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What is the recommended analgesia for a practical nurse to use in preparing a school-age child for a lumbar puncture (LP)?
- A. Ondansetron (Zofran) 4 mg / 5 ml PO TID.
- B. Codeine 10 mg PO 30 minutes before the procedure.
- C. A transdermal fentanyl (Duragesic) patch immediately before the procedure.
- D. EMLA (eutectic mixtures of local anesthetics) 2.5 hours before the procedure.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide?
- A. I will ask the HCP for a psychiatric consult for your child'
- B. This type of acting out behavior is normal for adolescents'
- C. It is important to focus on your child's needs at this difficult time'
- D. A reaction of anger is your child's attempt to cope with this loss'
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A two-year-old child with heart failure is admitted for replacement of a graft for coarctation of the aorta. Prior to administering the next dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128 bpm. What action should the nurse take?
- A. Determine the pulse deficit.
- B. Administer the scheduled dose.
- C. Calculate the safe dose range.
- D. Review the serum digoxin level.
Correct Answer: B
Rationale: Administering the scheduled dose is appropriate in this scenario as the heart rate of 128 bpm falls within the acceptable range for a two-year-old child with heart failure. It indicates that the child may benefit from the therapeutic effects of digoxin. Monitoring the heart rate closely after administration is essential to ensure the medication's effectiveness and safety.
During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing?
- A. Separation anxiety.
- B. Associative play.
- C. Object prehension.
- D. Object permanence.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When should a mother introduce solid foods to her infant? The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant. The mother states, 'My mother says I should put rice cereal in the baby's bottle now.' The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?
- A. Stops rooting when hungry
- B. Opens mouth when food comes her way
- C. Awakens once for nighttime feedings
- D. Gives up a bottle for a cup
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?
- A. Encourage fluid intake.
- B. Promote complete bed rest.
- C. Weigh the child daily.
- D. Administer vitamin supplements.
Correct Answer: C
Rationale: Weighing the child daily is crucial in managing a child with acute glomerulonephritis as it helps in monitoring fluid retention, which is a key concern in this condition. Daily weight monitoring allows healthcare providers to assess changes in fluid status and adjust treatment accordingly. It is an essential component of the care plan to ensure the child's health status is closely monitored during the management of acute glomerulonephritis.