The nurse understands the rationale for utilizing N-acetylcysteine for acetaminophen ingestions in children is to:

treat bacterial infections

promote coughing and clear secretions

reduce pain and fever

prevent liver damage

Answer and Explanation

The Correct Answer is D

A. Treat bacterial infections – Incorrect. N-acetylcysteine is not an antibiotic.

B. Promote coughing and clear secretions – Incorrect. This describes its use in cystic fibrosis as a mucolytic, not in acetaminophen toxicity.

C. Reduce pain and fever – Incorrect. Acetaminophen, not N-acetylcysteine, is used for pain and fever.

D. Prevent liver damage – Correct. N-acetylcysteine replenishes glutathione stores, which helps detoxify acetaminophen metabolites that cause hepatotoxicity.

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Correct Answer is ["B","C"]

Explanation

A. Urethral obstruction – Incorrect. Vesicoureteral reflux (VUR) does not directly cause urethral obstruction, which is typically due to structural abnormalities.

B. Upper urinary tract infections – Correct. VUR increases the risk of recurrent pyelonephritis (upper UTI) due to retrograde urine flow.

C. Chronic kidney disease – Correct. Repeated kidney infections and scarring from VUR can lead to chronic kidney disease over time.

D. Phimosis – Incorrect. Phimosis (tight foreskin) is unrelated to VUR.

E. Hydrocele – Incorrect. Hydrocele involves fluid accumulation around the testicle and is not related to urinary reflux.

A. Presence of dance sign B. Always seems full C. Projectile vomiting D. Excessive weight gain

Correct Answer is C

Explanation

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

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The nurse understands the rationale for utilizing N-acetylcysteine for acetaminophen ingestions in children is to:

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C"]

Explanation

A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

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