Nokea
What must be the priority consideration for nurses when communicating with children?
- A. Present environment
- B. Physical condition
- C. Nonverbal cues
- D. Developmental level
Correct Answer: D
Rationale: While each of the factors affects communication, the nurse recognizes that developmental differences have implications for processing and understanding information. Consequently, a child's developmental level must be considered when selecting communication approaches.
You may also like to solve these questions
A registered nurse (RN) asks the licensed practical nurse (LPN) to hang blood on a client. What is the best response by the LPN?
- A. Carefully check the order and the client identification and hang the unit if all is in order.
- B. Ask the RN to verify the order and then administer as ordered.
- C. Hang the blood after taking baseline vital signs.
- D. Refuse to administer the blood.
Correct Answer: D
Rationale: LPN scope of practice typically excludes initiating blood transfusions due to the need for specialized monitoring, requiring RN administration.
The nurse is assisting a client with deep breathing and coughing exercises following abdominal surgery. What instruction is most appropriate for the nurse to give the client?
- A. Hold your breath for several seconds and then breathe out forcefully.
- B. Splint your incision while taking in deep breaths and coughing.
- C. Take deep breaths when you are moving in bed.
- D. Deep breathing exercises should be done when you are out of bed.
Correct Answer: B
Rationale: Splinting the incision reduces pain and supports effective deep breathing and coughing, preventing postoperative complications.
Which of the following actions, if taken by the nurse, is BEST?
- A. Provide the client with extra blankets.
- B. Instill artificial tears prn.
- C. Offer the client reading material.
- D. Offer frequent low-calorie snacks.
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client is usually sensitive to heat (2) correct-clients with hyperthyroidism frequently exhibit exophthalmos, which requires ophthalmic drops on a regular basis (3) should provide a calm, restful environment with low levels of sensory stimulation, protecting eyes from injury takes priority (4) frequent snacks should be high-calorie
While caring for a child who had a revision of a ventriculoperitoneal shunt, the nurse notes clear drainage from the incision. Which of the following actions should the nurse take first?
- A. Notify the physician to obtain further orders.
- B. Mark the dressing and continue to monitor.
- C. Check the dressing for the presence of glucose with a Dextrostik.
- D. No action is necessary because some drainage is expected.
Correct Answer: C
Rationale: Clear drainage may indicate cerebrospinal fluid (CSF) leak; checking for glucose with a Dextrostik confirms CSF, which requires immediate action.
Which of the following suggestions by the nurse is BEST?
- A. Apply warm compresses to your breasts and take two aspirin as needed.
- B. Massage your breasts with lotion and wear loose-fitting clothing.
- C. Apply cold compresses to your breasts and wear a well-fitting, supportive bra.
- D. Take a diuretic once a day and avoid touching your breasts.
Correct Answer: C
Rationale: Strategy: 'BEST' indicates priority question. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) would increase circulation and increase discomfort, should avoid taking medications (2) not effective in decreasing discomfort (3) correct-during pregnancy there is an increase in lactiferous ducts and lobule-alveolar tissue (4) medications are to be avoided during pregnancy