Daily Nursing Exam Questions #0077-80
β¨ Reye’s syndrome mainly affects the brain and liver, so kiddos can have cerebral edema and get super irritable π΅βπ«. Giving a quiet environment with dimmed lights really helps reduce brain stress π§ π€. Sure, checking urine is important, but here it’s not the top priority. Changing positions or hearing checks are nice but not the main focus. So remember, calm & quiet is the way! ππ
π§ When a child has fluid volume deficit, the body shows signs like poor skin turgor, delayed capillary refill, and concentrated urine. If capillary refill is less than 2 seconds β±οΈ, it tells us that perfusion is improving and fluids are working! π Other signs like no tears or urine output less than 1 mL/kg/hr actually indicate ongoing dehydration π. So quick refill = good sign! π
π Opioid analgesics can cause respiratory depression in moms during labor π·. Naloxone is the antidote that can quickly reverse opioid effects β‘. Other meds like morphine or meperidine are actually opioids themselves, and betamethasone is for fetal lung maturity, not for reversing respiratory depression. Always have Naloxone ready! π¨
π€± After delivery, a boggy uterus is a sign of uterine atony and risk for postpartum hemorrhage! The first thing a nurse should do is gently massage the fundus until it becomes firm πͺβ¨. Elevating legs or documenting is important later, but not the immediate action. Pushing on the uterus to express clots is NOT recommended initially. Fundal massage is key to stopping bleeding early! π©Έπ
π¨ Focus upβyour clinical decisions make a difference! π¨
β‘ Act fast and smart! Can you make the correct nursing call under pressure? β‘
π Share how you would handle this situation in the comments!
π¬ Test your skillsβpost your answer and explain your reasoning! π¬