Nokea
A school-age child is 4 hours postoperative following perforated appendicitis repair. Which of the following actions should the nurse take?
- A. Maintain the child on a clear liquid diet for 48 hours.
- B. Administer antibiotics for 7 days.
- C. Apply warm compresses to the surgical site every 4 hours.
- D. Keep the child on NPO status for 24 hours.
Correct Answer: B
Rationale: Administering antibiotics for 7 days is essential postoperatively to prevent infections and complications in a child who underwent perforated appendicitis repair. This helps in reducing the risk of secondary infections and promoting healing. Clear liquid diets, warm compresses, and prolonged fasting are not the primary interventions indicated in this scenario.
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Correct Answer: D
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A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
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- C. Transposition of the great arteries
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Correct Answer: D
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Hyperkalemia without K+ excess occurs in:
- A. Potassium-sparing diuretics
- B. Leukocytosis and tumor lysis syndrome
- C. Renal failure
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Correct Answer: B
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Clinical examination of a child with large unilateral pneumothorax can show:
- A. Decreased breath sound intensity
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- C. Crepitations
- D. Bronchial breathing
Correct Answer: A
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A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
- A. Taking over total care of the child to reduce stress on the family
- B. Encouraging family dependence on health care systems
- C. Recognizing that the family is the constant in a child's life
- D. Excluding families from the decision-making process
Correct Answer: C
Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.