Nokea
Which intervention is the most appropriate recommendation for relief of teething pain?
- A. Rub gums with aspirin to relieve inflammation
- B. Apply hydrogen peroxide to gums to relieve irritation
- C. Give the infant a frozen teething ring to relieve inflammation
- D. Have the infant chew on a warm teething ring to encourage tooth eruption
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
- A. Developmentally appropriate toys
- B. Nutritious snacks served to the children
- C. Handwashing by providers after diaper changes
- D. Certified caregivers for each of the age groups at the facility
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a child receiving chemotherapy with the following orders: Zantac 70 mg IV in normal saline 30 mL to infuse over 30 minutes. The nurse should set the infusion pump to deliver how many mL/hour?
- A. 60 mL/hour
- B. 45 mL/hour
- C. 30 mL/hour
- D. 15 mL/hour
Correct Answer: A
Rationale: The correct answer is A: 60 mL/hour. The total volume to be infused is 30 mL over 30 minutes. To calculate the infusion rate in mL/hour, divide the total volume by the total time in hours. In this case, 30 mL / 0.5 hours = 60 mL/hour. Choice B, 45 mL/hour, is incorrect as it does not correspond to the calculated infusion rate. Choices C and D, 30 mL/hour and 15 mL/hour respectively, are also incorrect based on the calculation.
The nurse is caring for an infant who was born 24 hr ago to a mother who received no prenatal care. The infant is a poor feeder but sucks avidly on his hands. Clinical manifestations also include hyperactive reflexes, tremors, sneezing, and a high-pitched shrill cry. What does the nurse consider as a possible diagnosis for this infant?
- A. Seizure disorder
- B. Narcotic withdrawal
- C. Placental insufficiency
- D. Meconium aspiration syndrome
Correct Answer: B
Rationale: In this case, the infant's symptoms are consistent with narcotic withdrawal. Infants exposed to drugs in utero may display withdrawal symptoms starting around 12 to 24 hours post-birth. The presentation often includes hyperactive reflexes, tremors, sneezing, high-pitched shrill cry, poor feeding, and sucking avidly on hands. Signs such as loose stools, tachycardia, fever, projectile vomiting, sneezing, and generalized sweating are common. These symptoms are not indicative of a seizure disorder. Placental insufficiency typically leads to a small-for-gestational-age child, which is not mentioned in the scenario. Meconium aspiration syndrome primarily presents with respiratory distress, not the symptoms described in this case.
Which statement best describes colic?
- A. Periods of abdominal pain resulting in weight loss
- B. Usually the result of poor or inadequate mothering
- C. Periods of abdominal pain and crying occurring in infants older than age 6 months
- D. A paroxysmal abdominal pain or cramping manifested by episodes of loud crying
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At which age does an infant start to recognize familiar faces and objects, such as his or her own hand?
- A. 1 month
- B. 2 months
- C. 3 months
- D. 4 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.