Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?

Ensure IV fluid replacement is a hypertonic solution.

Assess for cardiac arrest related to high potassium levels.

Monitor the child's vital signs for hypertension.

Administer intravenous NPH insulin in high doses.

Answer and Explanation

The Correct Answer is D

Choice A reason: IV fluid replacement in DKA is typically isotonic, not hypertonic, to avoid rapid changes in osmolality.
Choice B reason: While monitoring for cardiac arrest is important, it is not the primary intervention; DKA often presents with low potassium levels that rise with treatment.
Choice C reason: Monitoring for hypertension is important, but the primary concern in DKA is managing the acidosis and hyperglycemia.
Choice D reason: This is the correct choice. Administering insulin is a key component of treating DKA to reduce blood glucose levels and reverse ketosis. NPH insulin is not typically used in the initial management of DKA; rapid-acting insulin is preferred. However, if NPH is mentioned in the context provided, it would be important to clarify the treatment protocol.

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Correct Answer is B

Explanation

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

A. Clubbed fingers B. Meconium ileus C. Barrel chest D. Steatorrheic stools

Correct Answer is B

Explanation

Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.

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Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

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Explanation

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Explanation

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