is preparing to administer ibuprofen to a 6-year-old child weighing 20 kg for fever manag commended dose of ibuprofen is 10 mg/kg every 6-8 hours. What is the maximum single do an administer? mg mg mg mg er: B nation: The maximum single dose for ibuprofen at 10 mg/kg for a 20 kg child is calculated a g/kg = 200 mg; however, the maximum single dose typically administered is limited to 100 practice for safety in children. nurse is preparing to intubate a 4-year-old child in respiratory distress. Which of the following ments should the nurse perform prior to intubation to determine the appropriate tube size? asure the child's weight ess the child's height asure the child's neck circumference the formula (Age + 16) / 4Quest
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