The difference between primary and secondary multiple organ dysfunction syndrome (MODS) is that primary MODS is the result of
a. widespread systemic inflammation that results in dysfunction of organs not involved in the initial insult.
b. direct organ injury.
c. disorganization of the immune system response.
d. widespread disruption of the coagulation system.
B
Organ dysfunction may be the direct consequence of an initial insult (primary MODS) or can manifest latently and involve organs not directly affected in the initial insult (secondary MODS). Patients can experience both primary and secondary MODS. Primary MODS results from a well-defined insult in which organ dysfunction occurs early and is directly attributed to the insult itself.
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A child is suspected of having Hirschsprung's disease. Which of the following assessment factors would support such a medical diagnosis?
1. History of constipation with large, foul-smelling stools 2. Continual bouts of foul-smelling diarrhea 3. Passage of a large amount of meconium in the newborn period 4. Clay-colored stools
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a. lack of supervision. b. psychological problems. c. substance abuse. d. physiological problems.
The nurse understands that microsomal enzymes are important in which pharmacokinetic factor in drug therapy?
a. absorption c. biotransformation b. distribution d. liberation
For which children would the nurse conduct an immediate comprehensive health history?
A) A child who is brought to the emergency room with labored breathing B) A child who is a new client in a pediatric office C) A child who is a routine client and presents with signs of a sinus infection D) A child whose condition is improving